healthcosts.net
Ins picad w subq port 5yr> at UPMC Muncy
215 East Water Street, Muncy, PA · UPMC · · NPI 1609816198
$1,705.80
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.
$2,843.00
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.
$426.45 with Highmark Wholecare (prev Gateway) vs $2,755.22 with UPMC Work Partners — 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 |
|---|---|---|---|
| Highmark Wholecare (prev Gateway) | Medicare | $426.45 | ↓ -75% |
| UPMC Health Plan | Managed Medicare | $426.45 | ↓ -75% |
| AmeriHealth Caritas | Medicare | $439.24 | ↓ -74% |
| Cigna | Medicare | $447.77 | ↓ -74% |
| United Healthcare | Medicare | $456.30 | ↓ -73% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $460.57 | ↓ -73% |
| United Healthcare Community Plan for Families | PA Medicaid | $993.28 | ↓ -42% |
| Highmark BCBS of PA | Bluecare HMO/FPLIC PPO/Traditional Products | $1,115.02 | ↓ -35% |
| Aetna | PEBTF Custom Network | $1,152.84 | ↓ -32% |
| UPMC Health Plan | Commercial | $1,239.55 | ↓ -27% |
| Highmark BCBS of PA | Managed Care - Social Mission | $1,313.18 | ↓ -23% |
| Aetna | Commercial | $1,356.11 | ↓ -21% |
| Coventry/First Health | Commercial | $1,424.34 | ↓ -17% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $1,563.65 | ↓ -8% |
| Wirerope Works | Commercial | $1,580.71 | ↓ -7% |
| Aetna | First Health | $1,876.38 | ↑ +10% |
| Geisinger | Commercial | $1,904.81 | ↑ +12% |
| Coventry/First Health | FH-Medical Rental | $1,913.34 | ↑ +12% |
| United Healthcare | Commercial | $1,944.61 | ↑ +14% |
| Cigna | Commercial | $1,947.45 | ↑ +14% |
| Multiplan | Auto | $2,217.54 | ↑ +30% |
| Multiplan | PPO (Includes PHCS as a Payer) | $2,217.54 | ↑ +30% |
| America's Choice | PPO | $2,274.40 | ↑ +33% |
| InterGroup | PPO | $2,274.40 | ↑ +33% |
| Three Rivers Provider Network | All | $2,558.70 | ↑ +50% |
| Multiplan | Worker's Compensation | $2,700.85 | ↑ +58% |
| UPMC Work Partners | Workers Comp | $2,755.22 | ↑ +62% |
Visitor-reported prices
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Ins picad w subq port 5yr> at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $2,961.00 | $503.41 – $4,194.75 |
| UPMC Mercy | Pittsburgh | $5,418.00 | $681.00 – $8,127.00 |
| UPMC Presbyterian | Pittsburgh | $5,529.60 | $423.71 – $7,833.60 |
| UPMC Somerset | Somerset | $4,201.80 | $885.98 – $5,252.25 |
| UPMC St. Margaret | Pittsburgh | $4,228.20 | $499.85 – $5,989.95 |
| UPMC Wellsboro | Wellsboro | $2,063.20 | $464.22 – $2,755.22 |
| UPMC Williamsport | Williamsport | $1,624.80 | $993.28 – $3,240.52 |
| UPMC Northwest | Seneca | not published | $526.12 – $3,240.82 |