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Fosphenytoin 50 mg pe/ml injection (wrapper) at UPMC Muncy
215 East Water Street, Muncy, PA · UPMC · · NPI 1609816198
$122.40
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.
$204.00
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.
$9.15 with Highmark Wholecare (prev Gateway) vs $57.95 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 | $9.15 | ↓ -93% |
| UPMC Health Plan | Managed Medicare | $9.15 | ↓ -93% |
| AmeriHealth Caritas | Medicare | $9.42 | ↓ -92% |
| Cigna | Medicare | $9.61 | ↓ -92% |
| United Healthcare | Medicare | $9.79 | ↓ -92% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $9.88 | ↓ -92% |
| UPMC Work Partners | Workers Comp | $16.90 | ↓ -86% |
| Highmark BCBS of PA | Bluecare HMO/FPLIC PPO/Traditional Products | $23.92 | ↓ -80% |
| Aetna | PEBTF Custom Network | $24.74 | ↓ -80% |
| UPMC Health Plan | Commercial | $26.60 | ↓ -78% |
| Highmark BCBS of PA | Managed Care - Social Mission | $28.18 | ↓ -77% |
| Aetna | Commercial | $29.10 | ↓ -76% |
| Coventry/First Health | Commercial | $30.56 | ↓ -75% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $33.55 | ↓ -73% |
| Wirerope Works | Commercial | $33.92 | ↓ -72% |
| Aetna | First Health | $40.26 | ↓ -67% |
| Geisinger | Commercial | $40.87 | ↓ -67% |
| Coventry/First Health | FH-Medical Rental | $41.05 | ↓ -66% |
| United Healthcare | Commercial | $41.72 | ↓ -66% |
| Cigna | Commercial | $41.78 | ↓ -66% |
| Multiplan | Auto | $47.58 | ↓ -61% |
| Multiplan | PPO (Includes PHCS as a Payer) | $47.58 | ↓ -61% |
| America's Choice | PPO | $48.80 | ↓ -60% |
| InterGroup | PPO | $48.80 | ↓ -60% |
| Three Rivers Provider Network | All | $54.90 | ↓ -55% |
| Multiplan | Worker's Compensation | $57.95 | ↓ -53% |
Visitor-reported prices
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Fosphenytoin 50 mg pe/ml injection (wrapper) at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $22.40 | $5.25 – $18.90 |
| UPMC Northwest | Seneca | $84.60 | $17.50 – $59.50 |
| UPMC Passavant-McCandless | Pittsburgh | $425.40 | $5.25 – $17.85 |
| UPMC Presbyterian | Pittsburgh | $516.00 | $13.34 – $72.25 |
| UPMC Somerset | Somerset | $12.00 | $0.67 – $13.08 |
| UPMC St. Margaret | Pittsburgh | $137.40 | $13.34 – $56.95 |
| UPMC Wellsboro | Wellsboro | $366.60 | $10.98 – $54.90 |
| UPMC Western Psychiatric | Pittsburgh | $51.30 | $13.07 – $72.46 |