healthcosts.net
Agalsidase beta 35 mg intravenous solution at UPMC Muncy
215 East Water Street, Muncy, PA · UPMC · · NPI 1609816198
$27,295.80
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.
?
What you pay up front if you don't use insurance.
$45,493.00
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.
$194.85 with UPMC Health Plan vs $1,234.05 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 | $194.85 | ↓ -99% |
| Highmark Wholecare (prev Gateway) | Medicare | $194.85 | ↓ -99% |
| AmeriHealth Caritas | Medicare | $200.70 | ↓ -99% |
| Cigna | Medicare | $204.59 | ↓ -99% |
| United Healthcare | Medicare | $208.49 | ↓ -99% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $210.44 | ↓ -99% |
| AmeriHealth Caritas | Community HealthChoices (CHC) | $230.15 | ↓ -99% |
| Geisinger | Medicaid/CHIP | $230.15 | ↓ -99% |
| United Healthcare Community Plan for Families | PA Medicaid | $230.15 | ↓ -99% |
| Highmark Wholecare (prev Gateway) | Medicaid | $230.15 | ↓ -99% |
| Geisinger | CHIP | $230.15 | ↓ -99% |
| AmeriHealth Caritas | Medicaid | $230.15 | ↓ -99% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $230.15 | ↓ -99% |
| UPMC Health Plan | Managed Medicaid | $253.17 | ↓ -99% |
| UPMC Health Plan | CHIP | $253.17 | ↓ -99% |
| UPMC Work Partners | Workers Comp | $359.95 | ↓ -99% |
| Highmark BCBS of PA | Bluecare HMO/FPLIC PPO/Traditional Products | $509.47 | ↓ -98% |
| Aetna | PEBTF Custom Network | $526.74 | ↓ -98% |
| UPMC Health Plan | Commercial | $566.36 | ↓ -98% |
| Highmark BCBS of PA | Managed Care - Social Mission | $600.01 | ↓ -98% |
| Aetna | Commercial | $619.62 | ↓ -98% |
| Coventry/First Health | Commercial | $650.80 | ↓ -98% |
| Wirerope Works | Commercial | $722.24 | ↓ -97% |
| Aetna | First Health | $857.34 | ↓ -97% |
| Geisinger | Commercial | $870.33 | ↓ -97% |
| Coventry/First Health | FH-Medical Rental | $874.23 | ↓ -97% |
| United Healthcare | Commercial | $888.52 | ↓ -97% |
| Cigna | Commercial | $889.82 | ↓ -97% |
| Multiplan | Auto | $1,013.22 | ↓ -96% |
| Multiplan | PPO (Includes PHCS as a Payer) | $1,013.22 | ↓ -96% |
| America's Choice | PPO | $1,039.20 | ↓ -96% |
| InterGroup | PPO | $1,039.20 | ↓ -96% |
| Three Rivers Provider Network | All | $1,169.10 | ↓ -96% |
| Multiplan | Worker's Compensation | $1,234.05 | ↓ -95% |
Visitor-reported prices
Comments
Agalsidase beta 35 mg intravenous solution at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $20,627.40 | $145.32 – $644.40 |
| UPMC Presbyterian | Pittsburgh | $4,783.20 | $145.32 – $1,353.20 |
| UPMC Wellsboro | Wellsboro | $27,295.80 | $230.15 – $1,169.10 |
| UPMC Williamsport | Williamsport | $27,295.80 | $230.15 – $1,169.10 |