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Graft impl ult thck 6x12cm -cost per sq cm at UPMC Muncy
215 East Water Street, Muncy, PA · UPMC · · NPI 1609816198
$13,093.20
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.
$21,822.00
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.
$1,689.60 with Highmark Wholecare (prev Gateway) vs $10,700.80 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 | $1,689.60 | ↓ -87% |
| UPMC Health Plan | Managed Medicare | $1,689.60 | ↓ -87% |
| AmeriHealth Caritas | Medicare | $1,740.29 | ↓ -87% |
| Cigna | Medicare | $1,774.08 | ↓ -86% |
| United Healthcare | Medicare | $1,807.87 | ↓ -86% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $1,824.77 | ↓ -86% |
| Highmark Wholecare (prev Gateway) | Medicaid | $2,252.80 | ↓ -83% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $3,717.12 | ↓ -72% |
| Highmark BCBS of PA | Bluecare HMO/FPLIC PPO/Traditional Products | $4,417.74 | ↓ -66% |
| Aetna | PEBTF Custom Network | $4,567.55 | ↓ -65% |
| UPMC Health Plan | Commercial | $4,911.10 | ↓ -62% |
| Highmark BCBS of PA | Managed Care - Social Mission | $5,202.84 | ↓ -60% |
| Aetna | Commercial | $5,372.93 | ↓ -59% |
| Coventry/First Health | Commercial | $5,643.26 | ↓ -57% |
| Wirerope Works | Commercial | $6,262.78 | ↓ -52% |
| Aetna | First Health | $7,434.24 | ↓ -43% |
| Geisinger | Commercial | $7,546.88 | ↓ -42% |
| Coventry/First Health | FH-Medical Rental | $7,580.67 | ↓ -42% |
| United Healthcare | Commercial | $7,704.58 | ↓ -41% |
| Cigna | Commercial | $7,715.84 | ↓ -41% |
| Multiplan | Auto | $8,785.92 | ↓ -33% |
| Multiplan | PPO (Includes PHCS as a Payer) | $8,785.92 | ↓ -33% |
| America's Choice | PPO | $9,011.20 | ↓ -31% |
| InterGroup | PPO | $9,011.20 | ↓ -31% |
| Three Rivers Provider Network | All | $10,137.60 | ↓ -23% |
| Multiplan | Worker's Compensation | $10,700.80 | ↓ -18% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
Visitor-reported prices
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Graft impl ult thck 6x12cm -cost per sq cm at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $27,538.20 | $56.47 – $601.20 |
| UPMC Passavant-McCandless | Pittsburgh | $28,358.40 | $60.78 – $1,751.00 |
| UPMC Presbyterian | Pittsburgh | $37,447.20 | $60.78 – $754.80 |
| UPMC Wellsboro | Wellsboro | $15,834.40 | $1,839.06 – $9,195.30 |
| UPMC Williamsport | Williamsport | $28,077.00 | $2,995.60 – $13,480.20 |