healthcosts.net
Insertion picc without port or pump with imaging guidance=>5y at UPMC Muncy
215 East Water Street, Muncy, PA · UPMC · · NPI 1609816198
$1,267.20
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.
$2,112.00
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.
$76.74 with UPMC Health Plan vs $2,006.40 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 Medicaid | $76.74 | ↓ -94% |
| Geisinger | Medicaid/CHIP | $76.74 | ↓ -94% |
| UPMC Health Plan | CHIP | $76.74 | ↓ -94% |
| Highmark Wholecare (prev Gateway) | Medicaid | $77.78 | ↓ -94% |
| AmeriHealth Caritas | Community HealthChoices (CHC) | $78.65 | ↓ -94% |
| AmeriHealth Caritas | Medicaid | $78.65 | ↓ -94% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $118.88 | ↓ -91% |
| UPMC Health Plan | Managed Medicare | $316.80 | ↓ -75% |
| Highmark Wholecare (prev Gateway) | Medicare | $316.80 | ↓ -75% |
| AmeriHealth Caritas | Medicare | $326.30 | ↓ -74% |
| Cigna | Medicare | $332.64 | ↓ -74% |
| United Healthcare | Medicare | $338.98 | ↓ -73% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $342.14 | ↓ -73% |
| UPMC Work Partners | Workers Comp | $463.20 | ↓ -63% |
| Three Rivers Provider Network | All | $495.52 | ↓ -61% |
| Highmark BCBS of PA | Bluecare HMO/FPLIC PPO/Traditional Products | $828.33 | ↓ -35% |
| Aetna | PEBTF Custom Network | $856.42 | ↓ -32% |
| UPMC Health Plan | Commercial | $920.83 | ↓ -27% |
| Highmark BCBS of PA | Managed Care - Social Mission | $975.53 | ↓ -23% |
| United Healthcare Community Plan for Families | PA Medicaid | $993.28 | ↓ -22% |
| Aetna | Commercial | $1,007.42 | ↓ -21% |
| Coventry/First Health | Commercial | $1,058.11 | ↓ -17% |
| Wirerope Works | Commercial | $1,174.27 | ↓ -7% |
| Aetna | First Health | $1,393.92 | ↑ +10% |
| Geisinger | Commercial | $1,415.04 | ↑ +12% |
| Coventry/First Health | FH-Medical Rental | $1,421.38 | ↑ +12% |
| United Healthcare | Commercial | $1,444.61 | ↑ +14% |
| Cigna | Commercial | $1,446.72 | ↑ +14% |
| Multiplan | Auto | $1,647.36 | ↑ +30% |
| Multiplan | PPO (Includes PHCS as a Payer) | $1,647.36 | ↑ +30% |
| America's Choice | PPO | $1,689.60 | ↑ +33% |
| InterGroup | PPO | $1,689.60 | ↑ +33% |
| Multiplan | Worker's Compensation | $2,006.40 | ↑ +58% |
Visitor-reported prices
Comments
Insertion picc without port or pump with imaging guidance=>5y at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $1,798.20 | $76.74 – $2,547.45 |
| UPMC Mercy | Pittsburgh | $2,618.40 | $76.74 – $3,927.60 |
| UPMC Northwest | Seneca | $1,239.00 | $76.74 – $1,755.25 |
| UPMC Presbyterian | Pittsburgh | $4,189.20 | $76.74 – $5,934.70 |
| UPMC Somerset | Somerset | $3,925.80 | $76.74 – $4,907.25 |
| UPMC St. Margaret | Pittsburgh | $2,011.80 | $76.74 – $2,850.05 |
| UPMC Wellsboro | Wellsboro | $1,532.00 | $76.74 – $1,723.50 |
| UPMC Williamsport | Williamsport | $1,267.20 | $76.74 – $1,689.60 |