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Bausch health Ultrasound surg at UPMC Muncy
215 East Water Street, Muncy, PA · UPMC · · NPI 1609816198
$609.00
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.
$1,015.00
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.
$149.25 with Highmark Wholecare (prev Gateway) vs $945.25 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 |
|---|---|---|---|
| Highmark Wholecare (prev Gateway) | Medicare | $149.25 | ↓ -75% |
| UPMC Health Plan | Managed Medicare | $149.25 | ↓ -75% |
| AmeriHealth Caritas | Medicare | $153.73 | ↓ -75% |
| Cigna | Medicare | $156.71 | ↓ -74% |
| United Healthcare | Medicare | $159.70 | ↓ -74% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $161.19 | ↓ -74% |
| Highmark BCBS of PA | Bluecare HMO/FPLIC PPO/Traditional Products | $390.24 | ↓ -36% |
| Aetna | PEBTF Custom Network | $403.47 | ↓ -34% |
| UPMC Health Plan | Commercial | $433.82 | ↓ -29% |
| Highmark BCBS of PA | Managed Care - Social Mission | $459.59 | ↓ -25% |
| Aetna | Commercial | $474.62 | ↓ -22% |
| Coventry/First Health | Commercial | $498.50 | ↓ -18% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $547.25 | ↓ -10% |
| Wirerope Works | Commercial | $553.22 | ↓ -9% |
| Aetna | First Health | $656.70 | ↑ +8% |
| Geisinger | Commercial | $666.65 | ↑ +9% |
| Coventry/First Health | FH-Medical Rental | $669.63 | ↑ +10% |
| United Healthcare | Commercial | $680.58 | ↑ +12% |
| Cigna | Commercial | $681.58 | ↑ +12% |
| Multiplan | Auto | $776.10 | ↑ +27% |
| Multiplan | PPO (Includes PHCS as a Payer) | $776.10 | ↑ +27% |
| America's Choice | PPO | $796.00 | ↑ +31% |
| InterGroup | PPO | $796.00 | ↑ +31% |
| Three Rivers Provider Network | All | $895.50 | ↑ +47% |
| Multiplan | Worker's Compensation | $945.25 | ↑ +55% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
Visitor-reported prices
Comments
Bausch health Ultrasound surg at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $609.00 | $126.25 – $552.75 |
| UPMC Northwest | Seneca | $609.00 | $248.75 – $847.06 |
| UPMC Presbyterian | Pittsburgh | $633.00 | $161.10 – $1,131.78 |
| UPMC St. Margaret | Pittsburgh | $5,261.40 | $126.25 – $858.95 |
| UPMC Wellsboro | Wellsboro | $800.00 | $179.10 – $895.50 |