healthcosts.net
Aqua therapy w/exercise/ea 15 min 97113 at UPMC Muncy
215 East Water Street, Muncy, PA · UPMC · · NPI 1609816198
$137.40
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.
$229.00
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.
$10.56 with UPMC Health Plan vs $156.64 with United Healthcare — 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 Health Plan | Managed Medicaid | $10.56 | ↓ -92% |
| Geisinger | Medicaid/CHIP | $10.56 | ↓ -92% |
| UPMC Health Plan | CHIP | $10.56 | ↓ -92% |
| Highmark Wholecare (prev Gateway) | Medicaid | $10.70 | ↓ -92% |
| AmeriHealth Caritas | Community HealthChoices (CHC) | $10.82 | ↓ -92% |
| AmeriHealth Caritas | Medicaid | $10.82 | ↓ -92% |
| United Healthcare Community Plan for Families | PA Medicaid | $12.29 | ↓ -91% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $16.36 | ↓ -88% |
| UPMC Health Plan | Managed Medicare | $17.70 | ↓ -87% |
| Highmark Wholecare (prev Gateway) | Medicare | $17.70 | ↓ -87% |
| AmeriHealth Caritas | Medicare | $18.23 | ↓ -87% |
| Cigna | Medicare | $18.59 | ↓ -86% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $19.12 | ↓ -86% |
| UPMC Work Partners | Workers Comp | $35.94 | ↓ -74% |
| United Healthcare | Medicare | $36.75 | ↓ -73% |
| Three Rivers Provider Network | All | $44.09 | ↓ -68% |
| Highmark BCBS of PA | Bluecare HMO/FPLIC PPO/Traditional Products | $46.28 | ↓ -66% |
| Aetna | PEBTF Custom Network | $47.85 | ↓ -65% |
| UPMC Health Plan | Commercial | $51.45 | ↓ -63% |
| Highmark BCBS of PA | Managed Care - Social Mission | $54.50 | ↓ -60% |
| Aetna | Commercial | $56.29 | ↓ -59% |
| Coventry/First Health | Commercial | $59.12 | ↓ -57% |
| Wirerope Works | Commercial | $65.61 | ↓ -52% |
| Aetna | First Health | $77.88 | ↓ -43% |
| Geisinger | Commercial | $79.06 | ↓ -42% |
| Coventry/First Health | FH-Medical Rental | $79.41 | ↓ -42% |
| Cigna | Commercial | $80.83 | ↓ -41% |
| Multiplan | Auto | $92.04 | ↓ -33% |
| Multiplan | PPO (Includes PHCS as a Payer) | $92.04 | ↓ -33% |
| America's Choice | PPO | $94.40 | ↓ -31% |
| InterGroup | PPO | $94.40 | ↓ -31% |
| Multiplan | Worker's Compensation | $112.10 | ↓ -18% |
| United Healthcare | Commercial | $156.64 | ↑ +14% |
Visitor-reported prices
Comments
Aqua therapy w/exercise/ea 15 min 97113 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $126.60 | $10.56 – $189.90 |
| UPMC Passavant-McCandless | Pittsburgh | $146.40 | $10.56 – $207.40 |
| UPMC Presbyterian | Pittsburgh | $115.20 | $10.56 – $163.20 |
| UPMC Wellsboro | Wellsboro | $166.40 | $10.56 – $96.30 |
| UPMC Williamsport | Williamsport | $137.40 | $10.56 – $183.20 |