Trnsfr/rearrngmnt adjcnt tiss e/n/e/l dfct 10sqcm/< at UPMC Williamsport
700 High Street, Williamsport, PA · UPMC · · NPI 164974648
$5,275.20
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.
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What you pay up front if you don't use insurance.
$8,792.00
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.
$268.40 with UPMC Health Plan vs $7,033.60 with America's Choice — 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 |
|---|---|---|---|
| UPMC Health Plan | CHIP | $268.40 | ↓ -95% |
| Geisinger | Medicaid/CHIP | $268.40 | ↓ -95% |
| UPMC Health Plan | Managed Medicaid | $268.40 | ↓ -95% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $275.11 | ↓ -95% |
| Highmark Wholecare (prev Gateway) | Medicaid | $342.82 | ↓ -94% |
| PA Health & Wellness | PA Medicaid HMO | $415.82 | ↓ -92% |
| United Healthcare Community Plan for Families | PA Medicaid | $1,140.48 | ↓ -78% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $1,761.04 | ↓ -67% |
| UPMC Health Plan | Managed Medicare | $1,778.83 | ↓ -66% |
| AmeriHealth Caritas | Medicare | $1,796.27 | ↓ -66% |
| Aetna | Medicare | $1,796.27 | ↓ -66% |
| UPMC Work Partners | Workers Comp | $1,848.87 | ↓ -65% |
| United Healthcare | Medicare | $1,866.03 | ↓ -65% |
| Highmark Wholecare (prev Gateway) | Medicare | $1,883.29 | ↓ -64% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $1,883.47 | ↓ -64% |
| Three Rivers Provider Network | All | $1,977.86 | ↓ -63% |
| Multiplan | Worker's Compensation | $2,042.36 | ↓ -61% |
| Highmark BCBS of PA | Managed Care - Social Mission | $3,498.34 | ↓ -34% |
| Aetna | PEBTF Custom Network | $3,565.16 | ↓ -32% |
| UPMC Health Plan | Commercial | $3,833.31 | ↓ -27% |
| Highmark BCBS of PA | Bluecare HMO/FPLIC PPO/Traditional Products | $4,119.93 | ↓ -22% |
| Aetna | Commercial | $4,193.78 | ↓ -21% |
| Coventry/First Health | Commercial | $4,404.79 | ↓ -17% |
| Wirerope Works | Commercial | $4,888.35 | ↓ -7% |
| Aetna | First Health | $5,802.72 | ↑ +10% |
| Geisinger | Commercial | $5,890.64 | ↑ +12% |
| Coventry/First Health | FH-Medical Rental | $5,917.02 | ↑ +12% |
| United Healthcare | Commercial | $6,013.73 | ↑ +14% |
| Cigna | Commercial | $6,022.52 | ↑ +14% |
| Multiplan | Auto | $6,857.76 | ↑ +30% |
| Multiplan | PPO (Includes PHCS as a Payer) | $6,857.76 | ↑ +30% |
| InterGroup | PPO | $7,033.60 | ↑ +33% |
| America's Choice | PPO | $7,033.60 | ↑ +33% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Trnsfr/rearrngmnt adjcnt tiss e/n/e/l dfct 10sqcm/< at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Cole | Coudersport | $1,197.00 | $256.20 – $1,730.23 |
| UPMC Hamot | Erie | $3,559.20 | $268.40 – $2,536.45 |
| UPMC Presbyterian | Pittsburgh | $5,214.00 | $268.40 – $2,033.57 |
| UPMC St. Margaret | Pittsburgh | $3,955.80 | $268.40 – $1,918.35 |
| Uniontown Hospital | Uniontown | $2,371.50 | $205.80 – $4,153.69 |
| UPMC Altoona | Altoona | not published | $244.00 – $1,883.47 |
| UPMC Bedford | Everett | not published | $256.20 – $1,883.47 |
| UPMC Carlisle | Carlisle | not published | $309.88 – $2,799.81 |