healthcosts.net
Mayo analysis gene calr common variants exon 9 at UPMC Muncy
215 East Water Street, Muncy, PA · UPMC · · NPI 1609816198
$1,052.40
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.
$1,754.00
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.
$94.96 with United Healthcare Community Plan for Families vs $1,077.30 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 |
|---|---|---|---|
| United Healthcare Community Plan for Families | PA Medicaid | $94.96 | ↓ -91% |
| UPMC Work Partners | Workers Comp | $120.21 | ↓ -89% |
| Three Rivers Provider Network | All | $128.60 | ↓ -88% |
| Highmark Wholecare (prev Gateway) | Medicare | $170.10 | ↓ -84% |
| UPMC Health Plan | Managed Medicare | $170.10 | ↓ -84% |
| AmeriHealth Caritas | Medicare | $175.20 | ↓ -83% |
| Cigna | Medicare | $178.60 | ↓ -83% |
| United Healthcare | Medicare | $182.01 | ↓ -83% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $183.71 | ↓ -83% |
| Coventry/First Health | Commercial | $428.65 | ↓ -59% |
| Highmark BCBS of PA | Bluecare HMO/FPLIC PPO/Traditional Products | $444.75 | ↓ -58% |
| Aetna | PEBTF Custom Network | $459.84 | ↓ -56% |
| UPMC Health Plan | Commercial | $494.42 | ↓ -53% |
| Highmark BCBS of PA | Managed Care - Social Mission | $523.79 | ↓ -50% |
| Aetna | Commercial | $540.92 | ↓ -49% |
| Cigna | Commercial | $582.88 | ↓ -45% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $623.70 | ↓ -41% |
| United Healthcare | Commercial | $629.37 | ↓ -40% |
| Wirerope Works | Commercial | $630.50 | ↓ -40% |
| Aetna | First Health | $748.44 | ↓ -29% |
| Geisinger | Commercial | $759.78 | ↓ -28% |
| Coventry/First Health | FH-Medical Rental | $763.18 | ↓ -27% |
| Multiplan | Auto | $884.52 | ↓ -16% |
| Multiplan | PPO (Includes PHCS as a Payer) | $884.52 | ↓ -16% |
| America's Choice | PPO | $907.20 | ↓ -14% |
| InterGroup | PPO | $907.20 | ↓ -14% |
| Multiplan | Worker's Compensation | $1,077.30 | ↑ +2% |
Visitor-reported prices
Comments
Mayo analysis gene calr common variants exon 9 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $1,227.60 | $113.03 – $304.30 |
| UPMC Mercy | Pittsburgh | $1,227.60 | $101.39 – $341.10 |
| UPMC Northwest | Seneca | $1,227.60 | $110.31 – $726.75 |
| UPMC Presbyterian | Pittsburgh | $1,227.60 | $68.22 – $617.54 |
| UPMC St. Margaret | Pittsburgh | $876.00 | $105.02 – $726.75 |
| UPMC Wellsboro | Wellsboro | $864.00 | $94.96 – $972.00 |
| UPMC Williamsport | Williamsport | $1,160.40 | $94.96 – $671.20 |