healthcosts.net
Dilator fascial 10fx20cm at UPMC Muncy
215 East Water Street, Muncy, PA · UPMC · · NPI 1609816198
$845.40
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.
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What you pay up front if you don't use insurance.
$1,409.00
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.
$10.65 with Highmark Wholecare (prev Gateway) vs $67.45 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 |
|---|---|---|---|
| Highmark Wholecare (prev Gateway) | Medicare | $10.65 | ↓ -99% |
| UPMC Health Plan | Managed Medicare | $10.65 | ↓ -99% |
| AmeriHealth Caritas | Medicare | $10.97 | ↓ -99% |
| Cigna | Medicare | $11.18 | ↓ -99% |
| United Healthcare | Medicare | $11.40 | ↓ -99% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $11.50 | ↓ -99% |
| Highmark BCBS of PA | Bluecare HMO/FPLIC PPO/Traditional Products | $27.85 | ↓ -97% |
| Aetna | PEBTF Custom Network | $28.79 | ↓ -97% |
| UPMC Health Plan | Commercial | $30.96 | ↓ -96% |
| Highmark BCBS of PA | Managed Care - Social Mission | $32.79 | ↓ -96% |
| Aetna | Commercial | $33.87 | ↓ -96% |
| Coventry/First Health | Commercial | $35.57 | ↓ -96% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $39.05 | ↓ -95% |
| Wirerope Works | Commercial | $39.48 | ↓ -95% |
| Aetna | First Health | $46.86 | ↓ -94% |
| Geisinger | Commercial | $47.57 | ↓ -94% |
| Coventry/First Health | FH-Medical Rental | $47.78 | ↓ -94% |
| United Healthcare | Commercial | $48.56 | ↓ -94% |
| Cigna | Commercial | $48.63 | ↓ -94% |
| Multiplan | Auto | $55.38 | ↓ -93% |
| Multiplan | PPO (Includes PHCS as a Payer) | $55.38 | ↓ -93% |
| America's Choice | PPO | $56.80 | ↓ -93% |
| InterGroup | PPO | $56.80 | ↓ -93% |
| Three Rivers Provider Network | All | $63.90 | ↓ -92% |
| Multiplan | Worker's Compensation | $67.45 | ↓ -92% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
Visitor-reported prices
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Dilator fascial 10fx20cm at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $1,469.40 | $87.50 – $315.00 |
| UPMC Northwest | Seneca | $232.20 | $16.75 – $479.98 |
| UPMC Passavant-McCandless | Pittsburgh | $1,472.40 | $29.75 – $575.59 |
| UPMC Presbyterian | Pittsburgh | $795.60 | $87.30 – $641.31 |
| UPMC St. Margaret | Pittsburgh | $1,055.40 | $35.25 – $486.72 |
| UPMC Wellsboro | Wellsboro | $1,022.40 | $11.56 – $57.83 |
| UPMC Williamsport | Williamsport | $127.80 | $57.51 – $191.70 |