healthcosts.net
Procainamide 100 mg/ml injection (wrapper) at UPMC Muncy
215 East Water Street, Muncy, PA · UPMC · · NPI 1609816198
$533.60
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.
$667.00
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.
$83.10 with UPMC Health Plan vs $526.30 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 Medicare | $83.10 | ↓ -84% |
| Highmark Wholecare (prev Gateway) | Medicare | $83.10 | ↓ -84% |
| AmeriHealth Caritas | Medicare | $85.59 | ↓ -84% |
| Cigna | Medicare | $87.25 | ↓ -84% |
| United Healthcare | Medicare | $88.92 | ↓ -83% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $89.75 | ↓ -83% |
| UPMC Work Partners | Workers Comp | $153.51 | ↓ -71% |
| Highmark BCBS of PA | Bluecare HMO/FPLIC PPO/Traditional Products | $217.28 | ↓ -59% |
| Aetna | PEBTF Custom Network | $224.65 | ↓ -58% |
| UPMC Health Plan | Commercial | $241.54 | ↓ -55% |
| Highmark BCBS of PA | Managed Care - Social Mission | $255.89 | ↓ -52% |
| Aetna | Commercial | $264.26 | ↓ -50% |
| Coventry/First Health | Commercial | $277.55 | ↓ -48% |
| AmeriHealth Caritas | Community HealthChoices (CHC) | $294.69 | ↓ -45% |
| Geisinger | Medicaid/CHIP | $294.69 | ↓ -45% |
| United Healthcare Community Plan for Families | PA Medicaid | $294.69 | ↓ -45% |
| Highmark Wholecare (prev Gateway) | Medicaid | $294.69 | ↓ -45% |
| Geisinger | CHIP | $294.69 | ↓ -45% |
| AmeriHealth Caritas | Medicaid | $294.69 | ↓ -45% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $294.69 | ↓ -45% |
| Wirerope Works | Commercial | $308.02 | ↓ -42% |
| UPMC Health Plan | Managed Medicaid | $324.16 | ↓ -39% |
| UPMC Health Plan | CHIP | $324.16 | ↓ -39% |
| Aetna | First Health | $365.64 | ↓ -31% |
| Geisinger | Commercial | $371.18 | ↓ -30% |
| Coventry/First Health | FH-Medical Rental | $372.84 | ↓ -30% |
| United Healthcare | Commercial | $378.94 | ↓ -29% |
| Cigna | Commercial | $379.49 | ↓ -29% |
| Multiplan | Auto | $432.12 | ↓ -19% |
| Multiplan | PPO (Includes PHCS as a Payer) | $432.12 | ↓ -19% |
| America's Choice | PPO | $443.20 | ↓ -17% |
| InterGroup | PPO | $443.20 | ↓ -17% |
| Three Rivers Provider Network | All | $498.60 | ↓ -7% |
| Multiplan | Worker's Compensation | $526.30 | ↓ -1% |
Visitor-reported prices
Comments
Procainamide 100 mg/ml injection (wrapper) at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $222.40 | $20.37 – $318.27 |
| UPMC Passavant-McCandless | Pittsburgh | $225.00 | $24.98 – $324.16 |
| UPMC Presbyterian | Pittsburgh | $225.00 | $24.98 – $324.16 |
| UPMC Somerset | Somerset | $36.00 | $3.03 – $294.69 |
| UPMC St. Margaret | Pittsburgh | $111.60 | $24.98 – $318.24 |
| UPMC Wellsboro | Wellsboro | $533.60 | $99.72 – $498.60 |
| UPMC Western Psychiatric | Pittsburgh | $225.00 | $24.47 – $318.27 |
| UPMC Williamsport | Williamsport | $533.60 | $180.89 – $600.30 |