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Ghs IV thrombolytics - cerebral at UPMC Muncy
215 East Water Street, Muncy, PA · UPMC · · NPI 1609816198
$513.60
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.
$856.00
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.
$128.40 with Highmark Wholecare (prev Gateway) vs $813.20 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 | $128.40 | ↓ -75% |
| UPMC Health Plan | Managed Medicare | $128.40 | ↓ -75% |
| AmeriHealth Caritas | Medicare | $132.25 | ↓ -74% |
| Cigna | Medicare | $134.82 | ↓ -74% |
| United Healthcare | Medicare | $137.39 | ↓ -73% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $138.67 | ↓ -73% |
| United Healthcare Community Plan for Families | PA Medicaid | $259.71 | ↓ -49% |
| Highmark BCBS of PA | Bluecare HMO/FPLIC PPO/Traditional Products | $335.72 | ↓ -35% |
| Aetna | PEBTF Custom Network | $347.11 | ↓ -32% |
| UPMC Health Plan | Commercial | $373.22 | ↓ -27% |
| Highmark BCBS of PA | Managed Care - Social Mission | $395.39 | ↓ -23% |
| Aetna | Commercial | $408.31 | ↓ -21% |
| Coventry/First Health | Commercial | $428.86 | ↓ -16% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $470.80 | ↓ -8% |
| Wirerope Works | Commercial | $475.94 | ↓ -7% |
| Aetna | First Health | $564.96 | ↑ +10% |
| Geisinger | Commercial | $573.52 | ↑ +12% |
| Coventry/First Health | FH-Medical Rental | $576.09 | ↑ +12% |
| United Healthcare | Commercial | $585.50 | ↑ +14% |
| Cigna | Commercial | $586.36 | ↑ +14% |
| UPMC Work Partners | Workers Comp | $642.37 | ↑ +25% |
| Multiplan | Auto | $667.68 | ↑ +30% |
| Multiplan | PPO (Includes PHCS as a Payer) | $667.68 | ↑ +30% |
| America's Choice | PPO | $684.80 | ↑ +33% |
| InterGroup | PPO | $684.80 | ↑ +33% |
| Three Rivers Provider Network | All | $687.18 | ↑ +34% |
| Multiplan | Worker's Compensation | $813.20 | ↑ +58% |
Visitor-reported prices
Comments
Ghs IV thrombolytics - cerebral at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $2,586.00 | $244.19 – $3,663.50 |
| UPMC Mercy | Pittsburgh | $1,439.40 | $242.23 – $2,159.10 |
| UPMC Northwest | Seneca | $1,635.60 | $286.79 – $2,317.10 |
| UPMC Presbyterian | Pittsburgh | $7,038.60 | $243.48 – $9,971.35 |
| UPMC Somerset | Somerset | $1,295.40 | $233.34 – $1,619.25 |
| UPMC St. Margaret | Pittsburgh | $2,715.60 | $253.16 – $3,847.10 |
| UPMC Wellsboro | Wellsboro | $620.80 | $139.68 – $698.40 |
| UPMC Williamsport | Williamsport | $513.60 | $259.71 – $687.18 |