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Clsd tx trimall ankle fx w/manip 27818 at UPMC Muncy
215 East Water Street, Muncy, PA · UPMC · · NPI 1609816198
$718.20
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.
$1,197.00
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.
$179.55 with UPMC Health Plan vs $1,421.13 with UPMC Work Partners — 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 Health Plan | Managed Medicare | $179.55 | ↓ -75% |
| Highmark Wholecare (prev Gateway) | Medicare | $179.55 | ↓ -75% |
| AmeriHealth Caritas | Medicare | $184.94 | ↓ -74% |
| Cigna | Medicare | $188.53 | ↓ -74% |
| United Healthcare | Medicare | $192.12 | ↓ -73% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $193.91 | ↓ -73% |
| UPMC Health Plan | Managed Medicaid | $262.90 | ↓ -63% |
| Geisinger | Medicaid/CHIP | $262.90 | ↓ -63% |
| UPMC Health Plan | CHIP | $262.90 | ↓ -63% |
| Highmark Wholecare (prev Gateway) | Medicaid | $266.49 | ↓ -63% |
| AmeriHealth Caritas | Community HealthChoices (CHC) | $269.47 | ↓ -62% |
| AmeriHealth Caritas | Medicaid | $269.47 | ↓ -62% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $407.30 | ↓ -43% |
| Highmark BCBS of PA | Bluecare HMO/FPLIC PPO/Traditional Products | $469.46 | ↓ -35% |
| Aetna | PEBTF Custom Network | $485.38 | ↓ -32% |
| UPMC Health Plan | Commercial | $521.89 | ↓ -27% |
| Highmark BCBS of PA | Managed Care - Social Mission | $552.89 | ↓ -23% |
| Aetna | Commercial | $570.97 | ↓ -20% |
| Coventry/First Health | Commercial | $599.70 | ↓ -16% |
| Wirerope Works | Commercial | $665.53 | ↓ -7% |
| Aetna | First Health | $790.02 | ↑ +10% |
| Geisinger | Commercial | $801.99 | ↑ +12% |
| Coventry/First Health | FH-Medical Rental | $805.58 | ↑ +12% |
| United Healthcare | Commercial | $818.75 | ↑ +14% |
| Cigna | Commercial | $819.95 | ↑ +14% |
| Multiplan | Auto | $933.66 | ↑ +30% |
| Multiplan | PPO (Includes PHCS as a Payer) | $933.66 | ↑ +30% |
| America's Choice | PPO | $957.60 | ↑ +33% |
| InterGroup | PPO | $957.60 | ↑ +33% |
| United Healthcare Community Plan for Families | PA Medicaid | $993.28 | ↑ +38% |
| Three Rivers Provider Network | All | $1,077.30 | ↑ +50% |
| Multiplan | Worker's Compensation | $1,137.15 | ↑ +58% |
| UPMC Work Partners | Workers Comp | $1,421.13 | ↑ +98% |
Visitor-reported prices
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Clsd tx trimall ankle fx w/manip 27818 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $2,140.80 | $262.90 – $3,032.80 |
| UPMC Mercy | Pittsburgh | $1,651.80 | $262.90 – $2,477.70 |
| UPMC Northwest | Seneca | $1,632.60 | $262.90 – $2,312.85 |
| UPMC Presbyterian | Pittsburgh | $3,560.40 | $262.90 – $5,043.90 |
| UPMC Somerset | Somerset | $2,055.00 | $262.90 – $2,568.75 |
| UPMC St. Margaret | Pittsburgh | $2,005.80 | $262.90 – $2,841.55 |
| UPMC Wellsboro | Wellsboro | $868.80 | $195.48 – $1,243.08 |
| UPMC Williamsport | Williamsport | $718.20 | $262.90 – $1,421.13 |