healthcosts.net
Leuprolide 30 mg (4 month) intramuscular syringe kit at UPMC Muncy
215 East Water Street, Muncy, PA · UPMC · · NPI 1609816198
$6,275.40
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.
$10,459.00
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.
$176.45 with AmeriHealth Caritas vs $3,312.65 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 | Community HealthChoices (CHC) | $176.45 | ↓ -97% |
| Geisinger | Medicaid/CHIP | $176.45 | ↓ -97% |
| United Healthcare Community Plan for Families | PA Medicaid | $176.45 | ↓ -97% |
| Highmark Wholecare (prev Gateway) | Medicaid | $176.45 | ↓ -97% |
| Geisinger | CHIP | $176.45 | ↓ -97% |
| AmeriHealth Caritas | Medicaid | $176.45 | ↓ -97% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $176.45 | ↓ -97% |
| UPMC Health Plan | Managed Medicaid | $194.09 | ↓ -97% |
| UPMC Health Plan | CHIP | $194.09 | ↓ -97% |
| UPMC Health Plan | Managed Medicare | $523.05 | ↓ -92% |
| Highmark Wholecare (prev Gateway) | Medicare | $523.05 | ↓ -92% |
| AmeriHealth Caritas | Medicare | $538.74 | ↓ -91% |
| Cigna | Medicare | $549.20 | ↓ -91% |
| United Healthcare | Medicare | $559.66 | ↓ -91% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $564.89 | ↓ -91% |
| UPMC Work Partners | Workers Comp | $966.25 | ↓ -85% |
| Highmark BCBS of PA | Bluecare HMO/FPLIC PPO/Traditional Products | $1,367.60 | ↓ -78% |
| Aetna | PEBTF Custom Network | $1,413.98 | ↓ -77% |
| UPMC Health Plan | Commercial | $1,520.33 | ↓ -76% |
| Highmark BCBS of PA | Managed Care - Social Mission | $1,610.65 | ↓ -74% |
| Aetna | Commercial | $1,663.30 | ↓ -73% |
| Coventry/First Health | Commercial | $1,746.99 | ↓ -72% |
| Wirerope Works | Commercial | $1,938.77 | ↓ -69% |
| Aetna | First Health | $2,301.42 | ↓ -63% |
| Geisinger | Commercial | $2,336.29 | ↓ -63% |
| Coventry/First Health | FH-Medical Rental | $2,346.75 | ↓ -63% |
| United Healthcare | Commercial | $2,385.11 | ↓ -62% |
| Cigna | Commercial | $2,388.59 | ↓ -62% |
| Multiplan | Auto | $2,719.86 | ↓ -57% |
| Multiplan | PPO (Includes PHCS as a Payer) | $2,719.86 | ↓ -57% |
| America's Choice | PPO | $2,789.60 | ↓ -56% |
| InterGroup | PPO | $2,789.60 | ↓ -56% |
| Three Rivers Provider Network | All | $3,138.30 | ↓ -50% |
| Multiplan | Worker's Compensation | $3,312.65 | ↓ -47% |
Visitor-reported prices
Comments
Leuprolide 30 mg (4 month) intramuscular syringe kit at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $4,878.00 | $76.27 – $2,376.55 |
| UPMC Northwest | Seneca | $3,070.40 | $98.72 – $2,169.89 |
| UPMC Passavant-McCandless | Pittsburgh | $2,967.00 | $111.41 – $2,169.89 |
| UPMC Presbyterian | Pittsburgh | $9,008.40 | $111.41 – $2,066.56 |
| UPMC Somerset | Somerset | $7,358.40 | $151.85 – $338.25 |
| UPMC St. Margaret | Pittsburgh | $5,001.00 | $68.89 – $2,273.22 |
| UPMC Wellsboro | Wellsboro | $6,275.40 | $176.45 – $6,206.00 |
| UPMC Western Psychiatric | Pittsburgh | $2,967.00 | $176.45 – $3,964.40 |