healthcosts.net
Graft xenmtrx sft rect 19x28cm at UPMC Muncy
215 East Water Street, Muncy, PA · UPMC · · NPI 1609816198
$2,112.60
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.
$3,521.00
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.
$76.05 with Highmark Wholecare (prev Gateway) vs $481.65 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 | $76.05 | ↓ -96% |
| UPMC Health Plan | Managed Medicare | $76.05 | ↓ -96% |
| AmeriHealth Caritas | Medicare | $78.33 | ↓ -96% |
| Cigna | Medicare | $79.85 | ↓ -96% |
| United Healthcare | Medicare | $81.37 | ↓ -96% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $82.13 | ↓ -96% |
| Highmark Wholecare (prev Gateway) | Medicaid | $101.40 | ↓ -95% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $167.31 | ↓ -92% |
| Highmark BCBS of PA | Bluecare HMO/FPLIC PPO/Traditional Products | $198.85 | ↓ -91% |
| Aetna | PEBTF Custom Network | $205.59 | ↓ -90% |
| UPMC Health Plan | Commercial | $221.05 | ↓ -90% |
| Highmark BCBS of PA | Managed Care - Social Mission | $234.18 | ↓ -89% |
| Aetna | Commercial | $241.84 | ↓ -89% |
| Coventry/First Health | Commercial | $254.01 | ↓ -88% |
| Wirerope Works | Commercial | $281.89 | ↓ -87% |
| Aetna | First Health | $334.62 | ↓ -84% |
| Geisinger | Commercial | $339.69 | ↓ -84% |
| Coventry/First Health | FH-Medical Rental | $341.21 | ↓ -84% |
| United Healthcare | Commercial | $346.79 | ↓ -84% |
| Cigna | Commercial | $347.30 | ↓ -84% |
| Multiplan | Auto | $395.46 | ↓ -81% |
| Multiplan | PPO (Includes PHCS as a Payer) | $395.46 | ↓ -81% |
| America's Choice | PPO | $405.60 | ↓ -81% |
| InterGroup | PPO | $405.60 | ↓ -81% |
| Three Rivers Provider Network | All | $456.30 | ↓ -78% |
| Multiplan | Worker's Compensation | $481.65 | ↓ -77% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
Visitor-reported prices
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Graft xenmtrx sft rect 19x28cm at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $3,076.20 | $51.12 – $960.55 |
| UPMC Northwest | Seneca | $255.00 | $100.25 – $1,471.99 |
| UPMC Passavant-McCandless | Pittsburgh | $3,260.40 | $38.28 – $1,765.19 |
| UPMC Presbyterian | Pittsburgh | $3,166.80 | $21.00 – $1,966.75 |
| UPMC Somerset | Somerset | $461.40 | $116.20 – $728.60 |
| UPMC St. Margaret | Pittsburgh | $3,827.40 | $32.80 – $1,492.65 |
| UPMC Wellsboro | Wellsboro | $2,112.60 | $44.46 – $222.30 |
| UPMC Williamsport | Williamsport | $2,112.60 | $49.40 – $222.30 |