healthcosts.net
Infect ag na influenza r/amp 1st 2 types at UPMC Muncy
215 East Water Street, Muncy, PA · UPMC · · NPI 1609816198
$1,147.80
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.
$1,913.00
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.
$94.68 with UPMC Work Partners vs $1,817.35 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 |
|---|---|---|---|
| UPMC Work Partners | Workers Comp | $94.68 | ↓ -92% |
| Three Rivers Provider Network | All | $101.28 | ↓ -91% |
| UPMC Health Plan | Managed Medicaid | $105.38 | ↓ -91% |
| Geisinger | Medicaid/CHIP | $105.38 | ↓ -91% |
| UPMC Health Plan | CHIP | $105.38 | ↓ -91% |
| Highmark Wholecare (prev Gateway) | Medicaid | $106.82 | ↓ -91% |
| AmeriHealth Caritas | Community HealthChoices (CHC) | $108.01 | ↓ -91% |
| AmeriHealth Caritas | Medicaid | $108.01 | ↓ -91% |
| United Healthcare Community Plan for Families | PA Medicaid | $122.62 | ↓ -89% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $163.26 | ↓ -86% |
| UPMC Health Plan | Managed Medicare | $286.95 | ↓ -75% |
| Highmark Wholecare (prev Gateway) | Medicare | $286.95 | ↓ -75% |
| AmeriHealth Caritas | Medicare | $295.56 | ↓ -74% |
| Cigna | Medicare | $301.30 | ↓ -74% |
| United Healthcare | Medicare | $307.04 | ↓ -73% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $309.91 | ↓ -73% |
| Aetna | PEBTF Custom Network | $585.38 | ↓ -49% |
| Aetna | Commercial | $688.68 | ↓ -40% |
| Coventry/First Health | Commercial | $723.11 | ↓ -37% |
| Highmark BCBS of PA | Bluecare HMO/FPLIC PPO/Traditional Products | $750.28 | ↓ -35% |
| UPMC Health Plan | Commercial | $834.07 | ↓ -27% |
| Highmark BCBS of PA | Managed Care - Social Mission | $883.61 | ↓ -23% |
| Cigna | Commercial | $983.28 | ↓ -14% |
| United Healthcare | Commercial | $1,061.71 | ↓ -8% |
| Wirerope Works | Commercial | $1,063.63 | ↓ -7% |
| Aetna | First Health | $1,262.58 | ↑ +10% |
| Geisinger | Commercial | $1,281.71 | ↑ +12% |
| Coventry/First Health | FH-Medical Rental | $1,287.45 | ↑ +12% |
| Multiplan | Auto | $1,492.14 | ↑ +30% |
| Multiplan | PPO (Includes PHCS as a Payer) | $1,492.14 | ↑ +30% |
| America's Choice | PPO | $1,530.40 | ↑ +33% |
| InterGroup | PPO | $1,530.40 | ↑ +33% |
| Multiplan | Worker's Compensation | $1,817.35 | ↑ +58% |
Visitor-reported prices
Comments
Infect ag na influenza r/amp 1st 2 types at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $520.20 | $79.86 – $780.30 |
| UPMC Northwest | Seneca | $516.60 | $86.88 – $731.85 |
| UPMC Passavant-McCandless | Pittsburgh | $595.80 | $89.03 – $844.05 |
| UPMC Presbyterian | Pittsburgh | $677.40 | $94.68 – $959.65 |
| UPMC Somerset | Somerset | $532.80 | $94.68 – $666.00 |
| UPMC St. Margaret | Pittsburgh | $534.60 | $82.71 – $757.35 |
| UPMC Wellsboro | Wellsboro | $1,388.00 | $94.68 – $1,561.50 |
| UPMC Williamsport | Williamsport | $1,147.80 | $94.68 – $1,530.40 |