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Oil silicone ophth 8.5ml silikon 1000 at UPMC Muncy
215 East Water Street, Muncy, PA · UPMC · · NPI 1609816198
$2,292.60
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.
$3,821.00
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.
$192.00 with Highmark Wholecare (prev Gateway) vs $1,216.00 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 |
|---|---|---|---|
| Highmark Wholecare (prev Gateway) | Medicare | $192.00 | ↓ -92% |
| UPMC Health Plan | Managed Medicare | $192.00 | ↓ -92% |
| AmeriHealth Caritas | Medicare | $197.76 | ↓ -91% |
| Cigna | Medicare | $201.60 | ↓ -91% |
| United Healthcare | Medicare | $205.44 | ↓ -91% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $207.36 | ↓ -91% |
| Highmark Wholecare (prev Gateway) | Medicaid | $256.00 | ↓ -89% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $422.40 | ↓ -82% |
| Highmark BCBS of PA | Bluecare HMO/FPLIC PPO/Traditional Products | $502.02 | ↓ -78% |
| Aetna | PEBTF Custom Network | $519.04 | ↓ -77% |
| UPMC Health Plan | Commercial | $558.08 | ↓ -76% |
| Highmark BCBS of PA | Managed Care - Social Mission | $591.23 | ↓ -74% |
| Aetna | Commercial | $610.56 | ↓ -73% |
| Coventry/First Health | Commercial | $641.28 | ↓ -72% |
| Wirerope Works | Commercial | $711.68 | ↓ -69% |
| Aetna | First Health | $844.80 | ↓ -63% |
| Geisinger | Commercial | $857.60 | ↓ -63% |
| Coventry/First Health | FH-Medical Rental | $861.44 | ↓ -62% |
| United Healthcare | Commercial | $875.52 | ↓ -62% |
| Cigna | Commercial | $876.80 | ↓ -62% |
| Multiplan | Auto | $998.40 | ↓ -56% |
| Multiplan | PPO (Includes PHCS as a Payer) | $998.40 | ↓ -56% |
| America's Choice | PPO | $1,024.00 | ↓ -55% |
| InterGroup | PPO | $1,024.00 | ↓ -55% |
| Three Rivers Provider Network | All | $1,152.00 | ↓ -50% |
| Multiplan | Worker's Compensation | $1,216.00 | ↓ -47% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
Visitor-reported prices
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Oil silicone ophth 8.5ml silikon 1000 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $2,355.20 | $287.89 – $1,901.70 |
| UPMC Wellsboro | Wellsboro | $2,772.80 | $410.58 – $2,052.90 |
| UPMC Williamsport | Williamsport | $1,824.80 | $615.87 – $2,052.90 |