healthcosts.net
Dexametha opth insert 0.1 mg at UPMC Muncy
215 East Water Street, Muncy, PA · UPMC · · NPI 1609816198
$1,432.80
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.
$2,388.00
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.
$89.55 with UPMC Health Plan vs $567.15 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 Medicare | $89.55 | ↓ -94% |
| Highmark Wholecare (prev Gateway) | Medicare | $89.55 | ↓ -94% |
| AmeriHealth Caritas | Medicare | $92.24 | ↓ -94% |
| Cigna | Medicare | $94.03 | ↓ -93% |
| United Healthcare | Medicare | $95.82 | ↓ -93% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $96.71 | ↓ -93% |
| United Healthcare Community Plan for Families | PA Medicaid | $98.14 | ↓ -93% |
| AmeriHealth Caritas | Community HealthChoices (CHC) | $102.94 | ↓ -93% |
| Geisinger | Medicaid/CHIP | $102.94 | ↓ -93% |
| Highmark Wholecare (prev Gateway) | Medicaid | $102.94 | ↓ -93% |
| Geisinger | CHIP | $102.94 | ↓ -93% |
| AmeriHealth Caritas | Medicaid | $102.94 | ↓ -93% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $102.94 | ↓ -93% |
| UPMC Health Plan | Managed Medicaid | $113.23 | ↓ -92% |
| UPMC Health Plan | CHIP | $113.23 | ↓ -92% |
| UPMC Work Partners | Workers Comp | $165.43 | ↓ -88% |
| Highmark BCBS of PA | Bluecare HMO/FPLIC PPO/Traditional Products | $234.14 | ↓ -84% |
| Aetna | PEBTF Custom Network | $242.08 | ↓ -83% |
| UPMC Health Plan | Commercial | $260.29 | ↓ -82% |
| Highmark BCBS of PA | Managed Care - Social Mission | $275.75 | ↓ -81% |
| Aetna | Commercial | $284.77 | ↓ -80% |
| Coventry/First Health | Commercial | $299.10 | ↓ -79% |
| Wirerope Works | Commercial | $331.93 | ↓ -77% |
| Aetna | First Health | $394.02 | ↓ -73% |
| Geisinger | Commercial | $399.99 | ↓ -72% |
| Coventry/First Health | FH-Medical Rental | $401.78 | ↓ -72% |
| United Healthcare | Commercial | $408.35 | ↓ -71% |
| Cigna | Commercial | $408.94 | ↓ -71% |
| Multiplan | Auto | $465.66 | ↓ -68% |
| Multiplan | PPO (Includes PHCS as a Payer) | $465.66 | ↓ -68% |
| America's Choice | PPO | $477.60 | ↓ -67% |
| InterGroup | PPO | $477.60 | ↓ -67% |
| Three Rivers Provider Network | All | $537.30 | ↓ -63% |
| Multiplan | Worker's Compensation | $567.15 | ↓ -60% |
Visitor-reported prices
Comments
Dexametha opth insert 0.1 mg at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $1,430.40 | $64.99 – $568.80 |
| UPMC Northwest | Seneca | $505.60 | $64.99 – $537.20 |
| UPMC Passavant-McCandless | Pittsburgh | $1,430.40 | $64.99 – $568.65 |
| UPMC Presbyterian | Pittsburgh | $2,022.60 | $64.99 – $716.55 |
| UPMC Somerset | Somerset | $354.00 | $85.10 – $442.50 |
| UPMC St. Margaret | Pittsburgh | $505.60 | $64.99 – $537.20 |
| UPMC Wellsboro | Wellsboro | $1,432.80 | $102.94 – $537.30 |
| UPMC Western Psychiatric | Pittsburgh | $505.80 | $85.04 – $716.55 |