healthcosts.net
Kit hfx iq ipg bundle at UPMC Muncy
215 East Water Street, Muncy, PA · UPMC · · NPI 1609816198
$55,218.60
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.
$92,031.00
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.
$2,208.32 with AmeriHealth Caritas vs $59,025.40 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 |
|---|---|---|---|
| AmeriHealth Caritas | Medicare | $2,208.32 | ↓ -96% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $2,315.52 | ↓ -96% |
| Highmark Wholecare (prev Gateway) | Medicare | $9,319.80 | ↓ -83% |
| UPMC Health Plan | Managed Medicare | $9,319.80 | ↓ -83% |
| Cigna | Medicare | $9,785.79 | ↓ -82% |
| United Healthcare | Medicare | $9,972.19 | ↓ -82% |
| Highmark Wholecare (prev Gateway) | Medicaid | $12,426.40 | ↓ -77% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $20,503.56 | ↓ -63% |
| UPMC Health Plan | Managed Medicaid | $21,746.20 | ↓ -61% |
| Highmark BCBS of PA | Bluecare HMO/FPLIC PPO/Traditional Products | $24,368.17 | ↓ -56% |
| Aetna | PEBTF Custom Network | $25,194.53 | ↓ -54% |
| UPMC Health Plan | Commercial | $27,089.55 | ↓ -51% |
| Highmark BCBS of PA | Managed Care - Social Mission | $28,698.77 | ↓ -48% |
| Aetna | Commercial | $29,636.96 | ↓ -46% |
| Coventry/First Health | Commercial | $31,128.13 | ↓ -44% |
| Wirerope Works | Commercial | $34,545.39 | ↓ -37% |
| Aetna | First Health | $41,007.12 | ↓ -26% |
| Geisinger | Commercial | $41,628.44 | ↓ -25% |
| Coventry/First Health | FH-Medical Rental | $41,814.84 | ↓ -24% |
| United Healthcare | Commercial | $42,498.29 | ↓ -23% |
| Cigna | Commercial | $42,560.42 | ↓ -23% |
| Multiplan | Auto | $48,462.96 | ↓ -12% |
| Multiplan | PPO (Includes PHCS as a Payer) | $48,462.96 | ↓ -12% |
| America's Choice | PPO | $49,705.60 | ↓ -10% |
| InterGroup | PPO | $49,705.60 | ↓ -10% |
| Three Rivers Provider Network | All | $55,918.80 | ↑ +1% |
| Multiplan | Worker's Compensation | $59,025.40 | ↑ +7% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
Visitor-reported prices
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Kit hfx iq ipg bundle at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $56,811.60 | $22,724.64 – $85,217.40 |
| UPMC Passavant-McCandless | Pittsburgh | $56,811.60 | $18,009.42 – $69,581.85 |