healthcosts.net
Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes at UPMC Muncy
215 East Water Street, Muncy, PA · UPMC · · NPI 1609816198
$101.40
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.
$169.00
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.
$20.32 with UPMC Health Plan vs $160.55 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 Medicaid | $20.32 | ↓ -80% |
| Geisinger | Medicaid/CHIP | $20.32 | ↓ -80% |
| UPMC Health Plan | CHIP | $20.32 | ↓ -80% |
| Highmark Wholecare (prev Gateway) | Medicaid | $20.59 | ↓ -80% |
| AmeriHealth Caritas | Community HealthChoices (CHC) | $20.82 | ↓ -79% |
| AmeriHealth Caritas | Medicaid | $20.82 | ↓ -79% |
| United Healthcare Community Plan for Families | PA Medicaid | $23.64 | ↓ -77% |
| UPMC Work Partners | Workers Comp | $24.26 | ↓ -76% |
| UPMC Health Plan | Managed Medicare | $25.35 | ↓ -75% |
| Highmark Wholecare (prev Gateway) | Medicare | $25.35 | ↓ -75% |
| AmeriHealth Caritas | Medicare | $26.11 | ↓ -74% |
| Cigna | Medicare | $26.62 | ↓ -74% |
| United Healthcare | Medicare | $27.12 | ↓ -73% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $27.38 | ↓ -73% |
| Three Rivers Provider Network | All | $29.76 | ↓ -71% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $31.48 | ↓ -69% |
| Highmark BCBS of PA | Bluecare HMO/FPLIC PPO/Traditional Products | $66.28 | ↓ -35% |
| Aetna | PEBTF Custom Network | $68.53 | ↓ -32% |
| UPMC Health Plan | Commercial | $73.68 | ↓ -27% |
| Highmark BCBS of PA | Managed Care - Social Mission | $78.06 | ↓ -23% |
| Aetna | Commercial | $80.61 | ↓ -21% |
| Coventry/First Health | Commercial | $84.67 | ↓ -16% |
| Wirerope Works | Commercial | $93.96 | ↓ -7% |
| Aetna | First Health | $111.54 | ↑ +10% |
| Geisinger | Commercial | $113.23 | ↑ +12% |
| Coventry/First Health | FH-Medical Rental | $113.74 | ↑ +12% |
| United Healthcare | Commercial | $115.60 | ↑ +14% |
| Cigna | Commercial | $115.77 | ↑ +14% |
| Multiplan | Auto | $131.82 | ↑ +30% |
| Multiplan | PPO (Includes PHCS as a Payer) | $131.82 | ↑ +30% |
| America's Choice | PPO | $135.20 | ↑ +33% |
| InterGroup | PPO | $135.20 | ↑ +33% |
| Multiplan | Worker's Compensation | $160.55 | ↑ +58% |
Visitor-reported prices
Comments
Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $251.40 | $12.92 – $377.10 |
| UPMC Northwest | Seneca | $274.80 | $20.32 – $389.30 |
| UPMC Passavant-McCandless | Pittsburgh | $257.40 | $13.04 – $364.65 |
| UPMC Presbyterian | Pittsburgh | $288.60 | $13.04 – $408.85 |
| UPMC Somerset | Somerset | $114.60 | $12.79 – $143.25 |
| UPMC St. Margaret | Pittsburgh | $302.40 | $13.04 – $428.40 |
| UPMC Wellsboro | Wellsboro | $128.80 | $20.32 – $144.90 |
| UPMC Williamsport | Williamsport | $106.20 | $20.32 – $141.60 |