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Stent bronch dumon sil 10x40mm at UPMC Williamsport
700 High Street, Williamsport, PA · UPMC · · NPI 164974648
$5,938.80
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.
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What you pay up front if you don't use insurance.
$9,898.00
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.
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The hospital's undiscounted list price — almost no one pays this.
$1,138.20 with Highmark Wholecare (prev Gateway) vs $5,121.90 with Three Rivers Provider Network — same scan, same building. Share
Negotiated rates by payer
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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 →
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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 | $1,138.20 | ↓ -81% |
| Highmark Wholecare (prev Gateway) | Medicare | $1,138.20 | ↓ -81% |
| Aetna | Medicare | $1,536.57 | ↓ -74% |
| PA Health & Wellness | PA Medicaid HMO | $1,878.03 | ↓ -68% |
| Highmark BCBS of PA | Managed Care - Social Mission | $2,264.45 | ↓ -62% |
| Aetna | PEBTF Custom Network | $2,307.70 | ↓ -61% |
| UPMC Health Plan | Commercial | $2,481.28 | ↓ -58% |
| Highmark BCBS of PA | Bluecare HMO/FPLIC PPO/Traditional Products | $2,666.80 | ↓ -55% |
| Aetna | Commercial | $2,714.61 | ↓ -54% |
| Coventry/First Health | Commercial | $2,851.19 | ↓ -52% |
| Wirerope Works | Commercial | $3,164.20 | ↓ -47% |
| Aetna | First Health | $3,756.06 | ↓ -37% |
| Geisinger | Commercial | $3,812.97 | ↓ -36% |
| Coventry/First Health | FH-Medical Rental | $3,830.04 | ↓ -36% |
| United Healthcare | Commercial | $3,892.64 | ↓ -34% |
| Cigna | Commercial | $3,898.34 | ↓ -34% |
| Multiplan | Auto | $4,438.98 | ↓ -25% |
| Multiplan | PPO (Includes PHCS as a Payer) | $4,438.98 | ↓ -25% |
| America's Choice | PPO | $4,552.80 | ↓ -23% |
| InterGroup | PPO | $4,552.80 | ↓ -23% |
| Three Rivers Provider Network | All | $5,121.90 | ↓ -14% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
| Multiplan | Worker's Compensation | not published by hospital | — |
Visitor-reported prices
Comments
Stent bronch dumon sil 10x40mm at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $13,557.00 | $953.60 – $7,631.10 |
| UPMC Passavant-McCandless | Pittsburgh | $10,323.00 | $962.68 – $9,135.91 |
| UPMC Presbyterian | Pittsburgh | $22,262.40 | $962.68 – $15,509.10 |
| UPMC Somerset | Somerset | $5,596.20 | $943.96 – $6,995.25 |
| UPMC St. Margaret | Pittsburgh | $17,533.20 | $962.68 – $9,273.50 |