healthcosts.net
Cath epdrl brevi-stf 12in .043 at UPMC Muncy
215 East Water Street, Muncy, PA · UPMC · · NPI 1609816198
$2,166.60
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.
?
What you pay up front if you don't use insurance.
$3,611.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$541.65 with Highmark Wholecare (prev Gateway) vs $3,430.45 with Multiplan — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $541.65 | ↓ -75% |
| UPMC Health Plan | Managed Medicare | $541.65 | ↓ -75% |
| AmeriHealth Caritas | Medicare | $557.90 | ↓ -74% |
| Cigna | Medicare | $568.73 | ↓ -74% |
| United Healthcare | Medicare | $579.57 | ↓ -73% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $584.98 | ↓ -73% |
| Highmark Wholecare (prev Gateway) | Medicaid | $722.20 | ↓ -67% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $1,191.63 | ↓ -45% |
| Highmark BCBS of PA | Bluecare HMO/FPLIC PPO/Traditional Products | $1,416.23 | ↓ -35% |
| Aetna | PEBTF Custom Network | $1,464.26 | ↓ -32% |
| UPMC Health Plan | Commercial | $1,574.40 | ↓ -27% |
| Highmark BCBS of PA | Managed Care - Social Mission | $1,667.92 | ↓ -23% |
| Aetna | Commercial | $1,722.45 | ↓ -20% |
| Coventry/First Health | Commercial | $1,809.11 | ↓ -17% |
| Wirerope Works | Commercial | $2,007.72 | ↓ -7% |
| Aetna | First Health | $2,383.26 | ↑ +10% |
| Geisinger | Commercial | $2,419.37 | ↑ +12% |
| Coventry/First Health | FH-Medical Rental | $2,430.20 | ↑ +12% |
| United Healthcare | Commercial | $2,469.92 | ↑ +14% |
| Cigna | Commercial | $2,473.53 | ↑ +14% |
| Multiplan | Auto | $2,816.58 | ↑ +30% |
| Multiplan | PPO (Includes PHCS as a Payer) | $2,816.58 | ↑ +30% |
| America's Choice | PPO | $2,888.80 | ↑ +33% |
| InterGroup | PPO | $2,888.80 | ↑ +33% |
| Three Rivers Provider Network | All | $3,249.90 | ↑ +50% |
| Multiplan | Worker's Compensation | $3,430.45 | ↑ +58% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
Visitor-reported prices
Comments
Cath epdrl brevi-stf 12in .043 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $3,607.80 | $268.25 – $965.70 |
| UPMC Passavant-McCandless | Pittsburgh | $276.60 | $115.25 – $1,325.32 |
| UPMC Presbyterian | Pittsburgh | $7,204.80 | $378.96 – $1,963.50 |
| UPMC Williamsport | Williamsport | $1,297.80 | $584.01 – $1,946.70 |