healthcosts.net
External chromosome analysis 20-25 cells at UPMC Muncy
215 East Water Street, Muncy, PA · UPMC · · NPI 1609816198
$942.60
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.
$1,571.00
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.
$142.92 with UPMC Work Partners vs $1,492.45 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 |
|---|---|---|---|
| UPMC Work Partners | Workers Comp | $142.92 | ↓ -85% |
| UPMC Health Plan | Managed Medicaid | $151.58 | ↓ -84% |
| Geisinger | Medicaid/CHIP | $151.58 | ↓ -84% |
| UPMC Health Plan | CHIP | $151.58 | ↓ -84% |
| Three Rivers Provider Network | All | $152.89 | ↓ -84% |
| Highmark Wholecare (prev Gateway) | Medicaid | $153.65 | ↓ -84% |
| AmeriHealth Caritas | Community HealthChoices (CHC) | $155.37 | ↓ -84% |
| AmeriHealth Caritas | Medicaid | $155.37 | ↓ -84% |
| United Healthcare Community Plan for Families | PA Medicaid | $176.38 | ↓ -81% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $234.84 | ↓ -75% |
| UPMC Health Plan | Managed Medicare | $235.65 | ↓ -75% |
| Highmark Wholecare (prev Gateway) | Medicare | $235.65 | ↓ -75% |
| AmeriHealth Caritas | Medicare | $242.72 | ↓ -74% |
| Cigna | Medicare | $247.43 | ↓ -74% |
| United Healthcare | Medicare | $252.15 | ↓ -73% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $254.50 | ↓ -73% |
| Coventry/First Health | Commercial | $593.84 | ↓ -37% |
| Highmark BCBS of PA | Bluecare HMO/FPLIC PPO/Traditional Products | $616.15 | ↓ -35% |
| Aetna | PEBTF Custom Network | $637.04 | ↓ -32% |
| UPMC Health Plan | Commercial | $684.96 | ↓ -27% |
| Highmark BCBS of PA | Managed Care - Social Mission | $725.64 | ↓ -23% |
| Aetna | Commercial | $749.37 | ↓ -20% |
| Cigna | Commercial | $807.49 | ↓ -14% |
| United Healthcare | Commercial | $871.90 | ↓ -8% |
| Wirerope Works | Commercial | $873.48 | ↓ -7% |
| Aetna | First Health | $1,036.86 | ↑ +10% |
| Geisinger | Commercial | $1,052.57 | ↑ +12% |
| Coventry/First Health | FH-Medical Rental | $1,057.28 | ↑ +12% |
| Multiplan | Auto | $1,225.38 | ↑ +30% |
| Multiplan | PPO (Includes PHCS as a Payer) | $1,225.38 | ↑ +30% |
| America's Choice | PPO | $1,256.80 | ↑ +33% |
| InterGroup | PPO | $1,256.80 | ↑ +33% |
| Multiplan | Worker's Compensation | $1,492.45 | ↑ +58% |
Visitor-reported prices
Comments
External chromosome analysis 20-25 cells at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $869.40 | $120.55 – $1,304.10 |
| UPMC Northwest | Seneca | $1,124.40 | $131.15 – $1,592.90 |
| UPMC Passavant-McCandless | Pittsburgh | $1,226.40 | $134.39 – $1,737.40 |
| UPMC Presbyterian | Pittsburgh | $919.20 | $137.80 – $1,302.20 |
| UPMC Somerset | Somerset | $1,033.80 | $142.92 – $1,292.25 |
| UPMC St. Margaret | Pittsburgh | $1,082.40 | $124.86 – $1,533.40 |
| UPMC Wellsboro | Wellsboro | $1,140.00 | $96.48 – $482.40 |
| UPMC Williamsport | Williamsport | $354.60 | $142.92 – $472.80 |