ARTIFICIAL SALIVA at UPMC Williamsport

Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.

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Original text from hospital filings

ORAL BALANCE MOIST GEL 45ML

Williamsport, PA

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How this price compares nationally

UPMC Williamsport’s median price of $24 is 134% above the median hospital's median price ($10), higher than 88% of the 493 hospitals reporting HCPCS A9155. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS A9155 at UPMC Williamsport

Negotiated rates from the hospital’s own file: 6 payers, 24 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.

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1	UnitedHealthcare pa medicaid facility · fee schedule · outpatient	$4	$4	—	—	—	$4 – $4
2	Aetna medicare facility · percent of total billed charges · outpatientfrom % of charges	$10	$10	—	—	—	$10 – $10
3	MultiPlan worker's compensation facility · percent of total billed charges · outpatientfrom % of charges	$11	$11	—	—	—	$11 – $11
4	MultiPlan worker's compensation facility · percent of total billed charges · inpatientfrom % of charges	$12	$12	—	—	—	$12 – $12
5	Highmark managed care - social mission facility · percent of total billed charges · outpatientfrom % of charges	$15	$15	—	—	—	$15 – $15
6	Aetna pebtf custom network facility · percent of total billed charges · outpatientfrom % of charges	$15	$15	—	—	—	$15 – $15
7	Aetna pebtf custom network facility · percent of total billed charges · inpatientfrom % of charges	$16	$16	—	—	—	$16 – $16
8	Highmark bluecare hmo/fplic ppo/traditional products facility · percent of total billed charges · outpatientfrom % of charges	$17	$17	—	—	—	$17 – $17
9	Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges	$17	$17	—	—	—	$17 – $17
10	First Health commercial facility · percent of total billed charges · outpatientfrom % of charges	$18	$18	—	—	—	$18 – $18
11	Aetna commercial facility · percent of total billed charges · inpatientfrom % of charges	$18	$18	—	—	—	$18 – $18
12	First Health commercial facility · percent of total billed charges · inpatientfrom % of charges	$19	$19	—	—	—	$19 – $19
13	Aetna first health facility · percent of total billed charges · inpatientfrom % of charges	$24	$24	—	—	—	$24 – $24
14	Aetna first health facility · percent of total billed charges · outpatientfrom % of charges	$24	$24	—	—	—	$24 – $24
15	First Health fh-medical rental facility · percent of total billed charges · inpatientfrom % of charges	$25	$25	—	—	—	$25 – $25
16	First Health fh-medical rental facility · percent of total billed charges · outpatientfrom % of charges	$25	$25	—	—	—	$25 – $25
17	UnitedHealthcare commercial facility · percent of total billed charges · inpatientfrom % of charges	$25	$25	—	—	—	$25 – $25
18	UnitedHealthcare commercial facility · percent of total billed charges · outpatientfrom % of charges	$25	$25	—	—	—	$25 – $25
19	Cigna commercial facility · percent of total billed charges · inpatientfrom % of charges	$25	$25	—	—	—	$25 – $25
20	Cigna commercial facility · percent of total billed charges · outpatientfrom % of charges	$25	$25	—	—	—	$25 – $25
21	MultiPlan auto facility · percent of total billed charges · inpatientfrom % of charges	$28	$28	—	—	—	$28 – $28
22	MultiPlan auto facility · percent of total billed charges · outpatientfrom % of charges	$28	$28	—	—	—	$28 – $28
23	MultiPlan ppo (includes phcs as a payer) facility · percent of total billed charges · inpatientfrom % of charges	$28	$28	—	—	—	$28 – $28
24	MultiPlan ppo (includes phcs as a payer) facility · percent of total billed charges · outpatientfrom % of charges	$28	$28	—	—	—	$28 – $28

Last updated: Mar 6, 2026

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