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Remove foreign body from eye at UPMC Muncy
215 East Water Street, Muncy, PA · UPMC · · NPI 1609816198
$4,494.00
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.
$7,490.00
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.
$993.28 with United Healthcare Community Plan for Families vs $7,115.50 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 | $993.28 | ↓ -78% |
| Highmark Wholecare (prev Gateway) | Medicare | $1,123.50 | ↓ -75% |
| UPMC Health Plan | Managed Medicare | $1,123.50 | ↓ -75% |
| AmeriHealth Caritas | Medicare | $1,157.20 | ↓ -74% |
| Cigna | Medicare | $1,179.67 | ↓ -74% |
| United Healthcare | Medicare | $1,202.14 | ↓ -73% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $1,213.38 | ↓ -73% |
| UPMC Work Partners | Workers Comp | $1,458.03 | ↓ -68% |
| Three Rivers Provider Network | All | $1,559.75 | ↓ -65% |
| Highmark BCBS of PA | Bluecare HMO/FPLIC PPO/Traditional Products | $2,937.58 | ↓ -35% |
| Aetna | PEBTF Custom Network | $3,037.20 | ↓ -32% |
| UPMC Health Plan | Commercial | $3,265.64 | ↓ -27% |
| Highmark BCBS of PA | Managed Care - Social Mission | $3,459.63 | ↓ -23% |
| Aetna | Commercial | $3,572.73 | ↓ -21% |
| Coventry/First Health | Commercial | $3,752.49 | ↓ -17% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $4,119.50 | ↓ -8% |
| Wirerope Works | Commercial | $4,164.44 | ↓ -7% |
| Aetna | First Health | $4,943.40 | ↑ +10% |
| Geisinger | Commercial | $5,018.30 | ↑ +12% |
| Coventry/First Health | FH-Medical Rental | $5,040.77 | ↑ +12% |
| United Healthcare | Commercial | $5,123.16 | ↑ +14% |
| Cigna | Commercial | $5,130.65 | ↑ +14% |
| Multiplan | Auto | $5,842.20 | ↑ +30% |
| Multiplan | PPO (Includes PHCS as a Payer) | $5,842.20 | ↑ +30% |
| America's Choice | PPO | $5,992.00 | ↑ +33% |
| InterGroup | PPO | $5,992.00 | ↑ +33% |
| Multiplan | Worker's Compensation | $7,115.50 | ↑ +58% |
Visitor-reported prices
Comments
Remove foreign body from eye at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $3,769.20 | $736.75 – $5,339.70 |
| UPMC Mercy | Pittsburgh | $3,093.60 | $596.00 – $4,640.40 |
| UPMC Northwest | Seneca | $4,779.60 | $1,085.01 – $6,771.10 |
| UPMC Presbyterian | Pittsburgh | $3,852.00 | $736.75 – $5,457.00 |
| UPMC Somerset | Somerset | $3,433.80 | $722.42 – $4,292.25 |
| UPMC St. Margaret | Pittsburgh | $3,768.60 | $736.75 – $5,338.85 |
| UPMC Wellsboro | Wellsboro | $4,494.00 | $993.28 – $6,741.00 |
| UPMC Williamsport | Williamsport | not published | $993.28 – $2,348.35 |