healthcosts.net
ER Visit (level 4) at UPMC Muncy
215 East Water Street, Muncy, PA · UPMC · · NPI 1609816198
$1,243.80
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.
$2,073.00
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.
$104.86 with UPMC Health Plan vs $1,969.35 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 Medicaid | $104.86 | ↓ -92% |
| Geisinger | Medicaid/CHIP | $104.86 | ↓ -92% |
| UPMC Health Plan | CHIP | $104.86 | ↓ -92% |
| Highmark Wholecare (prev Gateway) | Medicaid | $106.29 | ↓ -91% |
| AmeriHealth Caritas | Community HealthChoices (CHC) | $107.48 | ↓ -91% |
| AmeriHealth Caritas | Medicaid | $107.48 | ↓ -91% |
| United Healthcare Community Plan for Families | PA Medicaid | $122.02 | ↓ -90% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $162.46 | ↓ -87% |
| UPMC Work Partners | Workers Comp | $173.95 | ↓ -86% |
| Three Rivers Provider Network | All | $186.09 | ↓ -85% |
| UPMC Health Plan | Managed Medicare | $310.95 | ↓ -75% |
| Highmark Wholecare (prev Gateway) | Medicare | $310.95 | ↓ -75% |
| AmeriHealth Caritas | Medicare | $320.28 | ↓ -74% |
| Cigna | Medicare | $326.50 | ↓ -74% |
| United Healthcare | Medicare | $332.72 | ↓ -73% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $335.83 | ↓ -73% |
| Highmark BCBS of PA | Bluecare HMO/FPLIC PPO/Traditional Products | $813.03 | ↓ -35% |
| Aetna | PEBTF Custom Network | $840.60 | ↓ -32% |
| UPMC Health Plan | Commercial | $903.83 | ↓ -27% |
| Highmark BCBS of PA | Managed Care - Social Mission | $957.52 | ↓ -23% |
| Aetna | Commercial | $988.82 | ↓ -21% |
| Coventry/First Health | Commercial | $1,038.57 | ↓ -17% |
| Wirerope Works | Commercial | $1,152.59 | ↓ -7% |
| Aetna | First Health | $1,368.18 | ↑ +10% |
| Geisinger | Commercial | $1,388.91 | ↑ +12% |
| Coventry/First Health | FH-Medical Rental | $1,395.13 | ↑ +12% |
| United Healthcare | Commercial | $1,417.93 | ↑ +14% |
| Cigna | Commercial | $1,420.01 | ↑ +14% |
| Multiplan | Auto | $1,616.94 | ↑ +30% |
| Multiplan | PPO (Includes PHCS as a Payer) | $1,616.94 | ↑ +30% |
| America's Choice | PPO | $1,658.40 | ↑ +33% |
| InterGroup | PPO | $1,658.40 | ↑ +33% |
| Multiplan | Worker's Compensation | $1,969.35 | ↑ +58% |
Visitor-reported prices
Comments
ER Visit (level 4) at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $1,146.00 | $104.86 – $1,623.50 |
| UPMC Cole | Coudersport | $357.00 | $56.38 – $432.27 |
| UPMC East | Monroeville | $1,120.20 | $104.86 – $1,493.60 |
| UPMC Hamot | Erie | $1,581.00 | $104.86 – $1,844.50 |
| UPMC Altoona | Altoona | $1,012.20 | $123.00 – $1,349.60 |
| UPMC Carlisle | Carlisle | $1,320.00 | $65.00 – $1,870.00 |
| UPMC Bedford | Everett | $645.60 | $100.10 – $968.40 |
| UPMC Community Osteopathic | Harrisburg | $1,320.00 | $65.00 – $448.50 |