healthcosts.net
Brain MRI (with contrast) at UPMC Muncy
215 East Water Street, Muncy, PA · UPMC · · NPI 1609816198
$2,910.60
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.
$4,851.00
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.
$344.32 with United Healthcare Community Plan for Families vs $4,608.45 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 |
|---|---|---|---|
| United Healthcare Community Plan for Families | PA Medicaid | $344.32 | ↓ -88% |
| UPMC Health Plan | Managed Medicaid | $372.90 | ↓ -87% |
| Geisinger | Medicaid/CHIP | $372.90 | ↓ -87% |
| UPMC Health Plan | CHIP | $372.90 | ↓ -87% |
| Highmark Wholecare (prev Gateway) | Medicaid | $377.99 | ↓ -87% |
| AmeriHealth Caritas | Community HealthChoices (CHC) | $382.22 | ↓ -87% |
| AmeriHealth Caritas | Medicaid | $382.22 | ↓ -87% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $577.72 | ↓ -80% |
| UPMC Health Plan | Managed Medicare | $727.65 | ↓ -75% |
| Highmark Wholecare (prev Gateway) | Medicare | $727.65 | ↓ -75% |
| AmeriHealth Caritas | Medicare | $749.48 | ↓ -74% |
| Cigna | Medicare | $764.03 | ↓ -74% |
| United Healthcare | Medicare | $778.59 | ↓ -73% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $785.86 | ↓ -73% |
| UPMC Work Partners | Workers Comp | $1,479.38 | ↓ -49% |
| Three Rivers Provider Network | All | $1,582.59 | ↓ -46% |
| Highmark BCBS of PA | Bluecare HMO/FPLIC PPO/Traditional Products | $1,902.56 | ↓ -35% |
| Aetna | PEBTF Custom Network | $1,967.08 | ↓ -32% |
| UPMC Health Plan | Commercial | $2,115.04 | ↓ -27% |
| Highmark BCBS of PA | Managed Care - Social Mission | $2,240.68 | ↓ -23% |
| Aetna | Commercial | $2,313.93 | ↓ -20% |
| Coventry/First Health | Commercial | $2,430.35 | ↓ -17% |
| Wirerope Works | Commercial | $2,697.16 | ↓ -7% |
| Aetna | First Health | $3,201.66 | ↑ +10% |
| Geisinger | Commercial | $3,250.17 | ↑ +12% |
| Coventry/First Health | FH-Medical Rental | $3,264.72 | ↑ +12% |
| United Healthcare | Commercial | $3,318.08 | ↑ +14% |
| Cigna | Commercial | $3,322.93 | ↑ +14% |
| Multiplan | Auto | $3,783.78 | ↑ +30% |
| Multiplan | PPO (Includes PHCS as a Payer) | $3,783.78 | ↑ +30% |
| America's Choice | PPO | $3,880.80 | ↑ +33% |
| InterGroup | PPO | $3,880.80 | ↑ +33% |
| Multiplan | Worker's Compensation | $4,608.45 | ↑ +58% |
Visitor-reported prices
Comments
Brain MRI (with contrast) at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $4,621.20 | $316.41 – $6,546.70 |
| UPMC East | Monroeville | $5,074.20 | $341.40 – $6,765.60 |
| UPMC Hamot | Erie | $5,178.60 | $220.15 – $6,041.70 |
| UPMC Horizon-Greenville | Greenville | $2,586.00 | $304.83 – $3,663.50 |
| UPMC Jameson | New Castle | $2,119.20 | $279.12 – $3,108.16 |
| UPMC McKeesport | Mckeesport | $4,936.20 | $315.59 – $6,992.95 |
| UPMC Altoona | Altoona | $1,699.20 | $269.00 – $2,265.60 |
| UPMC Carlisle | Carlisle | $2,854.80 | $338.22 – $4,044.30 |