healthcosts.net
Stent bili rx wallflx 10x80 uncvr at UPMC Williamsport
700 High Street, Williamsport, PA · UPMC · · NPI 164974648
$33,391.20
Cash price Discounted cash price What a hospital charges a self-pay patient who pays directly, without going through insurance — usually well below the gross charge. Example: A CT scan has a $3,200 gross charge but an $850 discounted cash price. Ask for it by name when scheduling — hospitals don't always advertise it up front.
?
What you pay up front if you don't use insurance.
$55,652.00
Gross charge Gross charge (chargemaster price) The hospital's full, undiscounted list price — pulled from its internal "chargemaster" price list. Almost no one actually pays this. Example: A chest X-ray has a gross charge of $1,450. The same hospital's discounted cash price for the same X-ray is $180 — the gross charge mostly anchors negotiations, not what patients pay.
?
The hospital's undiscounted list price — almost no one pays this.
$437.60 with Highmark Wholecare (prev Gateway) vs $1,969.20 with Three Rivers Provider Network — same scan, same building. Share
Negotiated rates by payer
?
Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →
?
Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →Payer ?Payer The insurance company footing the bill — Aetna, UnitedHealthcare, Medicare, and so on. Example: "Blue Cross Blue Shield" is the payer. Its negotiated rate for an MRI might be $904, while a different payer's negotiated rate for the same scan is $1,509. Full explanation → |
Plan ?Plan The specific product an insurer sells — e.g. "Blue Cross PPO 500" — which sets your deductible, coinsurance and negotiated rates. Example: Two people both insured by Aetna can owe very different amounts for the same MRI: $50 with an HMO plan's flat copay, or the full $1,200 toward a high-deductible PPO plan's unmet deductible. Full explanation → |
Negotiated rate | vs. cash |
|---|---|---|---|
| Highmark Wholecare (prev Gateway) | Medicaid | $437.60 | ↓ -99% |
| Highmark Wholecare (prev Gateway) | Medicare | $437.60 | ↓ -99% |
| Aetna | Medicare | $590.76 | ↓ -98% |
| PA Health & Wellness | PA Medicaid HMO | $722.04 | ↓ -98% |
| Highmark BCBS of PA | Managed Care - Social Mission | $870.61 | ↓ -97% |
| Aetna | PEBTF Custom Network | $887.23 | ↓ -97% |
| UPMC Health Plan | Commercial | $953.97 | ↓ -97% |
| Highmark BCBS of PA | Bluecare HMO/FPLIC PPO/Traditional Products | $1,025.30 | ↓ -97% |
| Aetna | Commercial | $1,043.68 | ↓ -97% |
| Coventry/First Health | Commercial | $1,096.19 | ↓ -97% |
| Wirerope Works | Commercial | $1,216.53 | ↓ -96% |
| Aetna | First Health | $1,444.08 | ↓ -96% |
| Geisinger | Commercial | $1,465.96 | ↓ -96% |
| Coventry/First Health | FH-Medical Rental | $1,472.52 | ↓ -96% |
| United Healthcare | Commercial | $1,496.59 | ↓ -96% |
| Cigna | Commercial | $1,498.78 | ↓ -96% |
| Multiplan | Auto | $1,706.64 | ↓ -95% |
| Multiplan | PPO (Includes PHCS as a Payer) | $1,706.64 | ↓ -95% |
| America's Choice | PPO | $1,750.40 | ↓ -95% |
| InterGroup | PPO | $1,750.40 | ↓ -95% |
| Three Rivers Provider Network | All | $1,969.20 | ↓ -94% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
| Multiplan | Worker's Compensation | not published by hospital | — |
Visitor-reported prices
Comments
Stent bili rx wallflx 10x80 uncvr at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $35,011.80 | $221.52 – $4,426.11 |
| UPMC Muncy | Muncy | $6,513.00 | $687.60 – $4,125.60 |
| UPMC Northwest | Seneca | $3,802.20 | $1,584.25 – $6,782.80 |
| UPMC Passavant-McCandless | Pittsburgh | $33,109.80 | $109.75 – $8,133.86 |
| UPMC Presbyterian | Pittsburgh | $46,683.00 | $147.84 – $9,062.62 |
| UPMC Somerset | Somerset | $6,966.60 | $596.80 – $3,357.32 |
| UPMC St. Margaret | Pittsburgh | $11,522.40 | $479.00 – $6,877.99 |
| UPMC Wellsboro | Wellsboro | $7,876.80 | $748.44 – $3,742.20 |