Treat thigh fracture at UPMC Williamsport
700 High Street, Williamsport, PA · UPMC · · NPI 164974648
$9,977.40
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.
$16,629.00
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.
$372.48 with United Healthcare Community Plan for Families vs $13,303.20 with America's Choice — 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 |
|---|---|---|---|
| United Healthcare Community Plan for Families | PA Medicaid | $372.48 | ↓ -96% |
| UPMC Work Partners | Workers Comp | $2,157.12 | ↓ -78% |
| Three Rivers Provider Network | All | $2,307.62 | ↓ -77% |
| Multiplan | Worker's Compensation | $2,382.87 | ↓ -76% |
| Aetna | Medicare | $4,489.83 | ↓ -55% |
| Highmark BCBS of PA | Managed Care - Social Mission | $6,616.68 | ↓ -34% |
| Aetna | PEBTF Custom Network | $6,743.06 | ↓ -32% |
| UPMC Health Plan | Commercial | $7,250.24 | ↓ -27% |
| Highmark BCBS of PA | Bluecare HMO/FPLIC PPO/Traditional Products | $7,792.35 | ↓ -22% |
| Aetna | Commercial | $7,932.03 | ↓ -21% |
| Coventry/First Health | Commercial | $8,331.13 | ↓ -16% |
| PA Health & Wellness | PA Medicaid HMO | $9,145.95 | ↓ -8% |
| Wirerope Works | Commercial | $9,245.72 | ↓ -7% |
| Aetna | First Health | $10,975.14 | ↑ +10% |
| Geisinger | Commercial | $11,141.43 | ↑ +12% |
| Coventry/First Health | FH-Medical Rental | $11,191.32 | ↑ +12% |
| United Healthcare | Commercial | $11,374.24 | ↑ +14% |
| Cigna | Commercial | $11,390.86 | ↑ +14% |
| Multiplan | PPO (Includes PHCS as a Payer) | $12,970.62 | ↑ +30% |
| Multiplan | Auto | $12,970.62 | ↑ +30% |
| InterGroup | PPO | $13,303.20 | ↑ +33% |
| America's Choice | PPO | $13,303.20 | ↑ +33% |
Visitor-reported prices
Comments
Treat thigh fracture at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Cole | Coudersport | $1,496.40 | $691.34 – $1,995.20 |
| UPMC East | Monroeville | $8,910.00 | $1,622.48 – $11,880.00 |
| UPMC Mercy | Pittsburgh | $4,002.60 | $1,607.17 – $3,171.10 |
| UPMC Presbyterian | Pittsburgh | $6,364.20 | $349.20 – $2,548.12 |