healthcosts.net
Cefepime 1 gram solution for injection at UPMC Muncy
215 East Water Street, Muncy, PA · UPMC · · NPI 1609816198
$186.60
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.
$311.00
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.
$1.22 with AmeriHealth Caritas vs $73.15 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 |
|---|---|---|---|
| AmeriHealth Caritas | Community HealthChoices (CHC) | $1.22 | ↓ -99% |
| Geisinger | Medicaid/CHIP | $1.22 | ↓ -99% |
| Highmark Wholecare (prev Gateway) | Medicaid | $1.22 | ↓ -99% |
| Geisinger | CHIP | $1.22 | ↓ -99% |
| AmeriHealth Caritas | Medicaid | $1.22 | ↓ -99% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $1.22 | ↓ -99% |
| UPMC Health Plan | Managed Medicaid | $1.34 | ↓ -99% |
| UPMC Health Plan | CHIP | $1.34 | ↓ -99% |
| UPMC Health Plan | Managed Medicare | $11.55 | ↓ -94% |
| Highmark Wholecare (prev Gateway) | Medicare | $11.55 | ↓ -94% |
| AmeriHealth Caritas | Medicare | $11.90 | ↓ -94% |
| Cigna | Medicare | $12.13 | ↓ -93% |
| United Healthcare | Medicare | $12.36 | ↓ -93% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $12.47 | ↓ -93% |
| UPMC Work Partners | Workers Comp | $21.34 | ↓ -89% |
| Highmark BCBS of PA | Bluecare HMO/FPLIC PPO/Traditional Products | $30.20 | ↓ -84% |
| Aetna | PEBTF Custom Network | $31.22 | ↓ -83% |
| UPMC Health Plan | Commercial | $33.57 | ↓ -82% |
| Highmark BCBS of PA | Managed Care - Social Mission | $35.57 | ↓ -81% |
| Aetna | Commercial | $36.73 | ↓ -80% |
| Coventry/First Health | Commercial | $38.58 | ↓ -79% |
| Wirerope Works | Commercial | $42.81 | ↓ -77% |
| Aetna | First Health | $50.82 | ↓ -73% |
| Geisinger | Commercial | $51.59 | ↓ -72% |
| Coventry/First Health | FH-Medical Rental | $51.82 | ↓ -72% |
| United Healthcare | Commercial | $52.67 | ↓ -72% |
| Cigna | Commercial | $52.74 | ↓ -72% |
| Multiplan | Auto | $60.06 | ↓ -68% |
| Multiplan | PPO (Includes PHCS as a Payer) | $60.06 | ↓ -68% |
| America's Choice | PPO | $61.60 | ↓ -67% |
| InterGroup | PPO | $61.60 | ↓ -67% |
| Three Rivers Provider Network | All | $69.30 | ↓ -63% |
| Multiplan | Worker's Compensation | $73.15 | ↓ -61% |
Visitor-reported prices
Comments
Cefepime 1 gram solution for injection at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $51.00 | $0.77 – $14.63 |
| UPMC Northwest | Seneca | $43.40 | $0.77 – $37.97 |
| UPMC Passavant-McCandless | Pittsburgh | $124.20 | $0.77 – $28.90 |
| UPMC Presbyterian | Pittsburgh | $85.20 | $0.77 – $120.70 |
| UPMC Somerset | Somerset | $8.40 | $0.67 – $14.48 |
| UPMC St. Margaret | Pittsburgh | $126.40 | $0.77 – $14.77 |
| UPMC Wellsboro | Wellsboro | $186.60 | $1.22 – $69.30 |
| UPMC Western Psychiatric | Pittsburgh | $85.20 | $1.22 – $120.70 |