healthcosts.net
Administration chemotherapy IV infusion each addl sequential infusion diff substance/drug >1 hr at UPMC Muncy
215 East Water Street, Muncy, PA · UPMC · · NPI 1609816198
$223.20
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.
?
What you pay up front if you don't use insurance.
$372.00
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.
$55.80 with UPMC Health Plan vs $353.40 with Multiplan — 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 |
|---|---|---|---|
| UPMC Health Plan | Managed Medicare | $55.80 | ↓ -75% |
| Highmark Wholecare (prev Gateway) | Medicare | $55.80 | ↓ -75% |
| AmeriHealth Caritas | Medicare | $57.47 | ↓ -74% |
| Cigna | Medicare | $58.59 | ↓ -74% |
| United Healthcare | Medicare | $59.71 | ↓ -73% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $60.26 | ↓ -73% |
| UPMC Health Plan | Managed Medicaid | $67.85 | ↓ -70% |
| Geisinger | Medicaid/CHIP | $67.85 | ↓ -70% |
| UPMC Health Plan | CHIP | $67.85 | ↓ -70% |
| Highmark Wholecare (prev Gateway) | Medicaid | $68.77 | ↓ -69% |
| AmeriHealth Caritas | Community HealthChoices (CHC) | $69.54 | ↓ -69% |
| AmeriHealth Caritas | Medicaid | $69.54 | ↓ -69% |
| United Healthcare Community Plan for Families | PA Medicaid | $78.95 | ↓ -65% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $105.12 | ↓ -53% |
| UPMC Work Partners | Workers Comp | $128.83 | ↓ -42% |
| Three Rivers Provider Network | All | $137.82 | ↓ -38% |
| Highmark BCBS of PA | Bluecare HMO/FPLIC PPO/Traditional Products | $145.90 | ↓ -35% |
| Aetna | PEBTF Custom Network | $150.85 | ↓ -32% |
| UPMC Health Plan | Commercial | $162.19 | ↓ -27% |
| Highmark BCBS of PA | Managed Care - Social Mission | $171.83 | ↓ -23% |
| Aetna | Commercial | $177.44 | ↓ -21% |
| Coventry/First Health | Commercial | $186.37 | ↓ -17% |
| Wirerope Works | Commercial | $206.83 | ↓ -7% |
| Aetna | First Health | $245.52 | ↑ +10% |
| Geisinger | Commercial | $249.24 | ↑ +12% |
| Coventry/First Health | FH-Medical Rental | $250.36 | ↑ +12% |
| United Healthcare | Commercial | $254.45 | ↑ +14% |
| Cigna | Commercial | $254.82 | ↑ +14% |
| Multiplan | Auto | $290.16 | ↑ +30% |
| Multiplan | PPO (Includes PHCS as a Payer) | $290.16 | ↑ +30% |
| America's Choice | PPO | $297.60 | ↑ +33% |
| InterGroup | PPO | $297.60 | ↑ +33% |
| Multiplan | Worker's Compensation | $353.40 | ↑ +58% |
Visitor-reported prices
Comments
Administration chemotherapy IV infusion each addl sequential infusion diff substance/drug >1 hr at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $336.00 | $56.56 – $504.00 |
| UPMC Northwest | Seneca | $449.40 | $61.53 – $636.65 |
| UPMC Passavant-McCandless | Pittsburgh | $322.20 | $63.05 – $456.45 |
| UPMC Presbyterian | Pittsburgh | $554.40 | $67.85 – $785.40 |
| UPMC Somerset | Somerset | $197.40 | $67.17 – $246.75 |
| UPMC St. Margaret | Pittsburgh | $397.80 | $58.58 – $563.55 |
| UPMC Wellsboro | Wellsboro | $269.60 | $60.66 – $303.30 |
| UPMC Williamsport | Williamsport | $223.20 | $67.85 – $297.60 |