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Etonogestrel implant system at UPMC Muncy
215 East Water Street, Muncy, PA · UPMC · · NPI 1609816198
$5,044.00
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.
$6,305.00
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.
$945.75 with Highmark Wholecare (prev Gateway) vs $5,989.75 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 | $945.75 | ↓ -81% |
| UPMC Health Plan | Managed Medicare | $945.75 | ↓ -81% |
| AmeriHealth Caritas | Medicare | $974.12 | ↓ -81% |
| Cigna | Medicare | $993.04 | ↓ -80% |
| United Healthcare | Medicare | $1,011.95 | ↓ -80% |
| United Healthcare Community Plan for Families | PA Medicaid | $1,019.14 | ↓ -80% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $1,021.41 | ↓ -80% |
| UPMC Work Partners | Workers Comp | $1,747.12 | ↓ -65% |
| Highmark BCBS of PA | Bluecare HMO/FPLIC PPO/Traditional Products | $2,472.82 | ↓ -51% |
| Aetna | PEBTF Custom Network | $2,556.68 | ↓ -49% |
| UPMC Health Plan | Commercial | $2,748.98 | ↓ -46% |
| Highmark BCBS of PA | Managed Care - Social Mission | $2,912.28 | ↓ -42% |
| Aetna | Commercial | $3,007.49 | ↓ -40% |
| Coventry/First Health | Commercial | $3,158.80 | ↓ -37% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $3,467.75 | ↓ -31% |
| Wirerope Works | Commercial | $3,505.58 | ↓ -31% |
| Aetna | First Health | $4,161.30 | ↓ -18% |
| Geisinger | Commercial | $4,224.35 | ↓ -16% |
| Coventry/First Health | FH-Medical Rental | $4,243.27 | ↓ -16% |
| United Healthcare | Commercial | $4,312.62 | ↓ -15% |
| Cigna | Commercial | $4,318.93 | ↓ -14% |
| Multiplan | Auto | $4,917.90 | ↓ -3% |
| Multiplan | PPO (Includes PHCS as a Payer) | $4,917.90 | ↓ -3% |
| America's Choice | PPO | $5,044.00 | ↑ +0% |
| InterGroup | PPO | $5,044.00 | ↑ +0% |
| Three Rivers Provider Network | All | $5,674.50 | ↑ +13% |
| Multiplan | Worker's Compensation | $5,989.75 | ↑ +19% |
Visitor-reported prices
Comments
Etonogestrel implant system at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Northwest | Seneca | $3,428.00 | $1,071.25 – $3,642.25 |
| UPMC Passavant-McCandless | Pittsburgh | $2,889.60 | $1,060.50 – $3,605.70 |
| UPMC Presbyterian | Pittsburgh | $2,545.20 | $763.56 – $3,605.70 |
| UPMC Somerset | Somerset | $693.60 | $346.80 – $1,097.04 |
| UPMC Wellsboro | Wellsboro | $5,044.00 | $1,019.14 – $5,674.50 |
| UPMC Western Psychiatric | Pittsburgh | $2,545.20 | $1,060.50 – $3,605.70 |
| UPMC Williamsport | Williamsport | $5,044.00 | $980.91 – $3,269.70 |