healthcosts.net
Efgartigimod alfa-fcab 20 mg/ml intravenous solution at UPMC Muncy
215 East Water Street, Muncy, PA · UPMC · · NPI 1609816198
$79.20
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.
$99.00
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.
$14.85 with UPMC Health Plan vs $94.05 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 | $14.85 | ↓ -81% |
| Highmark Wholecare (prev Gateway) | Medicare | $14.85 | ↓ -81% |
| AmeriHealth Caritas | Medicare | $15.30 | ↓ -81% |
| Cigna | Medicare | $15.59 | ↓ -80% |
| United Healthcare | Medicare | $15.89 | ↓ -80% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $16.04 | ↓ -80% |
| UPMC Work Partners | Workers Comp | $27.43 | ↓ -65% |
| AmeriHealth Caritas | Community HealthChoices (CHC) | $32.15 | ↓ -59% |
| Geisinger | Medicaid/CHIP | $32.15 | ↓ -59% |
| United Healthcare Community Plan for Families | PA Medicaid | $32.15 | ↓ -59% |
| Highmark Wholecare (prev Gateway) | Medicaid | $32.15 | ↓ -59% |
| Geisinger | CHIP | $32.15 | ↓ -59% |
| AmeriHealth Caritas | Medicaid | $32.15 | ↓ -59% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $32.15 | ↓ -59% |
| UPMC Health Plan | Managed Medicaid | $35.36 | ↓ -55% |
| UPMC Health Plan | CHIP | $35.36 | ↓ -55% |
| Highmark BCBS of PA | Bluecare HMO/FPLIC PPO/Traditional Products | $38.83 | ↓ -51% |
| Aetna | PEBTF Custom Network | $40.14 | ↓ -49% |
| UPMC Health Plan | Commercial | $43.16 | ↓ -46% |
| Highmark BCBS of PA | Managed Care - Social Mission | $45.73 | ↓ -42% |
| Aetna | Commercial | $47.22 | ↓ -40% |
| Coventry/First Health | Commercial | $49.60 | ↓ -37% |
| Wirerope Works | Commercial | $55.04 | ↓ -31% |
| Aetna | First Health | $65.34 | ↓ -18% |
| Geisinger | Commercial | $66.33 | ↓ -16% |
| Coventry/First Health | FH-Medical Rental | $66.63 | ↓ -16% |
| United Healthcare | Commercial | $67.72 | ↓ -14% |
| Cigna | Commercial | $67.81 | ↓ -14% |
| Multiplan | Auto | $77.22 | ↓ -3% |
| Multiplan | PPO (Includes PHCS as a Payer) | $77.22 | ↓ -3% |
| America's Choice | PPO | $79.20 | ↑ +0% |
| InterGroup | PPO | $79.20 | ↑ +0% |
| Three Rivers Provider Network | All | $89.10 | ↑ +13% |
| Multiplan | Worker's Compensation | $94.05 | ↑ +19% |
Visitor-reported prices
Comments
Efgartigimod alfa-fcab 20 mg/ml intravenous solution at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Northwest | Seneca | $67.20 | $20.30 – $95.20 |
| UPMC Passavant-McCandless | Pittsburgh | $85.80 | $13.64 – $95.20 |
| UPMC Presbyterian | Pittsburgh | $85.80 | $13.64 – $121.55 |
| UPMC Somerset | Somerset | $185.40 | $13.38 – $231.75 |
| UPMC St. Margaret | Pittsburgh | $85.60 | $13.64 – $90.95 |
| UPMC Wellsboro | Wellsboro | $79.20 | $17.82 – $89.10 |
| UPMC Western Psychiatric | Pittsburgh | $85.80 | $13.37 – $121.55 |
| UPMC Williamsport | Williamsport | $79.20 | $26.85 – $89.10 |