healthcosts.net
Graft patch felt ptfe 2x2 at UPMC Muncy
215 East Water Street, Muncy, PA · UPMC · · NPI 1609816198
$4,338.00
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.
$7,230.00
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.
$16.05 with Highmark Wholecare (prev Gateway) vs $101.65 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 | $16.05 | ↓ -100% |
| UPMC Health Plan | Managed Medicare | $16.05 | ↓ -100% |
| AmeriHealth Caritas | Medicare | $16.53 | ↓ -100% |
| Cigna | Medicare | $16.85 | ↓ -100% |
| United Healthcare | Medicare | $17.17 | ↓ -100% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $17.33 | ↓ -100% |
| Highmark Wholecare (prev Gateway) | Medicaid | $21.40 | ↓ -100% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $35.31 | ↓ -99% |
| Highmark BCBS of PA | Bluecare HMO/FPLIC PPO/Traditional Products | $41.97 | ↓ -99% |
| Aetna | PEBTF Custom Network | $43.39 | ↓ -99% |
| UPMC Health Plan | Commercial | $46.65 | ↓ -99% |
| Highmark BCBS of PA | Managed Care - Social Mission | $49.42 | ↓ -99% |
| Aetna | Commercial | $51.04 | ↓ -99% |
| Coventry/First Health | Commercial | $53.61 | ↓ -99% |
| Wirerope Works | Commercial | $59.49 | ↓ -99% |
| Aetna | First Health | $70.62 | ↓ -98% |
| Geisinger | Commercial | $71.69 | ↓ -98% |
| Coventry/First Health | FH-Medical Rental | $72.01 | ↓ -98% |
| United Healthcare | Commercial | $73.19 | ↓ -98% |
| Cigna | Commercial | $73.30 | ↓ -98% |
| Multiplan | Auto | $83.46 | ↓ -98% |
| Multiplan | PPO (Includes PHCS as a Payer) | $83.46 | ↓ -98% |
| America's Choice | PPO | $85.60 | ↓ -98% |
| InterGroup | PPO | $85.60 | ↓ -98% |
| Three Rivers Provider Network | All | $96.30 | ↓ -98% |
| Multiplan | Worker's Compensation | $101.65 | ↓ -98% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
Visitor-reported prices
Comments
Graft patch felt ptfe 2x2 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $7,958.40 | $24.48 – $1,302.01 |
| UPMC Northwest | Seneca | $2,249.40 | $106.50 – $1,995.27 |
| UPMC Passavant-McCandless | Pittsburgh | $39,576.60 | $22.66 – $2,392.71 |
| UPMC Presbyterian | Pittsburgh | $55,935.00 | $86.16 – $2,665.92 |
| UPMC St. Margaret | Pittsburgh | $4,372.80 | $215.20 – $2,023.27 |
| UPMC Wellsboro | Wellsboro | $5,246.40 | $17.41 – $87.08 |
| UPMC Williamsport | Williamsport | $16,977.00 | $80.20 – $360.90 |