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Graft nerve adv 3-4x70mm at UPMC Muncy
215 East Water Street, Muncy, PA · UPMC · · NPI 1609816198
$21,493.20
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.
$35,822.00
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.
$145.05 with Highmark Wholecare (prev Gateway) vs $918.65 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 | $145.05 | ↓ -99% |
| UPMC Health Plan | Managed Medicare | $145.05 | ↓ -99% |
| AmeriHealth Caritas | Medicare | $149.40 | ↓ -99% |
| Cigna | Medicare | $152.30 | ↓ -99% |
| United Healthcare | Medicare | $155.20 | ↓ -99% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $156.65 | ↓ -99% |
| Highmark Wholecare (prev Gateway) | Medicaid | $193.40 | ↓ -99% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $319.11 | ↓ -99% |
| Highmark BCBS of PA | Bluecare HMO/FPLIC PPO/Traditional Products | $379.26 | ↓ -98% |
| Aetna | PEBTF Custom Network | $392.12 | ↓ -98% |
| UPMC Health Plan | Commercial | $421.61 | ↓ -98% |
| Highmark BCBS of PA | Managed Care - Social Mission | $446.66 | ↓ -98% |
| Aetna | Commercial | $461.26 | ↓ -98% |
| Coventry/First Health | Commercial | $484.47 | ↓ -98% |
| Wirerope Works | Commercial | $537.65 | ↓ -97% |
| Aetna | First Health | $638.22 | ↓ -97% |
| Geisinger | Commercial | $647.89 | ↓ -97% |
| Coventry/First Health | FH-Medical Rental | $650.79 | ↓ -97% |
| United Healthcare | Commercial | $661.43 | ↓ -97% |
| Cigna | Commercial | $662.39 | ↓ -97% |
| Multiplan | Auto | $754.26 | ↓ -96% |
| Multiplan | PPO (Includes PHCS as a Payer) | $754.26 | ↓ -96% |
| America's Choice | PPO | $773.60 | ↓ -96% |
| InterGroup | PPO | $773.60 | ↓ -96% |
| Three Rivers Provider Network | All | $870.30 | ↓ -96% |
| Multiplan | Worker's Compensation | $918.65 | ↓ -96% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
Visitor-reported prices
Comments
Graft nerve adv 3-4x70mm at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $30,375.00 | $320.64 – $3,625.20 |
| UPMC Northwest | Seneca | $5,283.60 | $1,222.00 – $5,555.44 |
| UPMC Passavant-McCandless | Pittsburgh | $23,563.20 | $6.60 – $6,662.02 |
| UPMC Presbyterian | Pittsburgh | $45,505.20 | $151.44 – $7,422.72 |
| UPMC St. Margaret | Pittsburgh | $25,226.40 | $201.00 – $5,633.41 |
| UPMC Wellsboro | Wellsboro | $25,992.80 | $183.42 – $917.10 |
| UPMC Williamsport | Williamsport | $28,969.20 | $160.00 – $720.00 |