healthcosts.net
Ghs vaginal delivery only at UPMC Muncy
215 East Water Street, Muncy, PA · UPMC · · NPI 1609816198
$1,012.80
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.
$1,688.00
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.
$253.20 with Highmark Wholecare (prev Gateway) vs $2,456.98 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 |
|---|---|---|---|
| Highmark Wholecare (prev Gateway) | Medicare | $253.20 | ↓ -75% |
| UPMC Health Plan | Managed Medicare | $253.20 | ↓ -75% |
| AmeriHealth Caritas | Medicare | $260.80 | ↓ -74% |
| Cigna | Medicare | $265.86 | ↓ -74% |
| United Healthcare | Medicare | $270.92 | ↓ -73% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $273.46 | ↓ -73% |
| Highmark BCBS of PA | Bluecare HMO/FPLIC PPO/Traditional Products | $662.03 | ↓ -35% |
| Aetna | PEBTF Custom Network | $684.48 | ↓ -32% |
| UPMC Health Plan | Commercial | $735.97 | ↓ -27% |
| Highmark BCBS of PA | Managed Care - Social Mission | $779.69 | ↓ -23% |
| Aetna | Commercial | $805.18 | ↓ -20% |
| Coventry/First Health | Commercial | $845.69 | ↓ -16% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $928.40 | ↓ -8% |
| Wirerope Works | Commercial | $938.53 | ↓ -7% |
| Aetna | First Health | $1,114.08 | ↑ +10% |
| Geisinger | Commercial | $1,130.96 | ↑ +12% |
| Coventry/First Health | FH-Medical Rental | $1,136.02 | ↑ +12% |
| United Healthcare | Commercial | $1,154.59 | ↑ +14% |
| Cigna | Commercial | $1,156.28 | ↑ +14% |
| AmeriHealth Caritas | Community HealthChoices (CHC) | $1,230.00 | ↑ +21% |
| AmeriHealth Caritas | Medicaid | $1,230.00 | ↑ +21% |
| Multiplan | Auto | $1,316.64 | ↑ +30% |
| Multiplan | PPO (Includes PHCS as a Payer) | $1,316.64 | ↑ +30% |
| America's Choice | PPO | $1,350.40 | ↑ +33% |
| InterGroup | PPO | $1,350.40 | ↑ +33% |
| Three Rivers Provider Network | All | $1,519.20 | ↑ +50% |
| United Healthcare Community Plan for Families | PA Medicaid | $1,536.00 | ↑ +52% |
| Multiplan | Worker's Compensation | $1,603.60 | ↑ +58% |
| UPMC Work Partners | Workers Comp | $2,456.98 | ↑ +143% |
Visitor-reported prices
Comments
Ghs vaginal delivery only at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $7,320.60 | $619.68 – $4,100.40 |
| UPMC Presbyterian | Pittsburgh | $11,280.60 | $630.14 – $15,980.85 |
| UPMC Somerset | Somerset | $4,464.60 | $50.26 – $5,580.75 |
| UPMC St. Margaret | Pittsburgh | $6,562.20 | $642.43 – $9,296.45 |
| UPMC Wellsboro | Wellsboro | $1,224.80 | $275.58 – $1,691.16 |
| UPMC Williamsport | Williamsport | $9,063.60 | $1,536.00 – $12,084.80 |