Foam drg <=16 sq in w/border at UPMC Muncy
215 East Water Street, Muncy, PA · UPMC · · NPI 1609816198
$15.60
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.
$26.00
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.
$2.25 with UPMC Health Plan vs $22.36 with UPMC Work Partners — 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 | $2.25 | ↓ -86% |
| Highmark Wholecare (prev Gateway) | Medicare | $2.25 | ↓ -86% |
| AmeriHealth Caritas | Medicare | $2.32 | ↓ -85% |
| Cigna | Medicare | $2.36 | ↓ -85% |
| United Healthcare | Medicare | $2.41 | ↓ -85% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $2.43 | ↓ -84% |
| Highmark BCBS of PA | Bluecare HMO/FPLIC PPO/Traditional Products | $5.88 | ↓ -62% |
| Aetna | PEBTF Custom Network | $6.08 | ↓ -61% |
| UPMC Health Plan | Commercial | $6.54 | ↓ -58% |
| Highmark BCBS of PA | Managed Care - Social Mission | $6.93 | ↓ -56% |
| Aetna | Commercial | $7.16 | ↓ -54% |
| Coventry/First Health | Commercial | $7.51 | ↓ -52% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $8.25 | ↓ -47% |
| Wirerope Works | Commercial | $8.34 | ↓ -47% |
| Aetna | First Health | $9.90 | ↓ -37% |
| Geisinger | Commercial | $10.05 | ↓ -36% |
| Coventry/First Health | FH-Medical Rental | $10.10 | ↓ -35% |
| United Healthcare | Commercial | $10.26 | ↓ -34% |
| Cigna | Commercial | $10.28 | ↓ -34% |
| United Healthcare Community Plan for Families | PA Medicaid | $11.19 | ↓ -28% |
| Multiplan | Auto | $11.70 | ↓ -25% |
| Multiplan | PPO (Includes PHCS as a Payer) | $11.70 | ↓ -25% |
| InterGroup | PPO | $12.00 | ↓ -23% |
| America's Choice | PPO | $12.00 | ↓ -23% |
| Three Rivers Provider Network | All | $13.50 | ↓ -13% |
| Multiplan | Worker's Compensation | $14.25 | ↓ -9% |
| UPMC Work Partners | Workers Comp | $22.36 | ↑ +43% |
Visitor-reported prices
Comments
Foam drg <=16 sq in w/border at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $7.20 | $6.00 – $54.26 |
| UPMC Hamot | Erie | $61.80 | $17.19 – $22.36 |
| UPMC Jameson | New Castle | $12.60 | $8.32 – $54.26 |
| UPMC Mercy | Pittsburgh | $186.00 | $17.19 – $42.85 |
| UPMC Presbyterian | Pittsburgh | $81.00 | $10.49 – $87.74 |
| UPMC St. Margaret | Pittsburgh | $9.00 | $17.36 – $66.59 |
| UPMC Wellsboro | Wellsboro | $19.00 | $11.19 – $22.36 |
| UPMC Williamsport | Williamsport | $50.40 | $11.19 – $24.70 |