healthcosts.net
Mitomycin instillation at UPMC Muncy
215 East Water Street, Muncy, PA · UPMC · · NPI 1609816198
$818.40
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.
$1,023.00
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.
$153.45 with UPMC Health Plan vs $971.85 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 Medicare | $153.45 | ↓ -81% |
| Highmark Wholecare (prev Gateway) | Medicare | $153.45 | ↓ -81% |
| AmeriHealth Caritas | Medicare | $158.05 | ↓ -81% |
| Cigna | Medicare | $161.12 | ↓ -80% |
| United Healthcare | Medicare | $164.19 | ↓ -80% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $165.73 | ↓ -80% |
| UPMC Work Partners | Workers Comp | $283.47 | ↓ -65% |
| AmeriHealth Caritas | Community HealthChoices (CHC) | $318.53 | ↓ -61% |
| Geisinger | Medicaid/CHIP | $318.53 | ↓ -61% |
| United Healthcare Community Plan for Families | PA Medicaid | $318.53 | ↓ -61% |
| Highmark Wholecare (prev Gateway) | Medicaid | $318.53 | ↓ -61% |
| Geisinger | CHIP | $318.53 | ↓ -61% |
| AmeriHealth Caritas | Medicaid | $318.53 | ↓ -61% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $318.53 | ↓ -61% |
| UPMC Health Plan | Managed Medicaid | $350.38 | ↓ -57% |
| UPMC Health Plan | CHIP | $350.38 | ↓ -57% |
| Highmark BCBS of PA | Bluecare HMO/FPLIC PPO/Traditional Products | $401.22 | ↓ -51% |
| Aetna | PEBTF Custom Network | $414.83 | ↓ -49% |
| UPMC Health Plan | Commercial | $446.03 | ↓ -45% |
| Highmark BCBS of PA | Managed Care - Social Mission | $472.52 | ↓ -42% |
| Aetna | Commercial | $487.97 | ↓ -40% |
| Coventry/First Health | Commercial | $512.52 | ↓ -37% |
| Wirerope Works | Commercial | $568.79 | ↓ -30% |
| Aetna | First Health | $675.18 | ↓ -18% |
| Geisinger | Commercial | $685.41 | ↓ -16% |
| Coventry/First Health | FH-Medical Rental | $688.48 | ↓ -16% |
| United Healthcare | Commercial | $699.73 | ↓ -15% |
| Cigna | Commercial | $700.75 | ↓ -14% |
| Multiplan | Auto | $797.94 | ↓ -3% |
| Multiplan | PPO (Includes PHCS as a Payer) | $797.94 | ↓ -3% |
| America's Choice | PPO | $818.40 | ↑ +0% |
| InterGroup | PPO | $818.40 | ↑ +0% |
| Three Rivers Provider Network | All | $920.70 | ↑ +13% |
| Multiplan | Worker's Compensation | $971.85 | ↑ +19% |
Visitor-reported prices
Comments
Mitomycin instillation at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $54,580.80 | $201.12 – $721.65 |
| UPMC Presbyterian | Pittsburgh | $858.00 | $201.12 – $1,215.50 |
| UPMC Somerset | Somerset | $14,202.00 | $208.53 – $17,752.50 |
| UPMC St. Margaret | Pittsburgh | $858.40 | $201.12 – $912.05 |
| UPMC Wellsboro | Wellsboro | $818.40 | $184.14 – $920.70 |
| UPMC Western Psychiatric | Pittsburgh | $858.00 | $208.39 – $1,215.50 |
| UPMC Williamsport | Williamsport | $818.40 | $277.44 – $920.70 |