healthcosts.net
Particle matristem matrix 1000mg micron-q4118-cost per mg at UPMC Muncy
215 East Water Street, Muncy, PA · UPMC · · NPI 1609816198
$5,607.60
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.
?
What you pay up front if you don't use insurance.
$9,346.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$2.80 with UPMC Health Plan vs $7,399.55 with Multiplan — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $2.80 | ↓ -100% |
| Highmark Wholecare (prev Gateway) | Medicare | $1,168.35 | ↓ -79% |
| UPMC Health Plan | Managed Medicare | $1,168.35 | ↓ -79% |
| AmeriHealth Caritas | Medicare | $1,203.40 | ↓ -79% |
| Cigna | Medicare | $1,226.77 | ↓ -78% |
| United Healthcare | Medicare | $1,250.13 | ↓ -78% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $1,261.82 | ↓ -77% |
| Highmark Wholecare (prev Gateway) | Medicaid | $1,557.80 | ↓ -72% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $2,570.37 | ↓ -54% |
| Highmark BCBS of PA | Bluecare HMO/FPLIC PPO/Traditional Products | $3,054.85 | ↓ -46% |
| Aetna | PEBTF Custom Network | $3,158.44 | ↓ -44% |
| UPMC Health Plan | Commercial | $3,396.00 | ↓ -39% |
| Highmark BCBS of PA | Managed Care - Social Mission | $3,597.74 | ↓ -36% |
| Aetna | Commercial | $3,715.35 | ↓ -34% |
| Coventry/First Health | Commercial | $3,902.29 | ↓ -30% |
| Wirerope Works | Commercial | $4,330.68 | ↓ -23% |
| Aetna | First Health | $5,140.74 | ↓ -8% |
| Geisinger | Commercial | $5,218.63 | ↓ -7% |
| Coventry/First Health | FH-Medical Rental | $5,242.00 | ↓ -7% |
| United Healthcare | Commercial | $5,327.68 | ↓ -5% |
| Cigna | Commercial | $5,335.47 | ↓ -5% |
| Multiplan | Auto | $6,075.42 | ↑ +8% |
| Multiplan | PPO (Includes PHCS as a Payer) | $6,075.42 | ↑ +8% |
| America's Choice | PPO | $6,231.20 | ↑ +11% |
| InterGroup | PPO | $6,231.20 | ↑ +11% |
| Three Rivers Provider Network | All | $7,010.10 | ↑ +25% |
| Multiplan | Worker's Compensation | $7,399.55 | ↑ +32% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
Visitor-reported prices
Comments
Particle matristem matrix 1000mg micron-q4118-cost per mg at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $7,136.40 | $1.61 – $8,919.90 |
| UPMC Northwest | Seneca | $1,099.20 | $1.61 – $1,557.20 |
| UPMC Passavant-McCandless | Pittsburgh | $17,505.00 | $2.54 – $3,304.80 |
| UPMC Presbyterian | Pittsburgh | $13,098.00 | $3.13 – $11,234.45 |
| UPMC St. Margaret | Pittsburgh | $7,136.40 | $2.54 – $10,109.90 |
| UPMC Wellsboro | Wellsboro | $6,781.60 | $2.54 – $6,358.50 |