healthcosts.net
Cladribine 10 mg/10 ml intravenous solution at UPMC Muncy
215 East Water Street, Muncy, PA · UPMC · · NPI 1609816198
$2,014.80
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.
$3,358.00
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.
$10.68 with AmeriHealth Caritas vs $319.20 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) | $10.68 | ↓ -99% |
| Geisinger | Medicaid/CHIP | $10.68 | ↓ -99% |
| United Healthcare Community Plan for Families | PA Medicaid | $10.68 | ↓ -99% |
| Highmark Wholecare (prev Gateway) | Medicaid | $10.68 | ↓ -99% |
| Geisinger | CHIP | $10.68 | ↓ -99% |
| AmeriHealth Caritas | Medicaid | $10.68 | ↓ -99% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $10.68 | ↓ -99% |
| UPMC Health Plan | Managed Medicaid | $11.75 | ↓ -99% |
| UPMC Health Plan | CHIP | $11.75 | ↓ -99% |
| UPMC Health Plan | Managed Medicare | $50.40 | ↓ -97% |
| Highmark Wholecare (prev Gateway) | Medicare | $50.40 | ↓ -97% |
| AmeriHealth Caritas | Medicare | $51.91 | ↓ -97% |
| Cigna | Medicare | $52.92 | ↓ -97% |
| United Healthcare | Medicare | $53.93 | ↓ -97% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $54.43 | ↓ -97% |
| UPMC Work Partners | Workers Comp | $93.11 | ↓ -95% |
| Highmark BCBS of PA | Bluecare HMO/FPLIC PPO/Traditional Products | $131.78 | ↓ -93% |
| Aetna | PEBTF Custom Network | $136.25 | ↓ -93% |
| UPMC Health Plan | Commercial | $146.50 | ↓ -93% |
| Highmark BCBS of PA | Managed Care - Social Mission | $155.20 | ↓ -92% |
| Aetna | Commercial | $160.27 | ↓ -92% |
| Coventry/First Health | Commercial | $168.34 | ↓ -92% |
| Wirerope Works | Commercial | $186.82 | ↓ -91% |
| Aetna | First Health | $221.76 | ↓ -89% |
| Geisinger | Commercial | $225.12 | ↓ -89% |
| Coventry/First Health | FH-Medical Rental | $226.13 | ↓ -89% |
| United Healthcare | Commercial | $229.82 | ↓ -89% |
| Cigna | Commercial | $230.16 | ↓ -89% |
| Multiplan | Auto | $262.08 | ↓ -87% |
| Multiplan | PPO (Includes PHCS as a Payer) | $262.08 | ↓ -87% |
| America's Choice | PPO | $268.80 | ↓ -87% |
| InterGroup | PPO | $268.80 | ↓ -87% |
| Three Rivers Provider Network | All | $302.40 | ↓ -85% |
| Multiplan | Worker's Compensation | $319.20 | ↓ -84% |
Visitor-reported prices
Comments
Cladribine 10 mg/10 ml intravenous solution at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Northwest | Seneca | $329.60 | $6.74 – $227.63 |
| UPMC Passavant-McCandless | Pittsburgh | $576.60 | $6.74 – $816.85 |
| UPMC Somerset | Somerset | $25.80 | $9.43 – $21.00 |
| UPMC St. Margaret | Pittsburgh | $782.40 | $6.74 – $227.63 |
| UPMC Wellsboro | Wellsboro | $2,014.80 | $10.68 – $302.40 |
| UPMC Western Psychiatric | Pittsburgh | $576.60 | $10.68 – $816.85 |
| UPMC Williamsport | Williamsport | $268.80 | $10.68 – $302.40 |
| UPMC Mercy | Pittsburgh | not published | $6.74 – $241.02 |