healthcosts.net
Guide worley csg 9fx50cm std at UPMC Muncy
215 East Water Street, Muncy, PA · UPMC · · NPI 1609816198
$188.40
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.
$314.00
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.
$26.55 with Highmark Wholecare (prev Gateway) vs $168.15 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 | $26.55 | ↓ -86% |
| UPMC Health Plan | Managed Medicare | $26.55 | ↓ -86% |
| AmeriHealth Caritas | Medicare | $27.35 | ↓ -85% |
| Cigna | Medicare | $27.88 | ↓ -85% |
| United Healthcare | Medicare | $28.41 | ↓ -85% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $28.67 | ↓ -85% |
| Highmark BCBS of PA | Bluecare HMO/FPLIC PPO/Traditional Products | $69.42 | ↓ -63% |
| Aetna | PEBTF Custom Network | $71.77 | ↓ -62% |
| UPMC Health Plan | Commercial | $77.17 | ↓ -59% |
| Highmark BCBS of PA | Managed Care - Social Mission | $81.76 | ↓ -57% |
| Aetna | Commercial | $84.43 | ↓ -55% |
| Coventry/First Health | Commercial | $88.68 | ↓ -53% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $97.35 | ↓ -48% |
| Wirerope Works | Commercial | $98.41 | ↓ -48% |
| Aetna | First Health | $116.82 | ↓ -38% |
| Geisinger | Commercial | $118.59 | ↓ -37% |
| Coventry/First Health | FH-Medical Rental | $119.12 | ↓ -37% |
| United Healthcare | Commercial | $121.07 | ↓ -36% |
| Cigna | Commercial | $121.25 | ↓ -36% |
| Multiplan | Auto | $138.06 | ↓ -27% |
| Multiplan | PPO (Includes PHCS as a Payer) | $138.06 | ↓ -27% |
| America's Choice | PPO | $141.60 | ↓ -25% |
| InterGroup | PPO | $141.60 | ↓ -25% |
| Three Rivers Provider Network | All | $159.30 | ↓ -15% |
| Multiplan | Worker's Compensation | $168.15 | ↓ -11% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
Visitor-reported prices
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Guide worley csg 9fx50cm std at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Northwest | Seneca | $141.00 | $25.50 – $610.77 |
| UPMC Passavant-McCandless | Pittsburgh | $1,166.40 | $40.25 – $732.42 |
| UPMC Somerset | Somerset | $92.40 | $35.05 – $302.31 |
| UPMC St. Margaret | Pittsburgh | $325.20 | $55.77 – $619.34 |
| UPMC Wellsboro | Wellsboro | $228.00 | $28.98 – $144.90 |
| UPMC Williamsport | Williamsport | $1,083.60 | $46.71 – $155.70 |
| UPMC Mercy | Pittsburgh | $3,312.00 | $21.25 – $398.55 |
| UPMC Presbyterian | Pittsburgh | $5,545.80 | $14.04 – $816.06 |