healthcosts.net
Cystogram >= 3 views supervision & interpretation at UPMC Muncy
215 East Water Street, Muncy, PA · UPMC · · NPI 1609816198
$795.00
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.
$1,325.00
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.
$27.52 with United Healthcare Community Plan for Families vs $1,258.75 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 | $27.52 | ↓ -97% |
| UPMC Health Plan | Managed Medicaid | $40.15 | ↓ -95% |
| Geisinger | Medicaid/CHIP | $40.15 | ↓ -95% |
| UPMC Health Plan | CHIP | $40.15 | ↓ -95% |
| Highmark Wholecare (prev Gateway) | Medicaid | $40.70 | ↓ -95% |
| AmeriHealth Caritas | Community HealthChoices (CHC) | $41.15 | ↓ -95% |
| AmeriHealth Caritas | Medicaid | $41.15 | ↓ -95% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $62.20 | ↓ -92% |
| UPMC Work Partners | Workers Comp | $140.90 | ↓ -82% |
| Three Rivers Provider Network | All | $150.73 | ↓ -81% |
| UPMC Health Plan | Managed Medicare | $198.75 | ↓ -75% |
| Highmark Wholecare (prev Gateway) | Medicare | $198.75 | ↓ -75% |
| AmeriHealth Caritas | Medicare | $204.71 | ↓ -74% |
| Cigna | Medicare | $208.69 | ↓ -74% |
| United Healthcare | Medicare | $212.66 | ↓ -73% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $214.65 | ↓ -73% |
| Highmark BCBS of PA | Bluecare HMO/FPLIC PPO/Traditional Products | $519.66 | ↓ -35% |
| Aetna | PEBTF Custom Network | $537.29 | ↓ -32% |
| UPMC Health Plan | Commercial | $577.70 | ↓ -27% |
| Highmark BCBS of PA | Managed Care - Social Mission | $612.02 | ↓ -23% |
| Aetna | Commercial | $632.02 | ↓ -21% |
| Coventry/First Health | Commercial | $663.83 | ↓ -16% |
| Wirerope Works | Commercial | $736.70 | ↓ -7% |
| Aetna | First Health | $874.50 | ↑ +10% |
| Geisinger | Commercial | $887.75 | ↑ +12% |
| Coventry/First Health | FH-Medical Rental | $891.73 | ↑ +12% |
| United Healthcare | Commercial | $906.30 | ↑ +14% |
| Cigna | Commercial | $907.62 | ↑ +14% |
| Multiplan | Auto | $1,033.50 | ↑ +30% |
| Multiplan | PPO (Includes PHCS as a Payer) | $1,033.50 | ↑ +30% |
| America's Choice | PPO | $1,060.00 | ↑ +33% |
| InterGroup | PPO | $1,060.00 | ↑ +33% |
| Multiplan | Worker's Compensation | $1,258.75 | ↑ +58% |
Visitor-reported prices
Comments
Cystogram >= 3 views supervision & interpretation at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $1,722.00 | $40.15 – $2,439.50 |
| UPMC Mercy | Pittsburgh | $1,868.40 | $40.15 – $2,802.60 |
| UPMC Northwest | Seneca | $269.40 | $40.15 – $381.65 |
| UPMC Presbyterian | Pittsburgh | $2,813.40 | $25.80 – $3,985.65 |
| UPMC Somerset | Somerset | $896.40 | $24.73 – $1,120.50 |
| UPMC St. Margaret | Pittsburgh | $1,668.60 | $40.15 – $2,363.85 |
| UPMC Wellsboro | Wellsboro | $961.60 | $27.52 – $1,081.80 |
| UPMC Williamsport | Williamsport | $795.00 | $27.52 – $1,060.00 |