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Cholesterol (Lipid) Test at UPMC Muncy
215 East Water Street, Muncy, PA · UPMC · · NPI 1609816198
$228.00
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.
$380.00
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.
$13.24 with UPMC Work Partners vs $361.00 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 |
|---|---|---|---|
| UPMC Work Partners | Workers Comp | $13.24 | ↓ -94% |
| Three Rivers Provider Network | All | $14.16 | ↓ -94% |
| UPMC Health Plan | Managed Medicaid | $15.40 | ↓ -93% |
| Geisinger | Medicaid/CHIP | $15.40 | ↓ -93% |
| UPMC Health Plan | CHIP | $15.40 | ↓ -93% |
| Highmark Wholecare (prev Gateway) | Medicaid | $15.61 | ↓ -93% |
| AmeriHealth Caritas | Community HealthChoices (CHC) | $15.79 | ↓ -93% |
| AmeriHealth Caritas | Medicaid | $15.79 | ↓ -93% |
| United Healthcare Community Plan for Families | PA Medicaid | $17.92 | ↓ -92% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $23.86 | ↓ -90% |
| UPMC Health Plan | Managed Medicare | $57.00 | ↓ -75% |
| Highmark Wholecare (prev Gateway) | Medicare | $57.00 | ↓ -75% |
| AmeriHealth Caritas | Medicare | $58.71 | ↓ -74% |
| Cigna | Medicare | $59.85 | ↓ -74% |
| United Healthcare | Medicare | $60.99 | ↓ -73% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $61.56 | ↓ -73% |
| Aetna | PEBTF Custom Network | $116.28 | ↓ -49% |
| Aetna | Commercial | $136.80 | ↓ -40% |
| Coventry/First Health | Commercial | $143.64 | ↓ -37% |
| Highmark BCBS of PA | Bluecare HMO/FPLIC PPO/Traditional Products | $149.04 | ↓ -35% |
| UPMC Health Plan | Commercial | $165.68 | ↓ -27% |
| Highmark BCBS of PA | Managed Care - Social Mission | $175.52 | ↓ -23% |
| Cigna | Commercial | $195.32 | ↓ -14% |
| United Healthcare | Commercial | $210.90 | ↓ -8% |
| Wirerope Works | Commercial | $211.28 | ↓ -7% |
| Aetna | First Health | $250.80 | ↑ +10% |
| Geisinger | Commercial | $254.60 | ↑ +12% |
| Coventry/First Health | FH-Medical Rental | $255.74 | ↑ +12% |
| Multiplan | Auto | $296.40 | ↑ +30% |
| Multiplan | PPO (Includes PHCS as a Payer) | $296.40 | ↑ +30% |
| America's Choice | PPO | $304.00 | ↑ +33% |
| InterGroup | PPO | $304.00 | ↑ +33% |
| Multiplan | Worker's Compensation | $361.00 | ↑ +58% |
Visitor-reported prices
Comments
Cholesterol (Lipid) Test at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $302.40 | $12.44 – $428.40 |
| UPMC Altoona | Altoona | $143.40 | $13.24 – $191.20 |
| UPMC Bedford | Everett | $66.60 | $4.83 – $99.90 |
| UPMC Cole | Coudersport | $97.80 | $8.70 – $130.40 |
| UPMC East | Monroeville | $212.40 | $13.24 – $283.20 |
| UPMC Hamot | Erie | $413.40 | $13.24 – $482.30 |
| UPMC Hanover | Hanover | $87.60 | $13.26 – $127.02 |
| UPMC Horizon-Greenville | Greenville | $86.40 | $11.99 – $122.40 |