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Ghs cl tx knee disl; wo anesth at UPMC Muncy
215 East Water Street, Muncy, PA · UPMC · · NPI 1609816198
$2,389.20
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.
$3,982.00
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.
$172.70 with UPMC Health Plan vs $3,782.90 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 Health Plan | Managed Medicaid | $172.70 | ↓ -93% |
| Geisinger | Medicaid/CHIP | $172.70 | ↓ -93% |
| UPMC Health Plan | CHIP | $172.70 | ↓ -93% |
| Highmark Wholecare (prev Gateway) | Medicaid | $175.06 | ↓ -93% |
| AmeriHealth Caritas | Community HealthChoices (CHC) | $177.02 | ↓ -93% |
| AmeriHealth Caritas | Medicaid | $177.02 | ↓ -93% |
| United Healthcare Community Plan for Families | PA Medicaid | $200.96 | ↓ -92% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $267.56 | ↓ -89% |
| UPMC Health Plan | Managed Medicare | $597.30 | ↓ -75% |
| Highmark Wholecare (prev Gateway) | Medicare | $597.30 | ↓ -75% |
| AmeriHealth Caritas | Medicare | $615.22 | ↓ -74% |
| Cigna | Medicare | $627.16 | ↓ -74% |
| United Healthcare | Medicare | $639.11 | ↓ -73% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $645.08 | ↓ -73% |
| UPMC Work Partners | Workers Comp | $819.30 | ↓ -66% |
| Three Rivers Provider Network | All | $876.47 | ↓ -63% |
| Highmark BCBS of PA | Bluecare HMO/FPLIC PPO/Traditional Products | $1,561.74 | ↓ -35% |
| Aetna | PEBTF Custom Network | $1,614.70 | ↓ -32% |
| UPMC Health Plan | Commercial | $1,736.15 | ↓ -27% |
| Highmark BCBS of PA | Managed Care - Social Mission | $1,839.29 | ↓ -23% |
| Aetna | Commercial | $1,899.41 | ↓ -21% |
| Coventry/First Health | Commercial | $1,994.98 | ↓ -17% |
| Wirerope Works | Commercial | $2,213.99 | ↓ -7% |
| Aetna | First Health | $2,628.12 | ↑ +10% |
| Geisinger | Commercial | $2,667.94 | ↑ +12% |
| Coventry/First Health | FH-Medical Rental | $2,679.89 | ↑ +12% |
| United Healthcare | Commercial | $2,723.69 | ↑ +14% |
| Cigna | Commercial | $2,727.67 | ↑ +14% |
| Multiplan | Auto | $3,105.96 | ↑ +30% |
| Multiplan | PPO (Includes PHCS as a Payer) | $3,105.96 | ↑ +30% |
| America's Choice | PPO | $3,185.60 | ↑ +33% |
| InterGroup | PPO | $3,185.60 | ↑ +33% |
| Multiplan | Worker's Compensation | $3,782.90 | ↑ +58% |
Visitor-reported prices
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Ghs cl tx knee disl; wo anesth at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $3,009.60 | $172.70 – $4,263.60 |
| UPMC Mercy | Pittsburgh | $2,370.60 | $172.70 – $3,555.90 |
| UPMC Presbyterian | Pittsburgh | $3,222.60 | $172.70 – $4,565.35 |
| UPMC Somerset | Somerset | $1,961.40 | $172.70 – $2,451.75 |
| UPMC Williamsport | Williamsport | $2,389.20 | $172.70 – $3,185.60 |