healthcosts.net
Mayo selenium at UPMC Muncy
215 East Water Street, Muncy, PA · UPMC · · NPI 1609816198
$150.60
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.
$251.00
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.
$19.93 with United Healthcare Community Plan for Families vs $227.05 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 | $19.93 | ↓ -87% |
| UPMC Work Partners | Workers Comp | $25.23 | ↓ -83% |
| Three Rivers Provider Network | All | $26.99 | ↓ -82% |
| Highmark Wholecare (prev Gateway) | Medicare | $35.85 | ↓ -76% |
| UPMC Health Plan | Managed Medicare | $35.85 | ↓ -76% |
| AmeriHealth Caritas | Medicare | $36.93 | ↓ -75% |
| Cigna | Medicare | $37.64 | ↓ -75% |
| United Healthcare | Medicare | $38.36 | ↓ -75% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $38.72 | ↓ -74% |
| Aetna | PEBTF Custom Network | $73.13 | ↓ -51% |
| Aetna | Commercial | $86.04 | ↓ -43% |
| Coventry/First Health | Commercial | $90.34 | ↓ -40% |
| Highmark BCBS of PA | Bluecare HMO/FPLIC PPO/Traditional Products | $93.74 | ↓ -38% |
| UPMC Health Plan | Commercial | $104.20 | ↓ -31% |
| Highmark BCBS of PA | Managed Care - Social Mission | $110.39 | ↓ -27% |
| Cigna | Commercial | $122.85 | ↓ -18% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $131.45 | ↓ -13% |
| United Healthcare | Commercial | $132.65 | ↓ -12% |
| Wirerope Works | Commercial | $132.88 | ↓ -12% |
| Aetna | First Health | $157.74 | ↑ +5% |
| Geisinger | Commercial | $160.13 | ↑ +6% |
| Coventry/First Health | FH-Medical Rental | $160.85 | ↑ +7% |
| Multiplan | Auto | $186.42 | ↑ +24% |
| Multiplan | PPO (Includes PHCS as a Payer) | $186.42 | ↑ +24% |
| America's Choice | PPO | $191.20 | ↑ +27% |
| InterGroup | PPO | $191.20 | ↑ +27% |
| Multiplan | Worker's Compensation | $227.05 | ↑ +51% |
Visitor-reported prices
Comments
Mayo selenium at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $325.20 | $23.73 – $460.70 |
| UPMC Mercy | Pittsburgh | $168.00 | $21.28 – $252.00 |
| UPMC Northwest | Seneca | $236.40 | $23.15 – $334.90 |
| UPMC Presbyterian | Pittsburgh | $1,108.20 | $18.68 – $1,569.95 |
| UPMC Somerset | Somerset | $129.60 | $17.91 – $162.00 |
| UPMC St. Margaret | Pittsburgh | $300.00 | $22.04 – $425.00 |
| UPMC Wellsboro | Wellsboro | $182.40 | $19.93 – $205.20 |
| UPMC Williamsport | Williamsport | $150.60 | $19.93 – $200.80 |