healthcosts.net
Analysis gene f5 leiden variant at UPMC Muncy
215 East Water Street, Muncy, PA · UPMC · · NPI 1609816198
$1,021.80
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.
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What you pay up front if you don't use insurance.
$1,703.00
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.
$72.52 with UPMC Work Partners vs $1,157.10 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 |
|---|---|---|---|
| UPMC Work Partners | Workers Comp | $72.52 | ↓ -93% |
| UPMC Health Plan | Managed Medicaid | $73.37 | ↓ -93% |
| Geisinger | Medicaid/CHIP | $73.37 | ↓ -93% |
| UPMC Health Plan | CHIP | $73.37 | ↓ -93% |
| Highmark Wholecare (prev Gateway) | Medicaid | $74.37 | ↓ -93% |
| AmeriHealth Caritas | Community HealthChoices (CHC) | $75.20 | ↓ -93% |
| AmeriHealth Caritas | Medicaid | $75.20 | ↓ -93% |
| Three Rivers Provider Network | All | $77.57 | ↓ -92% |
| United Healthcare Community Plan for Families | PA Medicaid | $85.38 | ↓ -92% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $113.67 | ↓ -89% |
| UPMC Health Plan | Managed Medicare | $182.70 | ↓ -82% |
| Highmark Wholecare (prev Gateway) | Medicare | $182.70 | ↓ -82% |
| AmeriHealth Caritas | Medicare | $188.18 | ↓ -82% |
| Cigna | Medicare | $191.84 | ↓ -81% |
| United Healthcare | Medicare | $195.49 | ↓ -81% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $197.32 | ↓ -81% |
| Coventry/First Health | Commercial | $460.40 | ↓ -55% |
| Highmark BCBS of PA | Bluecare HMO/FPLIC PPO/Traditional Products | $477.70 | ↓ -53% |
| Aetna | PEBTF Custom Network | $493.90 | ↓ -52% |
| UPMC Health Plan | Commercial | $531.05 | ↓ -48% |
| Highmark BCBS of PA | Managed Care - Social Mission | $562.59 | ↓ -45% |
| Aetna | Commercial | $580.99 | ↓ -43% |
| Cigna | Commercial | $626.05 | ↓ -39% |
| United Healthcare | Commercial | $675.99 | ↓ -34% |
| Wirerope Works | Commercial | $677.21 | ↓ -34% |
| Aetna | First Health | $803.88 | ↓ -21% |
| Geisinger | Commercial | $816.06 | ↓ -20% |
| Coventry/First Health | FH-Medical Rental | $819.71 | ↓ -20% |
| Multiplan | Auto | $950.04 | ↓ -7% |
| Multiplan | PPO (Includes PHCS as a Payer) | $950.04 | ↓ -7% |
| America's Choice | PPO | $974.40 | ↓ -5% |
| InterGroup | PPO | $974.40 | ↓ -5% |
| Multiplan | Worker's Compensation | $1,157.10 | ↑ +13% |
Visitor-reported prices
Comments
Analysis gene f5 leiden variant at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $1,191.60 | $29.08 – $1,688.10 |
| UPMC Mercy | Pittsburgh | $1,251.60 | $28.91 – $1,787.40 |
| UPMC Northwest | Seneca | $1,251.60 | $29.09 – $1,688.10 |
| UPMC Presbyterian | Pittsburgh | $1,788.00 | $30.68 – $409.70 |
| UPMC Somerset | Somerset | $424.80 | $72.27 – $531.00 |
| UPMC St. Margaret | Pittsburgh | $1,251.60 | $29.15 – $1,688.10 |
| UPMC Wellsboro | Wellsboro | $1,764.00 | $66.70 – $1,044.00 |
| UPMC Williamsport | Williamsport | $1,217.40 | $72.52 – $1,184.80 |