healthcosts.net
Mopath procedure level 1 at UPMC Muncy
215 East Water Street, Muncy, PA · UPMC · · NPI 1609816198
$238.80
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.
$398.00
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.
$49.95 with United Healthcare Community Plan for Families vs $378.10 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 | $49.95 | ↓ -79% |
| Highmark Wholecare (prev Gateway) | Medicare | $59.70 | ↓ -75% |
| UPMC Health Plan | Managed Medicare | $59.70 | ↓ -75% |
| AmeriHealth Caritas | Medicare | $61.49 | ↓ -74% |
| Cigna | Medicare | $62.69 | ↓ -74% |
| UPMC Work Partners | Workers Comp | $63.21 | ↓ -74% |
| United Healthcare | Medicare | $63.88 | ↓ -73% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $64.48 | ↓ -73% |
| Three Rivers Provider Network | All | $67.62 | ↓ -72% |
| Coventry/First Health | Commercial | $150.44 | ↓ -37% |
| Highmark BCBS of PA | Bluecare HMO/FPLIC PPO/Traditional Products | $156.10 | ↓ -35% |
| Aetna | PEBTF Custom Network | $161.39 | ↓ -32% |
| UPMC Health Plan | Commercial | $173.53 | ↓ -27% |
| Highmark BCBS of PA | Managed Care - Social Mission | $183.84 | ↓ -23% |
| Aetna | Commercial | $189.85 | ↓ -20% |
| Cigna | Commercial | $204.57 | ↓ -14% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $218.90 | ↓ -8% |
| United Healthcare | Commercial | $220.89 | ↓ -8% |
| Wirerope Works | Commercial | $221.29 | ↓ -7% |
| Aetna | First Health | $262.68 | ↑ +10% |
| Geisinger | Commercial | $266.66 | ↑ +12% |
| Coventry/First Health | FH-Medical Rental | $267.85 | ↑ +12% |
| Multiplan | Auto | $310.44 | ↑ +30% |
| Multiplan | PPO (Includes PHCS as a Payer) | $310.44 | ↑ +30% |
| America's Choice | PPO | $318.40 | ↑ +33% |
| InterGroup | PPO | $318.40 | ↑ +33% |
| Multiplan | Worker's Compensation | $378.10 | ↑ +58% |
Visitor-reported prices
Comments
Mopath procedure level 1 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $1,328.40 | $59.44 – $431.80 |
| UPMC Mercy | Pittsburgh | $1,253.40 | $53.32 – $457.20 |
| UPMC Northwest | Seneca | $837.60 | $58.01 – $441.15 |
| UPMC Presbyterian | Pittsburgh | $1,476.00 | $46.82 – $340.85 |
| UPMC Somerset | Somerset | $138.60 | $44.87 – $163.50 |
| UPMC St. Margaret | Pittsburgh | $837.60 | $55.22 – $431.80 |
| UPMC Wellsboro | Wellsboro | $303.20 | $49.95 – $341.10 |
| UPMC Williamsport | Williamsport | $1,434.60 | $49.95 – $393.60 |