healthcosts.net
Injection, cangrelor at UPMC Muncy
215 East Water Street, Muncy, PA · UPMC · · NPI 1609816198
$41,627.40
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.
$69,379.00
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.
$19.98 with United Healthcare Community Plan for Families vs $131.10 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 | $19.98 | ↓ -100% |
| Highmark Wholecare (prev Gateway) | Medicare | $20.70 | ↓ -100% |
| UPMC Health Plan | Managed Medicare | $20.70 | ↓ -100% |
| AmeriHealth Caritas | Medicare | $21.32 | ↓ -100% |
| Cigna | Medicare | $21.73 | ↓ -100% |
| United Healthcare | Medicare | $22.15 | ↓ -100% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $22.36 | ↓ -100% |
| UPMC Work Partners | Workers Comp | $38.24 | ↓ -100% |
| Highmark BCBS of PA | Bluecare HMO/FPLIC PPO/Traditional Products | $54.12 | ↓ -100% |
| Aetna | PEBTF Custom Network | $55.96 | ↓ -100% |
| UPMC Health Plan | Commercial | $60.17 | ↓ -100% |
| Highmark BCBS of PA | Managed Care - Social Mission | $63.74 | ↓ -100% |
| Aetna | Commercial | $65.83 | ↓ -100% |
| Coventry/First Health | Commercial | $69.14 | ↓ -100% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $75.90 | ↓ -100% |
| Wirerope Works | Commercial | $76.73 | ↓ -100% |
| Aetna | First Health | $91.08 | ↓ -100% |
| Geisinger | Commercial | $92.46 | ↓ -100% |
| Coventry/First Health | FH-Medical Rental | $92.87 | ↓ -100% |
| United Healthcare | Commercial | $94.39 | ↓ -100% |
| Cigna | Commercial | $94.53 | ↓ -100% |
| Multiplan | Auto | $107.64 | ↓ -100% |
| Multiplan | PPO (Includes PHCS as a Payer) | $107.64 | ↓ -100% |
| America's Choice | PPO | $110.40 | ↓ -100% |
| InterGroup | PPO | $110.40 | ↓ -100% |
| Three Rivers Provider Network | All | $124.20 | ↓ -100% |
| Multiplan | Worker's Compensation | $131.10 | ↓ -100% |
Visitor-reported prices
Comments
Injection, cangrelor at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $1,943.40 | $11.10 – $57.60 |
| UPMC Passavant-McCandless | Pittsburgh | $2,314.80 | $11.20 – $62.05 |
| UPMC Presbyterian | Pittsburgh | $3,087.60 | $11.20 – $87.55 |
| UPMC Somerset | Somerset | $572.40 | $10.98 – $561.75 |
| UPMC Northwest | Seneca | not published | $18.12 – $1,795.54 |
| UPMC St. Margaret | Pittsburgh | not published | $11.20 – $1,795.54 |