healthcosts.net
Infliximab 100 mg intravenous solution at UPMC Muncy
215 East Water Street, Muncy, PA · UPMC · · NPI 1609816198
$5,408.40
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.
$9,014.00
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.
$31.09 with AmeriHealth Caritas vs $855.95 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 |
|---|---|---|---|
| AmeriHealth Caritas | Community HealthChoices (CHC) | $31.09 | ↓ -99% |
| Geisinger | Medicaid/CHIP | $31.09 | ↓ -99% |
| United Healthcare Community Plan for Families | PA Medicaid | $31.09 | ↓ -99% |
| Highmark Wholecare (prev Gateway) | Medicaid | $31.09 | ↓ -99% |
| Geisinger | CHIP | $31.09 | ↓ -99% |
| AmeriHealth Caritas | Medicaid | $31.09 | ↓ -99% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $31.09 | ↓ -99% |
| UPMC Health Plan | Managed Medicaid | $34.20 | ↓ -99% |
| UPMC Health Plan | CHIP | $34.20 | ↓ -99% |
| UPMC Health Plan | Managed Medicare | $135.15 | ↓ -98% |
| Highmark Wholecare (prev Gateway) | Medicare | $135.15 | ↓ -98% |
| AmeriHealth Caritas | Medicare | $139.20 | ↓ -97% |
| Cigna | Medicare | $141.91 | ↓ -97% |
| United Healthcare | Medicare | $144.61 | ↓ -97% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $145.96 | ↓ -97% |
| UPMC Work Partners | Workers Comp | $249.67 | ↓ -95% |
| Highmark BCBS of PA | Bluecare HMO/FPLIC PPO/Traditional Products | $353.37 | ↓ -93% |
| Aetna | PEBTF Custom Network | $365.36 | ↓ -93% |
| UPMC Health Plan | Commercial | $392.84 | ↓ -93% |
| Highmark BCBS of PA | Managed Care - Social Mission | $416.17 | ↓ -92% |
| Aetna | Commercial | $429.78 | ↓ -92% |
| Coventry/First Health | Commercial | $451.40 | ↓ -92% |
| Wirerope Works | Commercial | $500.96 | ↓ -91% |
| Aetna | First Health | $594.66 | ↓ -89% |
| Geisinger | Commercial | $603.67 | ↓ -89% |
| Coventry/First Health | FH-Medical Rental | $606.37 | ↓ -89% |
| United Healthcare | Commercial | $616.28 | ↓ -89% |
| Cigna | Commercial | $617.18 | ↓ -89% |
| Multiplan | Auto | $702.78 | ↓ -87% |
| Multiplan | PPO (Includes PHCS as a Payer) | $702.78 | ↓ -87% |
| America's Choice | PPO | $720.80 | ↓ -87% |
| InterGroup | PPO | $720.80 | ↓ -87% |
| Three Rivers Provider Network | All | $810.90 | ↓ -85% |
| Multiplan | Worker's Compensation | $855.95 | ↓ -84% |
Visitor-reported prices
Comments
Infliximab 100 mg intravenous solution at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $467.20 | $19.63 – $1,306.36 |
| UPMC Northwest | Seneca | $380.80 | $19.63 – $1,192.76 |
| UPMC Passavant-McCandless | Pittsburgh | $3,930.00 | $19.63 – $1,192.76 |
| UPMC Presbyterian | Pittsburgh | $633.60 | $19.63 – $1,135.97 |
| UPMC Somerset | Somerset | $700.20 | $30.78 – $356.25 |
| UPMC St. Margaret | Pittsburgh | $503.20 | $19.63 – $1,249.56 |
| UPMC Wellsboro | Wellsboro | $5,408.40 | $31.09 – $1,135.97 |
| UPMC Western Psychiatric | Pittsburgh | $633.00 | $31.09 – $895.05 |