healthcosts.net
Pretreat rbc w chem/drugs reference at UPMC Muncy
215 East Water Street, Muncy, PA · UPMC · · NPI 1609816198
$243.60
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.
$406.00
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.
$26.52 with United Healthcare Community Plan for Families vs $385.70 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 |
|---|---|---|---|
| United Healthcare Community Plan for Families | PA Medicaid | $26.52 | ↓ -89% |
| Highmark Wholecare (prev Gateway) | Medicare | $60.90 | ↓ -75% |
| UPMC Health Plan | Managed Medicare | $60.90 | ↓ -75% |
| AmeriHealth Caritas | Medicare | $62.73 | ↓ -74% |
| Cigna | Medicare | $63.95 | ↓ -74% |
| United Healthcare | Medicare | $65.16 | ↓ -73% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $65.77 | ↓ -73% |
| Aetna | PEBTF Custom Network | $124.24 | ↓ -49% |
| Aetna | Commercial | $146.16 | ↓ -40% |
| Coventry/First Health | Commercial | $153.47 | ↓ -37% |
| Highmark BCBS of PA | Bluecare HMO/FPLIC PPO/Traditional Products | $159.23 | ↓ -35% |
| UPMC Health Plan | Commercial | $177.02 | ↓ -27% |
| Highmark BCBS of PA | Managed Care - Social Mission | $187.53 | ↓ -23% |
| Cigna | Commercial | $208.68 | ↓ -14% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $223.30 | ↓ -8% |
| United Healthcare | Commercial | $225.33 | ↓ -8% |
| Wirerope Works | Commercial | $225.74 | ↓ -7% |
| Aetna | First Health | $267.96 | ↑ +10% |
| Geisinger | Commercial | $272.02 | ↑ +12% |
| Coventry/First Health | FH-Medical Rental | $273.24 | ↑ +12% |
| Multiplan | Auto | $316.68 | ↑ +30% |
| Multiplan | PPO (Includes PHCS as a Payer) | $316.68 | ↑ +30% |
| America's Choice | PPO | $324.80 | ↑ +33% |
| InterGroup | PPO | $324.80 | ↑ +33% |
| Three Rivers Provider Network | All | $365.40 | ↑ +50% |
| Multiplan | Worker's Compensation | $385.70 | ↑ +58% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
Visitor-reported prices
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Pretreat rbc w chem/drugs reference at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $110.40 | $36.60 – $147.90 |
| UPMC Mercy | Pittsburgh | $183.60 | $36.38 – $275.40 |
| UPMC Northwest | Seneca | $298.80 | $36.62 – $423.30 |
| UPMC Presbyterian | Pittsburgh | $552.00 | $24.86 – $782.00 |
| UPMC Somerset | Somerset | $48.00 | $23.83 – $61.15 |
| UPMC St. Margaret | Pittsburgh | $225.60 | $36.69 – $319.60 |
| UPMC Wellsboro | Wellsboro | $295.20 | $26.52 – $332.10 |