Intro long gi tube w/mult fluo at UPMC Muncy
215 East Water Street, Muncy, PA · UPMC · · NPI 1609816198
$384.60
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.
$641.00
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.
$96.15 with Highmark Wholecare (prev Gateway) vs $608.95 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 |
|---|---|---|---|
| Highmark Wholecare (prev Gateway) | Medicare | $96.15 | ↓ -75% |
| UPMC Health Plan | Managed Medicare | $96.15 | ↓ -75% |
| AmeriHealth Caritas | Medicare | $99.03 | ↓ -74% |
| Cigna | Medicare | $100.96 | ↓ -74% |
| United Healthcare | Medicare | $102.88 | ↓ -73% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $103.84 | ↓ -73% |
| Highmark BCBS of PA | Bluecare HMO/FPLIC PPO/Traditional Products | $251.40 | ↓ -35% |
| Aetna | PEBTF Custom Network | $259.93 | ↓ -32% |
| UPMC Health Plan | Commercial | $279.48 | ↓ -27% |
| Highmark BCBS of PA | Managed Care - Social Mission | $296.08 | ↓ -23% |
| Aetna | Commercial | $305.76 | ↓ -20% |
| UPMC Work Partners | Workers Comp | $317.82 | ↓ -17% |
| Coventry/First Health | Commercial | $321.14 | ↓ -17% |
| Three Rivers Provider Network | All | $340.00 | ↓ -12% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $352.55 | ↓ -8% |
| Wirerope Works | Commercial | $356.40 | ↓ -7% |
| Aetna | First Health | $423.06 | ↑ +10% |
| Geisinger | Commercial | $429.47 | ↑ +12% |
| Coventry/First Health | FH-Medical Rental | $431.39 | ↑ +12% |
| United Healthcare | Commercial | $438.44 | ↑ +14% |
| Cigna | Commercial | $439.08 | ↑ +14% |
| Multiplan | PPO (Includes PHCS as a Payer) | $499.98 | ↑ +30% |
| Multiplan | Auto | $499.98 | ↑ +30% |
| InterGroup | PPO | $512.80 | ↑ +33% |
| America's Choice | PPO | $512.80 | ↑ +33% |
| Multiplan | Worker's Compensation | $608.95 | ↑ +58% |
Visitor-reported prices
Comments
Intro long gi tube w/mult fluo at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $900.00 | $146.21 – $1,200.00 |
| UPMC Carlisle | Carlisle | $423.60 | $96.72 – $600.10 |
| UPMC Community Osteopathic | Harrisburg | $423.60 | $141.20 – $642.84 |
| UPMC Hanover | Hanover | $423.60 | $308.49 – $471.13 |
| UPMC Jameson | New Castle | $329.40 | $89.84 – $294.78 |
| UPMC Lititz | Lititz | $423.60 | $89.84 – $471.13 |
| UPMC Magee | Pittsburgh | $981.00 | $98.82 – $375.56 |
| UPMC McKeesport | Mckeesport | $763.20 | $98.82 – $317.82 |