healthcosts.net
CT guidance for percutaneous drain w/catheter placement supervision & interpretation at UPMC Muncy
215 East Water Street, Muncy, PA · UPMC · · NPI 1609816198
$2,921.40
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.
?
What you pay up front if you don't use insurance.
$4,869.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$12.80 with United Healthcare Community Plan for Families vs $4,625.55 with Multiplan — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $12.80 | ↓ -100% |
| UPMC Health Plan | Managed Medicaid | $19.25 | ↓ -99% |
| Geisinger | Medicaid/CHIP | $19.25 | ↓ -99% |
| UPMC Health Plan | CHIP | $19.25 | ↓ -99% |
| Highmark Wholecare (prev Gateway) | Medicaid | $19.51 | ↓ -99% |
| AmeriHealth Caritas | Community HealthChoices (CHC) | $19.73 | ↓ -99% |
| AmeriHealth Caritas | Medicaid | $19.73 | ↓ -99% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $29.82 | ↓ -99% |
| UPMC Work Partners | Workers Comp | $388.27 | ↓ -87% |
| Three Rivers Provider Network | All | $415.36 | ↓ -86% |
| UPMC Health Plan | Managed Medicare | $730.35 | ↓ -75% |
| Highmark Wholecare (prev Gateway) | Medicare | $730.35 | ↓ -75% |
| AmeriHealth Caritas | Medicare | $752.26 | ↓ -74% |
| Cigna | Medicare | $766.87 | ↓ -74% |
| United Healthcare | Medicare | $781.47 | ↓ -73% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $788.78 | ↓ -73% |
| Highmark BCBS of PA | Bluecare HMO/FPLIC PPO/Traditional Products | $1,909.62 | ↓ -35% |
| Aetna | PEBTF Custom Network | $1,974.38 | ↓ -32% |
| UPMC Health Plan | Commercial | $2,122.88 | ↓ -27% |
| Highmark BCBS of PA | Managed Care - Social Mission | $2,248.99 | ↓ -23% |
| Aetna | Commercial | $2,322.51 | ↓ -21% |
| Coventry/First Health | Commercial | $2,439.37 | ↓ -16% |
| Wirerope Works | Commercial | $2,707.16 | ↓ -7% |
| Aetna | First Health | $3,213.54 | ↑ +10% |
| Geisinger | Commercial | $3,262.23 | ↑ +12% |
| Coventry/First Health | FH-Medical Rental | $3,276.84 | ↑ +12% |
| United Healthcare | Commercial | $3,330.40 | ↑ +14% |
| Cigna | Commercial | $3,335.26 | ↑ +14% |
| Multiplan | Auto | $3,797.82 | ↑ +30% |
| Multiplan | PPO (Includes PHCS as a Payer) | $3,797.82 | ↑ +30% |
| America's Choice | PPO | $3,895.20 | ↑ +33% |
| InterGroup | PPO | $3,895.20 | ↑ +33% |
| Multiplan | Worker's Compensation | $4,625.55 | ↑ +58% |
Visitor-reported prices
Comments
CT guidance for percutaneous drain w/catheter placement supervision & interpretation at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $2,680.20 | $19.25 – $3,796.95 |
| UPMC Mercy | Pittsburgh | $611.40 | $19.25 – $917.10 |
| UPMC Northwest | Seneca | $771.00 | $19.25 – $1,092.25 |
| UPMC Presbyterian | Pittsburgh | $1,498.80 | $12.00 – $2,123.30 |
| UPMC Somerset | Somerset | $1,524.60 | $11.50 – $1,905.75 |
| UPMC St. Margaret | Pittsburgh | $1,345.80 | $19.25 – $1,906.55 |
| UPMC Wellsboro | Wellsboro | $3,532.80 | $12.80 – $3,974.40 |
| UPMC Williamsport | Williamsport | $2,921.40 | $12.80 – $3,895.20 |