healthcosts.net
Mayo vasoactive intestinal peptide at UPMC Muncy
215 East Water Street, Muncy, PA · UPMC · · NPI 1609816198
$375.60
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.
$626.00
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.
$34.92 with UPMC Work Partners vs $594.70 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 Work Partners | Workers Comp | $34.92 | ↓ -91% |
| Three Rivers Provider Network | All | $37.35 | ↓ -90% |
| UPMC Health Plan | Managed Medicaid | $53.71 | ↓ -86% |
| Geisinger | Medicaid/CHIP | $53.71 | ↓ -86% |
| UPMC Health Plan | CHIP | $53.71 | ↓ -86% |
| Highmark Wholecare (prev Gateway) | Medicaid | $54.45 | ↓ -86% |
| AmeriHealth Caritas | Community HealthChoices (CHC) | $55.06 | ↓ -85% |
| AmeriHealth Caritas | Medicaid | $55.06 | ↓ -85% |
| United Healthcare Community Plan for Families | PA Medicaid | $62.50 | ↓ -83% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $83.22 | ↓ -78% |
| UPMC Health Plan | Managed Medicare | $93.90 | ↓ -75% |
| Highmark Wholecare (prev Gateway) | Medicare | $93.90 | ↓ -75% |
| AmeriHealth Caritas | Medicare | $96.72 | ↓ -74% |
| Cigna | Medicare | $98.59 | ↓ -74% |
| United Healthcare | Medicare | $100.47 | ↓ -73% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $101.41 | ↓ -73% |
| Aetna | PEBTF Custom Network | $191.56 | ↓ -49% |
| Aetna | Commercial | $225.36 | ↓ -40% |
| Coventry/First Health | Commercial | $236.63 | ↓ -37% |
| Highmark BCBS of PA | Bluecare HMO/FPLIC PPO/Traditional Products | $245.52 | ↓ -35% |
| UPMC Health Plan | Commercial | $272.94 | ↓ -27% |
| Highmark BCBS of PA | Managed Care - Social Mission | $289.15 | ↓ -23% |
| Cigna | Commercial | $321.76 | ↓ -14% |
| United Healthcare | Commercial | $347.43 | ↓ -8% |
| Wirerope Works | Commercial | $348.06 | ↓ -7% |
| Aetna | First Health | $413.16 | ↑ +10% |
| Geisinger | Commercial | $419.42 | ↑ +12% |
| Coventry/First Health | FH-Medical Rental | $421.30 | ↑ +12% |
| Multiplan | Auto | $488.28 | ↑ +30% |
| Multiplan | PPO (Includes PHCS as a Payer) | $488.28 | ↑ +30% |
| America's Choice | PPO | $500.80 | ↑ +33% |
| InterGroup | PPO | $500.80 | ↑ +33% |
| Multiplan | Worker's Compensation | $594.70 | ↑ +58% |
Visitor-reported prices
Comments
Mayo vasoactive intestinal peptide at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $204.00 | $32.83 – $289.00 |
| UPMC Mercy | Pittsburgh | $378.00 | $29.45 – $567.00 |
| UPMC Northwest | Seneca | $325.20 | $32.04 – $460.70 |
| UPMC Presbyterian | Pittsburgh | $867.00 | $34.92 – $1,228.25 |
| UPMC Somerset | Somerset | $178.80 | $34.92 – $223.50 |
| UPMC St. Margaret | Pittsburgh | $441.00 | $30.50 – $624.75 |
| UPMC Wellsboro | Wellsboro | $454.40 | $34.92 – $511.20 |
| UPMC Williamsport | Williamsport | $375.60 | $34.92 – $500.80 |