healthcosts.net
Complx repair trunk addl 5cm/< 13102 at UPMC Muncy
215 East Water Street, Muncy, PA · UPMC · · NPI 1609816198
$1,095.60
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.
$1,826.00
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.
$80.22 with United Healthcare Community Plan for Families vs $1,734.70 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 | $80.22 | ↓ -93% |
| UPMC Work Partners | Workers Comp | $152.06 | ↓ -86% |
| Three Rivers Provider Network | All | $162.67 | ↓ -85% |
| Highmark Wholecare (prev Gateway) | Medicare | $273.90 | ↓ -75% |
| UPMC Health Plan | Managed Medicare | $273.90 | ↓ -75% |
| AmeriHealth Caritas | Medicare | $282.12 | ↓ -74% |
| Cigna | Medicare | $287.60 | ↓ -74% |
| United Healthcare | Medicare | $293.07 | ↓ -73% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $295.81 | ↓ -73% |
| Highmark BCBS of PA | Bluecare HMO/FPLIC PPO/Traditional Products | $716.16 | ↓ -35% |
| Aetna | PEBTF Custom Network | $740.44 | ↓ -32% |
| UPMC Health Plan | Commercial | $796.14 | ↓ -27% |
| Highmark BCBS of PA | Managed Care - Social Mission | $843.43 | ↓ -23% |
| Aetna | Commercial | $871.00 | ↓ -21% |
| Coventry/First Health | Commercial | $914.83 | ↓ -16% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $1,004.30 | ↓ -8% |
| Wirerope Works | Commercial | $1,015.26 | ↓ -7% |
| Aetna | First Health | $1,205.16 | ↑ +10% |
| Geisinger | Commercial | $1,223.42 | ↑ +12% |
| Coventry/First Health | FH-Medical Rental | $1,228.90 | ↑ +12% |
| United Healthcare | Commercial | $1,248.98 | ↑ +14% |
| Cigna | Commercial | $1,250.81 | ↑ +14% |
| Multiplan | Auto | $1,424.28 | ↑ +30% |
| Multiplan | PPO (Includes PHCS as a Payer) | $1,424.28 | ↑ +30% |
| America's Choice | PPO | $1,460.80 | ↑ +33% |
| InterGroup | PPO | $1,460.80 | ↑ +33% |
| Multiplan | Worker's Compensation | $1,734.70 | ↑ +58% |
Visitor-reported prices
Comments
Complx repair trunk addl 5cm/< 13102 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $976.80 | $152.06 – $1,383.80 |
| UPMC Mercy | Pittsburgh | $931.20 | $167.84 – $1,396.80 |
| UPMC Presbyterian | Pittsburgh | $619.20 | $75.20 – $877.20 |
| UPMC Somerset | Somerset | $741.60 | $72.07 – $927.00 |
| UPMC St. Margaret | Pittsburgh | $806.40 | $152.06 – $1,142.40 |