healthcosts.net
Phys blood bank serv reactj at UPMC Muncy
215 East Water Street, Muncy, PA · UPMC · · NPI 1609816198
$398.40
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.
$664.00
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.
$45.72 with UPMC Health Plan vs $630.80 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 | $45.72 | ↓ -89% |
| Geisinger | Medicaid/CHIP | $45.72 | ↓ -89% |
| UPMC Health Plan | CHIP | $45.72 | ↓ -89% |
| Highmark Wholecare (prev Gateway) | Medicaid | $46.34 | ↓ -88% |
| AmeriHealth Caritas | Community HealthChoices (CHC) | $46.86 | ↓ -88% |
| AmeriHealth Caritas | Medicaid | $46.86 | ↓ -88% |
| United Healthcare Community Plan for Families | PA Medicaid | $53.20 | ↓ -87% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $70.83 | ↓ -82% |
| UPMC Health Plan | Managed Medicare | $99.60 | ↓ -75% |
| Highmark Wholecare (prev Gateway) | Medicare | $99.60 | ↓ -75% |
| AmeriHealth Caritas | Medicare | $102.59 | ↓ -74% |
| Cigna | Medicare | $104.58 | ↓ -74% |
| United Healthcare | Medicare | $106.57 | ↓ -73% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $107.57 | ↓ -73% |
| UPMC Work Partners | Workers Comp | $128.48 | ↓ -68% |
| Three Rivers Provider Network | All | $137.44 | ↓ -66% |
| Aetna | PEBTF Custom Network | $203.18 | ↓ -49% |
| Aetna | Commercial | $239.04 | ↓ -40% |
| Coventry/First Health | Commercial | $250.99 | ↓ -37% |
| Highmark BCBS of PA | Bluecare HMO/FPLIC PPO/Traditional Products | $260.42 | ↓ -35% |
| UPMC Health Plan | Commercial | $289.50 | ↓ -27% |
| Highmark BCBS of PA | Managed Care - Social Mission | $306.70 | ↓ -23% |
| Cigna | Commercial | $341.30 | ↓ -14% |
| United Healthcare | Commercial | $368.52 | ↓ -8% |
| Wirerope Works | Commercial | $369.18 | ↓ -7% |
| Aetna | First Health | $438.24 | ↑ +10% |
| Geisinger | Commercial | $444.88 | ↑ +12% |
| Coventry/First Health | FH-Medical Rental | $446.87 | ↑ +12% |
| Multiplan | Auto | $517.92 | ↑ +30% |
| Multiplan | PPO (Includes PHCS as a Payer) | $517.92 | ↑ +30% |
| America's Choice | PPO | $531.20 | ↑ +33% |
| InterGroup | PPO | $531.20 | ↑ +33% |
| Multiplan | Worker's Compensation | $630.80 | ↑ +58% |
Visitor-reported prices
Comments
Phys blood bank serv reactj at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Northwest | Seneca | $201.60 | $45.72 – $285.60 |
| UPMC Wellsboro | Wellsboro | $481.60 | $41.56 – $541.80 |
| UPMC Williamsport | Williamsport | $398.40 | $45.72 – $531.20 |