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Methotrexate therapeutic drug level at UPMC Muncy
215 East Water Street, Muncy, PA · UPMC · · NPI 1609816198
$438.60
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.
$731.00
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.
$30.12 with United Healthcare Community Plan for Families vs $694.45 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 |
|---|---|---|---|
| United Healthcare Community Plan for Families | PA Medicaid | $30.12 | ↓ -93% |
| UPMC Work Partners | Workers Comp | $38.12 | ↓ -91% |
| Three Rivers Provider Network | All | $40.77 | ↓ -91% |
| Highmark Wholecare (prev Gateway) | Medicare | $109.65 | ↓ -75% |
| UPMC Health Plan | Managed Medicare | $109.65 | ↓ -75% |
| AmeriHealth Caritas | Medicare | $112.94 | ↓ -74% |
| Cigna | Medicare | $115.13 | ↓ -74% |
| United Healthcare | Medicare | $117.33 | ↓ -73% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $118.42 | ↓ -73% |
| Aetna | PEBTF Custom Network | $223.69 | ↓ -49% |
| Aetna | Commercial | $263.16 | ↓ -40% |
| Coventry/First Health | Commercial | $276.32 | ↓ -37% |
| Highmark BCBS of PA | Bluecare HMO/FPLIC PPO/Traditional Products | $286.70 | ↓ -35% |
| UPMC Health Plan | Commercial | $318.72 | ↓ -27% |
| Highmark BCBS of PA | Managed Care - Social Mission | $337.65 | ↓ -23% |
| Cigna | Commercial | $375.73 | ↓ -14% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $402.05 | ↓ -8% |
| United Healthcare | Commercial | $405.70 | ↓ -8% |
| Wirerope Works | Commercial | $406.44 | ↓ -7% |
| Aetna | First Health | $482.46 | ↑ +10% |
| Geisinger | Commercial | $489.77 | ↑ +12% |
| Coventry/First Health | FH-Medical Rental | $491.96 | ↑ +12% |
| Multiplan | Auto | $570.18 | ↑ +30% |
| Multiplan | PPO (Includes PHCS as a Payer) | $570.18 | ↑ +30% |
| America's Choice | PPO | $584.80 | ↑ +33% |
| InterGroup | PPO | $584.80 | ↑ +33% |
| Multiplan | Worker's Compensation | $694.45 | ↑ +58% |
Visitor-reported prices
Comments
Methotrexate therapeutic drug level at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $67.20 | $29.07 – $95.20 |
| UPMC Mercy | Pittsburgh | $129.60 | $28.79 – $194.40 |
| UPMC Northwest | Seneca | $139.80 | $34.98 – $198.05 |
| UPMC Somerset | Somerset | $124.20 | $27.06 – $97.50 |
| UPMC St. Margaret | Pittsburgh | $298.80 | $29.07 – $423.30 |
| UPMC Wellsboro | Wellsboro | $438.60 | $30.12 – $657.90 |
| UPMC Williamsport | Williamsport | $438.60 | $30.12 – $584.80 |