healthcosts.net
Methacholine chloride 0.0625 mg/ml nebulization soln at UPMC Muncy
215 East Water Street, Muncy, PA · UPMC · · NPI 1609816198
$463.20
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.
?
What you pay up front if you don't use insurance.
$772.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$0.75 with UPMC Health Plan vs $4.75 with Multiplan — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 Medicare | $0.75 | ↓ -100% |
| Highmark Wholecare (prev Gateway) | Medicare | $0.75 | ↓ -100% |
| AmeriHealth Caritas | Medicare | $0.77 | ↓ -100% |
| Cigna | Medicare | $0.79 | ↓ -100% |
| United Healthcare | Medicare | $0.80 | ↓ -100% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $0.81 | ↓ -100% |
| UPMC Work Partners | Workers Comp | $1.39 | ↓ -100% |
| AmeriHealth Caritas | Community HealthChoices (CHC) | $1.75 | ↓ -100% |
| Geisinger | Medicaid/CHIP | $1.75 | ↓ -100% |
| Highmark Wholecare (prev Gateway) | Medicaid | $1.75 | ↓ -100% |
| Geisinger | CHIP | $1.75 | ↓ -100% |
| AmeriHealth Caritas | Medicaid | $1.75 | ↓ -100% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $1.75 | ↓ -100% |
| UPMC Health Plan | Managed Medicaid | $1.93 | ↓ -100% |
| UPMC Health Plan | CHIP | $1.93 | ↓ -100% |
| Highmark BCBS of PA | Bluecare HMO/FPLIC PPO/Traditional Products | $1.96 | ↓ -100% |
| Aetna | PEBTF Custom Network | $2.03 | ↓ -100% |
| UPMC Health Plan | Commercial | $2.18 | ↓ -100% |
| Highmark BCBS of PA | Managed Care - Social Mission | $2.31 | ↓ -100% |
| Aetna | Commercial | $2.38 | ↓ -99% |
| Coventry/First Health | Commercial | $2.50 | ↓ -99% |
| Wirerope Works | Commercial | $2.78 | ↓ -99% |
| Aetna | First Health | $3.30 | ↓ -99% |
| Geisinger | Commercial | $3.35 | ↓ -99% |
| Coventry/First Health | FH-Medical Rental | $3.37 | ↓ -99% |
| United Healthcare | Commercial | $3.42 | ↓ -99% |
| Cigna | Commercial | $3.42 | ↓ -99% |
| Multiplan | Auto | $3.90 | ↓ -99% |
| Multiplan | PPO (Includes PHCS as a Payer) | $3.90 | ↓ -99% |
| America's Choice | PPO | $4.00 | ↓ -99% |
| InterGroup | PPO | $4.00 | ↓ -99% |
| Three Rivers Provider Network | All | $4.50 | ↓ -99% |
| Multiplan | Worker's Compensation | $4.75 | ↓ -99% |
Visitor-reported prices
Comments
Methacholine chloride 0.0625 mg/ml nebulization soln at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Northwest | Seneca | $255.60 | $1.11 – $3.83 |
| UPMC Passavant-McCandless | Pittsburgh | $255.60 | $0.88 – $3.40 |
| UPMC Presbyterian | Pittsburgh | $2,561.40 | $0.72 – $3.40 |
| UPMC St. Margaret | Pittsburgh | $197.40 | $0.88 – $279.65 |
| UPMC Wellsboro | Wellsboro | $463.20 | $0.90 – $4.50 |
| UPMC Williamsport | Williamsport | $230.40 | $1.75 – $6.08 |