healthcosts.net
Genetic tstg severe inh cond at UPMC Muncy
215 East Water Street, Muncy, PA · UPMC · · NPI 1609816198
$13,264.80
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.
$22,108.00
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.
$980.25 with Highmark Wholecare (prev Gateway) vs $6,208.25 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 | $980.25 | ↓ -93% |
| UPMC Health Plan | Managed Medicare | $980.25 | ↓ -93% |
| AmeriHealth Caritas | Medicare | $1,009.66 | ↓ -92% |
| Cigna | Medicare | $1,029.26 | ↓ -92% |
| United Healthcare | Medicare | $1,048.87 | ↓ -92% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $1,058.67 | ↓ -92% |
| United Healthcare Community Plan for Families | PA Medicaid | $1,911.83 | ↓ -86% |
| UPMC Work Partners | Workers Comp | $2,419.96 | ↓ -82% |
| Coventry/First Health | Commercial | $2,470.23 | ↓ -81% |
| Highmark BCBS of PA | Bluecare HMO/FPLIC PPO/Traditional Products | $2,563.03 | ↓ -81% |
| Three Rivers Provider Network | All | $2,588.80 | ↓ -80% |
| Aetna | PEBTF Custom Network | $2,649.94 | ↓ -80% |
| UPMC Health Plan | Commercial | $2,849.26 | ↓ -79% |
| Highmark BCBS of PA | Managed Care - Social Mission | $3,018.52 | ↓ -77% |
| Aetna | Commercial | $3,117.20 | ↓ -77% |
| Cigna | Commercial | $3,358.99 | ↓ -75% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $3,594.25 | ↓ -73% |
| United Healthcare | Commercial | $3,626.93 | ↓ -73% |
| Wirerope Works | Commercial | $3,633.46 | ↓ -73% |
| Aetna | First Health | $4,313.10 | ↓ -67% |
| Geisinger | Commercial | $4,378.45 | ↓ -67% |
| Coventry/First Health | FH-Medical Rental | $4,398.06 | ↓ -67% |
| Multiplan | Auto | $5,097.30 | ↓ -62% |
| Multiplan | PPO (Includes PHCS as a Payer) | $5,097.30 | ↓ -62% |
| America's Choice | PPO | $5,228.00 | ↓ -61% |
| InterGroup | PPO | $5,228.00 | ↓ -61% |
| Multiplan | Worker's Compensation | $6,208.25 | ↓ -53% |
Visitor-reported prices
Comments
Genetic tstg severe inh cond at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $12,863.40 | $395.08 – $2,693.42 |
| UPMC Mercy | Pittsburgh | $4,156.20 | $1,495.39 – $5,609.70 |
| UPMC Northwest | Seneca | $14,904.00 | $910.40 – $2,644.44 |
| UPMC Presbyterian | Pittsburgh | $18,150.60 | $409.68 – $6,305.54 |
| UPMC St. Margaret | Pittsburgh | $5,325.60 | $1,509.63 – $5,298.05 |
| UPMC Wellsboro | Wellsboro | $13,264.80 | $1,122.30 – $5,611.50 |
| UPMC Williamsport | Williamsport | $11,622.60 | $852.01 – $2,644.20 |