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Alprostadil for injection at UPMC Muncy
215 East Water Street, Muncy, PA · UPMC · · NPI 1609816198
$550.20
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.
$917.00
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.
$0.15 with AmeriHealth Caritas vs $0.95 with Multiplan — 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 |
|---|---|---|---|
| AmeriHealth Caritas | Medicare | $0.15 | ↓ -100% |
| Highmark Wholecare (prev Gateway) | Medicare | $0.15 | ↓ -100% |
| UPMC Health Plan | Managed Medicare | $0.15 | ↓ -100% |
| Cigna | Medicare | $0.16 | ↓ -100% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $0.16 | ↓ -100% |
| United Healthcare | Medicare | $0.16 | ↓ -100% |
| UPMC Work Partners | Workers Comp | $0.28 | ↓ -100% |
| Highmark BCBS of PA | Bluecare HMO/FPLIC PPO/Traditional Products | $0.39 | ↓ -100% |
| Aetna | PEBTF Custom Network | $0.41 | ↓ -100% |
| UPMC Health Plan | Commercial | $0.44 | ↓ -100% |
| Highmark BCBS of PA | Managed Care - Social Mission | $0.46 | ↓ -100% |
| Aetna | Commercial | $0.48 | ↓ -100% |
| Coventry/First Health | Commercial | $0.50 | ↓ -100% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $0.55 | ↓ -100% |
| Wirerope Works | Commercial | $0.56 | ↓ -100% |
| Aetna | First Health | $0.66 | ↓ -100% |
| Coventry/First Health | FH-Medical Rental | $0.67 | ↓ -100% |
| Geisinger | Commercial | $0.67 | ↓ -100% |
| United Healthcare | Commercial | $0.68 | ↓ -100% |
| Cigna | Commercial | $0.69 | ↓ -100% |
| Multiplan | Auto | $0.78 | ↓ -100% |
| Multiplan | PPO (Includes PHCS as a Payer) | $0.78 | ↓ -100% |
| America's Choice | PPO | $0.80 | ↓ -100% |
| InterGroup | PPO | $0.80 | ↓ -100% |
| Three Rivers Provider Network | All | $0.90 | ↓ -100% |
| Multiplan | Worker's Compensation | $0.95 | ↓ -100% |
Visitor-reported prices
Comments
Alprostadil for injection at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Presbyterian | Pittsburgh | $12.00 | $3.23 – $17.00 |
| UPMC Somerset | Somerset | $151.80 | $3.16 – $109.50 |
| UPMC Wellsboro | Wellsboro | $550.20 | $0.18 – $0.90 |
| UPMC Williamsport | Williamsport | $550.20 | $0.27 – $0.90 |