healthcosts.net
Stent iliac/open or perc/uni/init 37221 at UPMC Williamsport
700 High Street, Williamsport, PA · UPMC · · NPI 164974648
$6,724.80
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.
$11,208.00
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.
$993.28 with United Healthcare Community Plan for Families vs $11,676.82 with PA Health & Wellness — 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 |
|---|---|---|---|
| United Healthcare Community Plan for Families | PA Medicaid | $993.28 | ↓ -85% |
| Highmark BCBS of PA | Managed Care - Social Mission | $4,459.66 | ↓ -34% |
| Aetna | PEBTF Custom Network | $4,544.84 | ↓ -32% |
| UPMC Health Plan | Commercial | $4,886.69 | ↓ -27% |
| Highmark BCBS of PA | Bluecare HMO/FPLIC PPO/Traditional Products | $5,252.07 | ↓ -22% |
| Aetna | Commercial | $5,346.22 | ↓ -20% |
| Coventry/First Health | Commercial | $5,615.21 | ↓ -16% |
| PA Health & Wellness | PA Medicaid HMO | $6,164.40 | ↓ -8% |
| Wirerope Works | Commercial | $6,231.65 | ↓ -7% |
| UPMC Work Partners | Workers Comp | $6,886.55 | ↑ +2% |
| Three Rivers Provider Network | All | $7,367.01 | ↑ +10% |
| Aetna | First Health | $7,397.28 | ↑ +10% |
| Geisinger | Commercial | $7,509.36 | ↑ +12% |
| Coventry/First Health | FH-Medical Rental | $7,542.98 | ↑ +12% |
| Multiplan | Worker's Compensation | $7,607.24 | ↑ +13% |
| United Healthcare | Commercial | $7,666.27 | ↑ +14% |
| Cigna | Commercial | $7,677.48 | ↑ +14% |
| Multiplan | Auto | $8,742.24 | ↑ +30% |
| Multiplan | PPO (Includes PHCS as a Payer) | $8,742.24 | ↑ +30% |
| America's Choice | PPO | $8,966.40 | ↑ +33% |
| InterGroup | PPO | $8,966.40 | ↑ +33% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $10,917.83 | ↑ +62% |
| UPMC Health Plan | Managed Medicare | $11,028.11 | ↑ +64% |
| Aetna | Medicare | $11,136.23 | ↑ +66% |
| AmeriHealth Caritas | Medicare | $11,136.23 | ↑ +66% |
| United Healthcare | Medicare | $11,568.70 | ↑ +72% |
| Highmark Wholecare (prev Gateway) | Medicare | $11,675.74 | ↑ +74% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $11,676.82 | ↑ +74% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Stent iliac/open or perc/uni/init 37221 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $33,589.20 | $5,152.97 – $47,584.70 |
| UPMC Mercy | Pittsburgh | $21,521.40 | $468.05 – $32,282.10 |
| UPMC Northwest | Seneca | $21,381.00 | $5,385.45 – $30,289.75 |
| UPMC Presbyterian | Pittsburgh | $32,172.60 | $468.05 – $45,577.85 |
| UPMC Somerset | Somerset | $17,281.80 | $892.40 – $21,602.25 |
| UPMC St. Margaret | Pittsburgh | $17,448.00 | $5,116.53 – $24,718.00 |