healthcosts.net
Mayo ethosuximide therapeutic drug level at UPMC Muncy
215 East Water Street, Muncy, PA · UPMC · · NPI 1609816198
$318.60
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.
$531.00
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.
$14.30 with UPMC Health Plan vs $504.45 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 | $14.30 | ↓ -96% |
| Geisinger | Medicaid/CHIP | $14.30 | ↓ -96% |
| UPMC Health Plan | CHIP | $14.30 | ↓ -96% |
| Highmark Wholecare (prev Gateway) | Medicaid | $14.49 | ↓ -95% |
| AmeriHealth Caritas | Community HealthChoices (CHC) | $14.66 | ↓ -95% |
| AmeriHealth Caritas | Medicaid | $14.66 | ↓ -95% |
| UPMC Work Partners | Workers Comp | $16.14 | ↓ -95% |
| United Healthcare Community Plan for Families | PA Medicaid | $16.64 | ↓ -95% |
| Three Rivers Provider Network | All | $17.27 | ↓ -95% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $22.15 | ↓ -93% |
| UPMC Health Plan | Managed Medicare | $79.65 | ↓ -75% |
| Highmark Wholecare (prev Gateway) | Medicare | $79.65 | ↓ -75% |
| AmeriHealth Caritas | Medicare | $82.04 | ↓ -74% |
| Cigna | Medicare | $83.63 | ↓ -74% |
| United Healthcare | Medicare | $85.23 | ↓ -73% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $86.02 | ↓ -73% |
| Aetna | PEBTF Custom Network | $162.49 | ↓ -49% |
| Aetna | Commercial | $191.16 | ↓ -40% |
| Coventry/First Health | Commercial | $200.72 | ↓ -37% |
| Highmark BCBS of PA | Bluecare HMO/FPLIC PPO/Traditional Products | $208.26 | ↓ -35% |
| UPMC Health Plan | Commercial | $231.52 | ↓ -27% |
| Highmark BCBS of PA | Managed Care - Social Mission | $245.27 | ↓ -23% |
| Cigna | Commercial | $272.93 | ↓ -14% |
| United Healthcare | Commercial | $294.70 | ↓ -8% |
| Wirerope Works | Commercial | $295.24 | ↓ -7% |
| Aetna | First Health | $350.46 | ↑ +10% |
| Geisinger | Commercial | $355.77 | ↑ +12% |
| Coventry/First Health | FH-Medical Rental | $357.36 | ↑ +12% |
| Multiplan | Auto | $414.18 | ↑ +30% |
| Multiplan | PPO (Includes PHCS as a Payer) | $414.18 | ↑ +30% |
| America's Choice | PPO | $424.80 | ↑ +33% |
| InterGroup | PPO | $424.80 | ↑ +33% |
| Multiplan | Worker's Compensation | $504.45 | ↑ +58% |
Visitor-reported prices
Comments
Mayo ethosuximide therapeutic drug level at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $249.60 | $14.30 – $353.60 |
| UPMC Mercy | Pittsburgh | $118.20 | $13.62 – $177.30 |
| UPMC Northwest | Seneca | $80.40 | $14.30 – $113.90 |
| UPMC Presbyterian | Pittsburgh | $1,512.60 | $13.00 – $2,142.85 |
| UPMC Somerset | Somerset | $117.00 | $14.30 – $146.25 |
| UPMC St. Margaret | Pittsburgh | $264.60 | $14.11 – $374.85 |
| UPMC Wellsboro | Wellsboro | $385.60 | $13.00 – $433.80 |
| UPMC Williamsport | Williamsport | $318.60 | $14.30 – $424.80 |