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Cystoscopy prostatic imp 1-3 at UPMC Muncy
215 East Water Street, Muncy, PA · UPMC · · NPI 1609816198
$5,953.80
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.
$9,923.00
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.
$685.20 with Highmark Wholecare (prev Gateway) vs $4,339.60 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 |
|---|---|---|---|
| Highmark Wholecare (prev Gateway) | Medicare | $685.20 | ↓ -88% |
| UPMC Health Plan | Managed Medicare | $685.20 | ↓ -88% |
| AmeriHealth Caritas | Medicare | $705.76 | ↓ -88% |
| Cigna | Medicare | $719.46 | ↓ -88% |
| United Healthcare | Medicare | $733.16 | ↓ -88% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $740.02 | ↓ -88% |
| Highmark Wholecare (prev Gateway) | Medicaid | $913.60 | ↓ -85% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $1,507.44 | ↓ -75% |
| Highmark BCBS of PA | Bluecare HMO/FPLIC PPO/Traditional Products | $1,791.57 | ↓ -70% |
| Aetna | PEBTF Custom Network | $1,852.32 | ↓ -69% |
| UPMC Health Plan | Commercial | $1,991.65 | ↓ -67% |
| Highmark BCBS of PA | Managed Care - Social Mission | $2,109.96 | ↓ -65% |
| Aetna | Commercial | $2,178.94 | ↓ -63% |
| Coventry/First Health | Commercial | $2,288.57 | ↓ -62% |
| Wirerope Works | Commercial | $2,539.81 | ↓ -57% |
| Aetna | First Health | $3,014.88 | ↓ -49% |
| Geisinger | Commercial | $3,060.56 | ↓ -49% |
| Coventry/First Health | FH-Medical Rental | $3,074.26 | ↓ -48% |
| United Healthcare | Commercial | $3,124.51 | ↓ -48% |
| Cigna | Commercial | $3,129.08 | ↓ -47% |
| Multiplan | Auto | $3,563.04 | ↓ -40% |
| Multiplan | PPO (Includes PHCS as a Payer) | $3,563.04 | ↓ -40% |
| America's Choice | PPO | $3,654.40 | ↓ -39% |
| InterGroup | PPO | $3,654.40 | ↓ -39% |
| United Healthcare Community Plan for Families | PA Medicaid | $3,671.46 | ↓ -38% |
| Three Rivers Provider Network | All | $4,111.20 | ↓ -31% |
| Multiplan | Worker's Compensation | $4,339.60 | ↓ -27% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
Visitor-reported prices
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Cystoscopy prostatic imp 1-3 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Presbyterian | Pittsburgh | $8,013.60 | $524.04 – $5,331.28 |
| UPMC Mercy | Pittsburgh | not published | $1,269.34 – $5,331.28 |
| UPMC Northwest | Seneca | not published | $3,294.42 – $5,234.35 |