healthcosts.net
Nm radiopharmaceutical therapy oral administration at UPMC Muncy
215 East Water Street, Muncy, PA · UPMC · · NPI 1609816198
$944.40
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.
$1,574.00
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.
$48.37 with United Healthcare Community Plan for Families vs $1,495.30 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 | $48.37 | ↓ -95% |
| UPMC Health Plan | Managed Medicaid | $119.60 | ↓ -87% |
| Geisinger | Medicaid/CHIP | $119.60 | ↓ -87% |
| UPMC Health Plan | CHIP | $119.60 | ↓ -87% |
| Highmark Wholecare (prev Gateway) | Medicaid | $121.23 | ↓ -87% |
| AmeriHealth Caritas | Community HealthChoices (CHC) | $122.59 | ↓ -87% |
| AmeriHealth Caritas | Medicaid | $122.59 | ↓ -87% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $185.30 | ↓ -80% |
| UPMC Health Plan | Managed Medicare | $236.10 | ↓ -75% |
| Highmark Wholecare (prev Gateway) | Medicare | $236.10 | ↓ -75% |
| AmeriHealth Caritas | Medicare | $243.18 | ↓ -74% |
| Cigna | Medicare | $247.91 | ↓ -74% |
| United Healthcare | Medicare | $252.63 | ↓ -73% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $254.99 | ↓ -73% |
| UPMC Work Partners | Workers Comp | $341.52 | ↓ -64% |
| Three Rivers Provider Network | All | $365.35 | ↓ -61% |
| Highmark BCBS of PA | Bluecare HMO/FPLIC PPO/Traditional Products | $617.32 | ↓ -35% |
| Aetna | PEBTF Custom Network | $638.26 | ↓ -32% |
| UPMC Health Plan | Commercial | $686.26 | ↓ -27% |
| Highmark BCBS of PA | Managed Care - Social Mission | $727.03 | ↓ -23% |
| Aetna | Commercial | $750.80 | ↓ -20% |
| Coventry/First Health | Commercial | $788.57 | ↓ -17% |
| Wirerope Works | Commercial | $875.14 | ↓ -7% |
| Aetna | First Health | $1,038.84 | ↑ +10% |
| Geisinger | Commercial | $1,054.58 | ↑ +12% |
| Coventry/First Health | FH-Medical Rental | $1,059.30 | ↑ +12% |
| United Healthcare | Commercial | $1,076.62 | ↑ +14% |
| Cigna | Commercial | $1,078.19 | ↑ +14% |
| Multiplan | Auto | $1,227.72 | ↑ +30% |
| Multiplan | PPO (Includes PHCS as a Payer) | $1,227.72 | ↑ +30% |
| America's Choice | PPO | $1,259.20 | ↑ +33% |
| InterGroup | PPO | $1,259.20 | ↑ +33% |
| Multiplan | Worker's Compensation | $1,495.30 | ↑ +58% |
Visitor-reported prices
Comments
Nm radiopharmaceutical therapy oral administration at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $2,632.80 | $110.79 – $3,729.80 |
| UPMC Northwest | Seneca | $626.40 | $119.60 – $887.40 |
| UPMC Presbyterian | Pittsburgh | $7,179.00 | $45.35 – $10,170.25 |
| UPMC Somerset | Somerset | $791.40 | $43.46 – $989.25 |
| UPMC Wellsboro | Wellsboro | $1,142.40 | $48.37 – $1,285.20 |
| UPMC Williamsport | Williamsport | $944.40 | $48.37 – $1,259.20 |