healthcosts.net
Cerebrospinal fld flw imag at UPMC Muncy
215 East Water Street, Muncy, PA · UPMC · · NPI 1609816198
$579.00
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.
$965.00
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.
$140.80 with United Healthcare Community Plan for Families vs $916.75 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 | $140.80 | ↓ -76% |
| UPMC Health Plan | Managed Medicare | $144.75 | ↓ -75% |
| Highmark Wholecare (prev Gateway) | Medicare | $144.75 | ↓ -75% |
| AmeriHealth Caritas | Medicare | $149.09 | ↓ -74% |
| UPMC Health Plan | Managed Medicaid | $149.71 | ↓ -74% |
| Geisinger | Medicaid/CHIP | $149.71 | ↓ -74% |
| UPMC Health Plan | CHIP | $149.71 | ↓ -74% |
| Highmark Wholecare (prev Gateway) | Medicaid | $151.75 | ↓ -74% |
| Cigna | Medicare | $151.99 | ↓ -74% |
| AmeriHealth Caritas | Community HealthChoices (CHC) | $153.45 | ↓ -73% |
| AmeriHealth Caritas | Medicaid | $153.45 | ↓ -73% |
| United Healthcare | Medicare | $154.88 | ↓ -73% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $156.33 | ↓ -73% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $231.94 | ↓ -60% |
| Highmark BCBS of PA | Bluecare HMO/FPLIC PPO/Traditional Products | $378.47 | ↓ -35% |
| Aetna | PEBTF Custom Network | $391.31 | ↓ -32% |
| UPMC Health Plan | Commercial | $420.74 | ↓ -27% |
| UPMC Work Partners | Workers Comp | $437.95 | ↓ -24% |
| Highmark BCBS of PA | Managed Care - Social Mission | $445.73 | ↓ -23% |
| Aetna | Commercial | $460.31 | ↓ -20% |
| Three Rivers Provider Network | All | $468.50 | ↓ -19% |
| Coventry/First Health | Commercial | $483.46 | ↓ -17% |
| Wirerope Works | Commercial | $536.54 | ↓ -7% |
| Aetna | First Health | $636.90 | ↑ +10% |
| Geisinger | Commercial | $646.55 | ↑ +12% |
| Coventry/First Health | FH-Medical Rental | $649.45 | ↑ +12% |
| United Healthcare | Commercial | $660.06 | ↑ +14% |
| Cigna | Commercial | $661.02 | ↑ +14% |
| Multiplan | Auto | $752.70 | ↑ +30% |
| Multiplan | PPO (Includes PHCS as a Payer) | $752.70 | ↑ +30% |
| America's Choice | PPO | $772.00 | ↑ +33% |
| InterGroup | PPO | $772.00 | ↑ +33% |
| Multiplan | Worker's Compensation | $916.75 | ↑ +58% |
Visitor-reported prices
Comments
Cerebrospinal fld flw imag at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $1,608.00 | $149.71 – $2,412.00 |
| UPMC Presbyterian | Pittsburgh | $5,322.00 | $132.00 – $7,539.50 |
| UPMC Somerset | Somerset | $1,475.40 | $121.00 – $1,827.00 |
| UPMC Wellsboro | Wellsboro | $700.00 | $140.80 – $787.50 |