healthcosts.net
Cystic fibrosis cftr at UPMC Muncy
215 East Water Street, Muncy, PA · UPMC · · NPI 1609816198
$3,474.60
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.
$5,791.00
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.
$439.12 with UPMC Health Plan vs $5,501.45 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 Health Plan | Managed Medicaid | $439.12 | ↓ -87% |
| Geisinger | Medicaid/CHIP | $439.12 | ↓ -87% |
| UPMC Health Plan | CHIP | $439.12 | ↓ -87% |
| Highmark Wholecare (prev Gateway) | Medicaid | $445.11 | ↓ -87% |
| AmeriHealth Caritas | Community HealthChoices (CHC) | $450.10 | ↓ -87% |
| AmeriHealth Caritas | Medicaid | $450.10 | ↓ -87% |
| UPMC Work Partners | Workers Comp | $493.18 | ↓ -86% |
| United Healthcare Community Plan for Families | PA Medicaid | $510.98 | ↓ -85% |
| Three Rivers Provider Network | All | $527.58 | ↓ -85% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $680.32 | ↓ -80% |
| UPMC Health Plan | Managed Medicare | $868.65 | ↓ -75% |
| Highmark Wholecare (prev Gateway) | Medicare | $868.65 | ↓ -75% |
| AmeriHealth Caritas | Medicare | $894.71 | ↓ -74% |
| Cigna | Medicare | $912.08 | ↓ -74% |
| United Healthcare | Medicare | $929.46 | ↓ -73% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $938.14 | ↓ -73% |
| Coventry/First Health | Commercial | $2,189.00 | ↓ -37% |
| Highmark BCBS of PA | Bluecare HMO/FPLIC PPO/Traditional Products | $2,271.23 | ↓ -35% |
| Aetna | PEBTF Custom Network | $2,348.25 | ↓ -32% |
| UPMC Health Plan | Commercial | $2,524.88 | ↓ -27% |
| Highmark BCBS of PA | Managed Care - Social Mission | $2,674.86 | ↓ -23% |
| Aetna | Commercial | $2,762.31 | ↓ -20% |
| Cigna | Commercial | $2,976.57 | ↓ -14% |
| United Healthcare | Commercial | $3,214.01 | ↓ -7% |
| Wirerope Works | Commercial | $3,219.80 | ↓ -7% |
| Aetna | First Health | $3,822.06 | ↑ +10% |
| Geisinger | Commercial | $3,879.97 | ↑ +12% |
| Coventry/First Health | FH-Medical Rental | $3,897.34 | ↑ +12% |
| Multiplan | Auto | $4,516.98 | ↑ +30% |
| Multiplan | PPO (Includes PHCS as a Payer) | $4,516.98 | ↑ +30% |
| America's Choice | PPO | $4,632.80 | ↑ +33% |
| InterGroup | PPO | $4,632.80 | ↑ +33% |
| Multiplan | Worker's Compensation | $5,501.45 | ↑ +58% |
Visitor-reported prices
Comments
Cystic fibrosis cftr at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $6,408.00 | $439.12 – $9,076.30 |
| UPMC Mercy | Pittsburgh | $4,054.80 | $415.97 – $6,082.20 |
| UPMC Presbyterian | Pittsburgh | $4,054.80 | $399.20 – $4,253.40 |
| UPMC Wellsboro | Wellsboro | $4,001.60 | $399.20 – $4,248.90 |
| UPMC Williamsport | Williamsport | $3,831.00 | $439.12 – $3,854.40 |