healthcosts.net
Doppler upper/lower extremity arteries complete bilateral at UPMC Muncy
215 East Water Street, Muncy, PA · UPMC · · NPI 1609816198
$1,081.80
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.
$1,803.00
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.
$89.66 with United Healthcare Community Plan for Families vs $1,712.85 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 | $89.66 | ↓ -92% |
| UPMC Health Plan | Managed Medicaid | $100.70 | ↓ -91% |
| Geisinger | Medicaid/CHIP | $100.70 | ↓ -91% |
| UPMC Health Plan | CHIP | $100.70 | ↓ -91% |
| Highmark Wholecare (prev Gateway) | Medicaid | $102.08 | ↓ -91% |
| AmeriHealth Caritas | Community HealthChoices (CHC) | $103.22 | ↓ -90% |
| AmeriHealth Caritas | Medicaid | $103.22 | ↓ -90% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $156.02 | ↓ -86% |
| UPMC Health Plan | Managed Medicare | $270.45 | ↓ -75% |
| Highmark Wholecare (prev Gateway) | Medicare | $270.45 | ↓ -75% |
| AmeriHealth Caritas | Medicare | $278.56 | ↓ -74% |
| Cigna | Medicare | $283.97 | ↓ -74% |
| United Healthcare | Medicare | $289.38 | ↓ -73% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $292.09 | ↓ -73% |
| UPMC Work Partners | Workers Comp | $382.89 | ↓ -65% |
| Three Rivers Provider Network | All | $409.60 | ↓ -62% |
| Highmark BCBS of PA | Bluecare HMO/FPLIC PPO/Traditional Products | $707.14 | ↓ -35% |
| Aetna | PEBTF Custom Network | $731.12 | ↓ -32% |
| UPMC Health Plan | Commercial | $786.11 | ↓ -27% |
| Highmark BCBS of PA | Managed Care - Social Mission | $832.81 | ↓ -23% |
| Aetna | Commercial | $860.03 | ↓ -21% |
| Coventry/First Health | Commercial | $903.30 | ↓ -17% |
| Wirerope Works | Commercial | $1,002.47 | ↓ -7% |
| Aetna | First Health | $1,189.98 | ↑ +10% |
| Geisinger | Commercial | $1,208.01 | ↑ +12% |
| Coventry/First Health | FH-Medical Rental | $1,213.42 | ↑ +12% |
| United Healthcare | Commercial | $1,233.25 | ↑ +14% |
| Cigna | Commercial | $1,235.06 | ↑ +14% |
| Multiplan | Auto | $1,406.34 | ↑ +30% |
| Multiplan | PPO (Includes PHCS as a Payer) | $1,406.34 | ↑ +30% |
| America's Choice | PPO | $1,442.40 | ↑ +33% |
| InterGroup | PPO | $1,442.40 | ↑ +33% |
| Multiplan | Worker's Compensation | $1,712.85 | ↑ +58% |
Visitor-reported prices
Comments
Doppler upper/lower extremity arteries complete bilateral at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $901.80 | $100.70 – $1,352.70 |
| UPMC Northwest | Seneca | $425.40 | $100.70 – $602.65 |
| UPMC Passavant-McCandless | Pittsburgh | $626.40 | $100.70 – $887.40 |
| UPMC Presbyterian | Pittsburgh | $1,046.40 | $84.06 – $1,482.40 |
| UPMC Somerset | Somerset | $1,091.40 | $64.19 – $192.77 |
| UPMC St. Margaret | Pittsburgh | $1,003.80 | $100.70 – $1,422.05 |
| UPMC Wellsboro | Wellsboro | $1,308.00 | $89.66 – $1,471.50 |
| UPMC Williamsport | Williamsport | $1,081.80 | $89.66 – $1,442.40 |