healthcosts.net
Implant ureth bulk agent at UPMC Muncy
215 East Water Street, Muncy, PA · UPMC · · NPI 1609816198
$1,094.40
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.
$1,824.00
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.
$258.15 with Highmark Wholecare (prev Gateway) vs $1,634.95 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 | $258.15 | ↓ -76% |
| UPMC Health Plan | Managed Medicare | $258.15 | ↓ -76% |
| AmeriHealth Caritas | Medicare | $265.89 | ↓ -76% |
| Cigna | Medicare | $271.06 | ↓ -75% |
| United Healthcare | Medicare | $276.22 | ↓ -75% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $278.80 | ↓ -75% |
| Highmark Wholecare (prev Gateway) | Medicaid | $344.20 | ↓ -69% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $567.93 | ↓ -48% |
| Highmark BCBS of PA | Bluecare HMO/FPLIC PPO/Traditional Products | $674.98 | ↓ -38% |
| Aetna | PEBTF Custom Network | $697.87 | ↓ -36% |
| UPMC Health Plan | Commercial | $750.36 | ↓ -31% |
| Highmark BCBS of PA | Managed Care - Social Mission | $794.93 | ↓ -27% |
| Aetna | Commercial | $820.92 | ↓ -25% |
| Coventry/First Health | Commercial | $862.22 | ↓ -21% |
| Wirerope Works | Commercial | $956.88 | ↓ -13% |
| Aetna | First Health | $1,135.86 | ↑ +4% |
| Geisinger | Commercial | $1,153.07 | ↑ +5% |
| Coventry/First Health | FH-Medical Rental | $1,158.23 | ↑ +6% |
| United Healthcare | Commercial | $1,177.16 | ↑ +8% |
| Cigna | Commercial | $1,178.88 | ↑ +8% |
| Multiplan | Auto | $1,342.38 | ↑ +23% |
| Multiplan | PPO (Includes PHCS as a Payer) | $1,342.38 | ↑ +23% |
| America's Choice | PPO | $1,376.80 | ↑ +26% |
| InterGroup | PPO | $1,376.80 | ↑ +26% |
| Three Rivers Provider Network | All | $1,548.90 | ↑ +42% |
| Multiplan | Worker's Compensation | $1,634.95 | ↑ +49% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
Visitor-reported prices
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Implant ureth bulk agent at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $1,617.00 | $309.95 – $2,425.50 |
| UPMC Northwest | Seneca | $1,360.20 | $484.25 – $2,073.68 |
| UPMC Passavant-McCandless | Pittsburgh | $2,887.20 | $312.91 – $2,486.73 |
| UPMC Presbyterian | Pittsburgh | $3,211.80 | $312.91 – $4,550.05 |
| UPMC Wellsboro | Wellsboro | $1,323.20 | $280.98 – $1,404.90 |
| UPMC Williamsport | Williamsport | $1,032.60 | $344.20 – $1,548.90 |