healthcosts.net
Inj, bupivacaine liposome at UPMC Muncy
215 East Water Street, Muncy, PA · UPMC · · NPI 1609816198
$7.60
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.
$9.50
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.
$1.35 with UPMC Health Plan vs $8.55 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 |
|---|---|---|---|
| UPMC Health Plan | Managed Medicare | $1.35 | ↓ -82% |
| Highmark Wholecare (prev Gateway) | Medicare | $1.35 | ↓ -82% |
| AmeriHealth Caritas | Medicare | $1.39 | ↓ -82% |
| United Healthcare Community Plan for Families | PA Medicaid | $1.40 | ↓ -82% |
| Cigna | Medicare | $1.42 | ↓ -81% |
| United Healthcare | Medicare | $1.44 | ↓ -81% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $1.46 | ↓ -81% |
| AmeriHealth Caritas | Community HealthChoices (CHC) | $1.47 | ↓ -81% |
| Geisinger | Medicaid/CHIP | $1.47 | ↓ -81% |
| Highmark Wholecare (prev Gateway) | Medicaid | $1.47 | ↓ -81% |
| Geisinger | CHIP | $1.47 | ↓ -81% |
| AmeriHealth Caritas | Medicaid | $1.47 | ↓ -81% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $1.47 | ↓ -81% |
| UPMC Health Plan | Managed Medicaid | $1.62 | ↓ -79% |
| UPMC Health Plan | CHIP | $1.62 | ↓ -79% |
| UPMC Work Partners | Workers Comp | $2.49 | ↓ -67% |
| Highmark BCBS of PA | Bluecare HMO/FPLIC PPO/Traditional Products | $3.53 | ↓ -54% |
| Aetna | PEBTF Custom Network | $3.65 | ↓ -52% |
| UPMC Health Plan | Commercial | $3.92 | ↓ -48% |
| Highmark BCBS of PA | Managed Care - Social Mission | $4.16 | ↓ -45% |
| Aetna | Commercial | $4.29 | ↓ -44% |
| Coventry/First Health | Commercial | $4.51 | ↓ -41% |
| Wirerope Works | Commercial | $5.00 | ↓ -34% |
| Aetna | First Health | $5.94 | ↓ -22% |
| Geisinger | Commercial | $6.03 | ↓ -21% |
| Coventry/First Health | FH-Medical Rental | $6.06 | ↓ -20% |
| United Healthcare | Commercial | $6.16 | ↓ -19% |
| Cigna | Commercial | $6.17 | ↓ -19% |
| Multiplan | Auto | $7.02 | ↓ -8% |
| Multiplan | PPO (Includes PHCS as a Payer) | $7.02 | ↓ -8% |
| America's Choice | PPO | $7.20 | ↓ -5% |
| InterGroup | PPO | $7.20 | ↓ -5% |
| Three Rivers Provider Network | All | $8.10 | ↑ +7% |
| Multiplan | Worker's Compensation | $8.55 | ↑ +13% |
Visitor-reported prices
Comments
Inj, bupivacaine liposome at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $7.20 | $0.82 – $4.50 |
| UPMC Northwest | Seneca | $2.40 | $0.93 – $3.40 |
| UPMC Passavant-McCandless | Pittsburgh | $4.35 | $0.93 – $3.40 |
| UPMC Presbyterian | Pittsburgh | $5.40 | $0.83 – $5.95 |
| UPMC Somerset | Somerset | $13.20 | $0.81 – $16.50 |
| UPMC St. Margaret | Pittsburgh | $7.20 | $0.93 – $4.25 |
| UPMC Wellsboro | Wellsboro | $7.60 | $1.47 – $8.10 |
| UPMC Western Psychiatric | Pittsburgh | $4.35 | $1.47 – $6.16 |