healthcosts.net
Bln 1.2 mono emrg 15x1.2 at UPMC Muncy
215 East Water Street, Muncy, PA · UPMC · · NPI 1609816198
$805.80
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.
$1,343.00
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.
$63.90 with Highmark Wholecare (prev Gateway) vs $404.70 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 | $63.90 | ↓ -92% |
| UPMC Health Plan | Managed Medicare | $63.90 | ↓ -92% |
| AmeriHealth Caritas | Medicare | $65.82 | ↓ -92% |
| Cigna | Medicare | $67.09 | ↓ -92% |
| United Healthcare | Medicare | $68.37 | ↓ -92% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $69.01 | ↓ -91% |
| Highmark BCBS of PA | Bluecare HMO/FPLIC PPO/Traditional Products | $167.08 | ↓ -79% |
| Aetna | PEBTF Custom Network | $172.74 | ↓ -79% |
| UPMC Health Plan | Commercial | $185.74 | ↓ -77% |
| Highmark BCBS of PA | Managed Care - Social Mission | $196.77 | ↓ -76% |
| Aetna | Commercial | $203.20 | ↓ -75% |
| Coventry/First Health | Commercial | $213.43 | ↓ -74% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $234.30 | ↓ -71% |
| Wirerope Works | Commercial | $236.86 | ↓ -71% |
| Aetna | First Health | $281.16 | ↓ -65% |
| Geisinger | Commercial | $285.42 | ↓ -65% |
| Coventry/First Health | FH-Medical Rental | $286.70 | ↓ -64% |
| United Healthcare | Commercial | $291.38 | ↓ -64% |
| Cigna | Commercial | $291.81 | ↓ -64% |
| Multiplan | Auto | $332.28 | ↓ -59% |
| Multiplan | PPO (Includes PHCS as a Payer) | $332.28 | ↓ -59% |
| America's Choice | PPO | $340.80 | ↓ -58% |
| InterGroup | PPO | $340.80 | ↓ -58% |
| Three Rivers Provider Network | All | $383.40 | ↓ -52% |
| Multiplan | Worker's Compensation | $404.70 | ↓ -50% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
Visitor-reported prices
Comments
Bln 1.2 mono emrg 15x1.2 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $8,967.60 | $41.75 – $1,006.31 |
| UPMC Northwest | Seneca | $3,042.60 | $66.00 – $1,542.13 |
| UPMC Passavant-McCandless | Pittsburgh | $9,111.60 | $51.75 – $1,849.30 |
| UPMC Presbyterian | Pittsburgh | $15,157.20 | $9.18 – $2,060.46 |
| UPMC Somerset | Somerset | $6,126.60 | $110.66 – $763.32 |
| UPMC St. Margaret | Pittsburgh | $6,582.60 | $102.00 – $1,563.77 |
| UPMC Wellsboro | Wellsboro | $5,457.60 | $69.66 – $348.30 |
| UPMC Williamsport | Williamsport | $3,807.00 | $75.87 – $252.90 |