healthcosts.net
Infliximab-axxq 100 mg intravenous solution at UPMC Muncy
215 East Water Street, Muncy, PA · UPMC · · NPI 1609816198
$135.20
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.
$169.00
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.
$20.41 with Geisinger vs $160.55 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 |
|---|---|---|---|
| Geisinger | CHIP | $20.41 | ↓ -85% |
| Geisinger | Medicaid/CHIP | $20.41 | ↓ -85% |
| Highmark Wholecare (prev Gateway) | Medicaid | $20.41 | ↓ -85% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $20.41 | ↓ -85% |
| United Healthcare Community Plan for Families | PA Medicaid | $20.41 | ↓ -85% |
| UPMC Health Plan | CHIP | $22.45 | ↓ -83% |
| UPMC Health Plan | Managed Medicaid | $22.45 | ↓ -83% |
| Highmark Wholecare (prev Gateway) | Medicare | $25.35 | ↓ -81% |
| UPMC Health Plan | Managed Medicare | $25.35 | ↓ -81% |
| AmeriHealth Caritas | Medicare | $26.11 | ↓ -81% |
| Cigna | Medicare | $26.62 | ↓ -80% |
| United Healthcare | Medicare | $27.12 | ↓ -80% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $27.38 | ↓ -80% |
| UPMC Work Partners | Workers Comp | $46.83 | ↓ -65% |
| Highmark BCBS of PA | Bluecare HMO/FPLIC PPO/Traditional Products | $66.28 | ↓ -51% |
| Aetna | PEBTF Custom Network | $68.53 | ↓ -49% |
| UPMC Health Plan | Commercial | $73.68 | ↓ -46% |
| Highmark BCBS of PA | Managed Care - Social Mission | $78.06 | ↓ -42% |
| Aetna | Commercial | $80.61 | ↓ -40% |
| Coventry/First Health | Commercial | $84.67 | ↓ -37% |
| Wirerope Works | Commercial | $93.96 | ↓ -31% |
| Aetna | First Health | $111.54 | ↓ -18% |
| Geisinger | Commercial | $113.23 | ↓ -16% |
| Coventry/First Health | FH-Medical Rental | $113.74 | ↓ -16% |
| United Healthcare | Commercial | $115.60 | ↓ -14% |
| Cigna | Commercial | $115.77 | ↓ -14% |
| Multiplan | Auto | $131.82 | ↓ -3% |
| Multiplan | PPO (Includes PHCS as a Payer) | $131.82 | ↓ -3% |
| America's Choice | PPO | $135.20 | ↑ +0% |
| InterGroup | PPO | $135.20 | ↑ +0% |
| Three Rivers Provider Network | All | $152.10 | ↑ +13% |
| Multiplan | Worker's Compensation | $160.55 | ↑ +19% |
Visitor-reported prices
Comments
Infliximab-axxq 100 mg intravenous solution at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $1,062.00 | $12.88 – $104.70 |
| UPMC Northwest | Seneca | $1,062.00 | $12.88 – $98.88 |
| UPMC Passavant-McCandless | Pittsburgh | $1,125.60 | $12.88 – $150.45 |
| UPMC Presbyterian | Pittsburgh | $1,416.60 | $12.88 – $200.60 |
| UPMC Somerset | Somerset | $300.00 | $20.21 – $375.00 |
| UPMC St. Margaret | Pittsburgh | $1,062.00 | $12.88 – $98.88 |
| UPMC Wellsboro | Wellsboro | $135.20 | $20.41 – $152.10 |
| UPMC Western Psychiatric | Pittsburgh | $141.60 | $20.41 – $200.60 |