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Ring fx reform 11-13x17mm at UPMC Muncy
215 East Water Street, Muncy, PA · UPMC · · NPI 1609816198
$422.40
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.
$704.00
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.
$98.70 with Highmark Wholecare (prev Gateway) vs $625.10 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 |
|---|---|---|---|
| Highmark Wholecare (prev Gateway) | Medicare | $98.70 | ↓ -77% |
| UPMC Health Plan | Managed Medicare | $98.70 | ↓ -77% |
| AmeriHealth Caritas | Medicare | $101.66 | ↓ -76% |
| Cigna | Medicare | $103.64 | ↓ -75% |
| United Healthcare | Medicare | $105.61 | ↓ -75% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $106.60 | ↓ -75% |
| Highmark Wholecare (prev Gateway) | Medicaid | $131.60 | ↓ -69% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $217.14 | ↓ -49% |
| Highmark BCBS of PA | Bluecare HMO/FPLIC PPO/Traditional Products | $258.07 | ↓ -39% |
| Aetna | PEBTF Custom Network | $266.82 | ↓ -37% |
| UPMC Health Plan | Commercial | $286.89 | ↓ -32% |
| Highmark BCBS of PA | Managed Care - Social Mission | $303.93 | ↓ -28% |
| Aetna | Commercial | $313.87 | ↓ -26% |
| Coventry/First Health | Commercial | $329.66 | ↓ -22% |
| Wirerope Works | Commercial | $365.85 | ↓ -13% |
| Aetna | First Health | $434.28 | ↑ +3% |
| Geisinger | Commercial | $440.86 | ↑ +4% |
| Coventry/First Health | FH-Medical Rental | $442.83 | ↑ +5% |
| United Healthcare | Commercial | $450.07 | ↑ +7% |
| Cigna | Commercial | $450.73 | ↑ +7% |
| Multiplan | Auto | $513.24 | ↑ +22% |
| Multiplan | PPO (Includes PHCS as a Payer) | $513.24 | ↑ +22% |
| America's Choice | PPO | $526.40 | ↑ +25% |
| InterGroup | PPO | $526.40 | ↑ +25% |
| Three Rivers Provider Network | All | $592.20 | ↑ +40% |
| Multiplan | Worker's Compensation | $625.10 | ↑ +48% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
Visitor-reported prices
Comments
Ring fx reform 11-13x17mm at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $1,800.00 | $120.48 – $955.64 |
| UPMC Presbyterian | Pittsburgh | $3,167.40 | $63.60 – $1,956.70 |
| UPMC St. Margaret | Pittsburgh | $456.60 | $127.40 – $1,485.02 |