healthcosts.net
Octreotide,microspheres ER 20 mg intramuscular susp, extended release at UPMC Muncy
215 East Water Street, Muncy, PA · UPMC · · NPI 1609816198
$28,302.00
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.
$47,170.00
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.
$203.58 with AmeriHealth Caritas vs $1,496.25 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 |
|---|---|---|---|
| AmeriHealth Caritas | Community HealthChoices (CHC) | $203.58 | ↓ -99% |
| Geisinger | Medicaid/CHIP | $203.58 | ↓ -99% |
| United Healthcare Community Plan for Families | PA Medicaid | $203.58 | ↓ -99% |
| Highmark Wholecare (prev Gateway) | Medicaid | $203.58 | ↓ -99% |
| Geisinger | CHIP | $203.58 | ↓ -99% |
| AmeriHealth Caritas | Medicaid | $203.58 | ↓ -99% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $203.58 | ↓ -99% |
| UPMC Health Plan | Managed Medicaid | $223.94 | ↓ -99% |
| UPMC Health Plan | CHIP | $223.94 | ↓ -99% |
| UPMC Health Plan | Managed Medicare | $236.25 | ↓ -99% |
| Highmark Wholecare (prev Gateway) | Medicare | $236.25 | ↓ -99% |
| AmeriHealth Caritas | Medicare | $243.34 | ↓ -99% |
| Cigna | Medicare | $248.06 | ↓ -99% |
| United Healthcare | Medicare | $252.79 | ↓ -99% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $255.15 | ↓ -99% |
| UPMC Work Partners | Workers Comp | $436.43 | ↓ -98% |
| Highmark BCBS of PA | Bluecare HMO/FPLIC PPO/Traditional Products | $617.72 | ↓ -98% |
| Aetna | PEBTF Custom Network | $638.66 | ↓ -98% |
| UPMC Health Plan | Commercial | $686.70 | ↓ -98% |
| Highmark BCBS of PA | Managed Care - Social Mission | $727.49 | ↓ -97% |
| Aetna | Commercial | $751.27 | ↓ -97% |
| Coventry/First Health | Commercial | $789.08 | ↓ -97% |
| Wirerope Works | Commercial | $875.70 | ↓ -97% |
| Aetna | First Health | $1,039.50 | ↓ -96% |
| Geisinger | Commercial | $1,055.25 | ↓ -96% |
| Coventry/First Health | FH-Medical Rental | $1,059.97 | ↓ -96% |
| United Healthcare | Commercial | $1,077.30 | ↓ -96% |
| Cigna | Commercial | $1,078.88 | ↓ -96% |
| Multiplan | Auto | $1,228.50 | ↓ -96% |
| Multiplan | PPO (Includes PHCS as a Payer) | $1,228.50 | ↓ -96% |
| America's Choice | PPO | $1,260.00 | ↓ -96% |
| InterGroup | PPO | $1,260.00 | ↓ -96% |
| Three Rivers Provider Network | All | $1,417.50 | ↓ -95% |
| Multiplan | Worker's Compensation | $1,496.25 | ↓ -95% |
Visitor-reported prices
Comments
Octreotide,microspheres ER 20 mg intramuscular susp, extended release at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $8,451.00 | $128.54 – $5,110.28 |
| UPMC Northwest | Seneca | $571.20 | $128.54 – $4,665.91 |
| UPMC Passavant-McCandless | Pittsburgh | $23,098.20 | $128.54 – $4,665.91 |
| UPMC Presbyterian | Pittsburgh | $30,309.60 | $128.54 – $4,443.72 |
| UPMC Somerset | Somerset | $4,066.20 | $170.53 – $2,590.50 |
| UPMC St. Margaret | Pittsburgh | $7,328.40 | $128.54 – $4,888.09 |
| UPMC Wellsboro | Wellsboro | $28,302.00 | $203.58 – $4,443.72 |
| UPMC Western Psychiatric | Pittsburgh | $1,515.00 | $170.42 – $1,430.55 |