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Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets at UPMC Muncy
215 East Water Street, Muncy, PA · UPMC · · NPI 1609816198
$1,886.40
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.
$3,144.00
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.
$325.43 with United Healthcare Community Plan for Families vs $2,986.80 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 |
|---|---|---|---|
| United Healthcare Community Plan for Families | PA Medicaid | $325.43 | ↓ -83% |
| UPMC Work Partners | Workers Comp | $411.91 | ↓ -78% |
| Three Rivers Provider Network | All | $440.65 | ↓ -77% |
| Highmark Wholecare (prev Gateway) | Medicare | $471.60 | ↓ -75% |
| UPMC Health Plan | Managed Medicare | $471.60 | ↓ -75% |
| AmeriHealth Caritas | Medicare | $485.75 | ↓ -74% |
| Cigna | Medicare | $495.18 | ↓ -74% |
| United Healthcare | Medicare | $504.61 | ↓ -73% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $509.33 | ↓ -73% |
| Aetna | PEBTF Custom Network | $962.06 | ↓ -49% |
| Aetna | Commercial | $1,131.84 | ↓ -40% |
| Coventry/First Health | Commercial | $1,188.43 | ↓ -37% |
| Highmark BCBS of PA | Bluecare HMO/FPLIC PPO/Traditional Products | $1,233.08 | ↓ -35% |
| UPMC Health Plan | Commercial | $1,370.78 | ↓ -27% |
| Highmark BCBS of PA | Managed Care - Social Mission | $1,452.21 | ↓ -23% |
| Cigna | Commercial | $1,616.02 | ↓ -14% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $1,729.20 | ↓ -8% |
| United Healthcare | Commercial | $1,744.92 | ↓ -8% |
| Wirerope Works | Commercial | $1,748.06 | ↓ -7% |
| Aetna | First Health | $2,075.04 | ↑ +10% |
| Geisinger | Commercial | $2,106.48 | ↑ +12% |
| Coventry/First Health | FH-Medical Rental | $2,115.91 | ↑ +12% |
| Multiplan | Auto | $2,452.32 | ↑ +30% |
| Multiplan | PPO (Includes PHCS as a Payer) | $2,452.32 | ↑ +30% |
| America's Choice | PPO | $2,515.20 | ↑ +33% |
| InterGroup | PPO | $2,515.20 | ↑ +33% |
| Multiplan | Worker's Compensation | $2,986.80 | ↑ +58% |
Visitor-reported prices
Comments
Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $454.20 | $211.20 – $681.30 |
| UPMC Northwest | Seneca | $454.20 | $302.80 – $643.45 |
| UPMC Passavant-McCandless | Pittsburgh | $481.80 | $201.62 – $504.05 |
| UPMC Presbyterian | Pittsburgh | $2,071.20 | $305.09 – $2,934.20 |
| UPMC Somerset | Somerset | $876.60 | $292.38 – $1,095.75 |
| UPMC St. Margaret | Pittsburgh | $454.20 | $190.76 – $643.45 |
| UPMC Wellsboro | Wellsboro | $529.60 | $119.16 – $595.80 |
| UPMC Williamsport | Williamsport | $438.00 | $197.10 – $584.00 |