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Scan duplex extremity veins unilateral/limited study at UPMC Muncy
215 East Water Street, Muncy, PA · UPMC · · NPI 1609816198
$847.80
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.
$1,413.00
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.
$100.61 with United Healthcare Community Plan for Families vs $1,342.35 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 | $100.61 | ↓ -88% |
| UPMC Health Plan | Managed Medicaid | $109.78 | ↓ -87% |
| Geisinger | Medicaid/CHIP | $109.78 | ↓ -87% |
| UPMC Health Plan | CHIP | $109.78 | ↓ -87% |
| Highmark Wholecare (prev Gateway) | Medicaid | $111.28 | ↓ -87% |
| AmeriHealth Caritas | Community HealthChoices (CHC) | $112.52 | ↓ -87% |
| AmeriHealth Caritas | Medicaid | $112.52 | ↓ -87% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $170.08 | ↓ -80% |
| UPMC Health Plan | Managed Medicare | $211.95 | ↓ -75% |
| Highmark Wholecare (prev Gateway) | Medicare | $211.95 | ↓ -75% |
| AmeriHealth Caritas | Medicare | $218.31 | ↓ -74% |
| Cigna | Medicare | $222.55 | ↓ -74% |
| United Healthcare | Medicare | $226.79 | ↓ -73% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $228.91 | ↓ -73% |
| UPMC Work Partners | Workers Comp | $401.38 | ↓ -53% |
| Three Rivers Provider Network | All | $429.38 | ↓ -49% |
| Highmark BCBS of PA | Bluecare HMO/FPLIC PPO/Traditional Products | $554.18 | ↓ -35% |
| Aetna | PEBTF Custom Network | $572.97 | ↓ -32% |
| UPMC Health Plan | Commercial | $616.07 | ↓ -27% |
| Highmark BCBS of PA | Managed Care - Social Mission | $652.66 | ↓ -23% |
| Aetna | Commercial | $674.00 | ↓ -21% |
| Coventry/First Health | Commercial | $707.91 | ↓ -17% |
| Wirerope Works | Commercial | $785.63 | ↓ -7% |
| Aetna | First Health | $932.58 | ↑ +10% |
| Geisinger | Commercial | $946.71 | ↑ +12% |
| Coventry/First Health | FH-Medical Rental | $950.95 | ↑ +12% |
| United Healthcare | Commercial | $966.49 | ↑ +14% |
| Cigna | Commercial | $967.90 | ↑ +14% |
| Multiplan | Auto | $1,102.14 | ↑ +30% |
| Multiplan | PPO (Includes PHCS as a Payer) | $1,102.14 | ↑ +30% |
| America's Choice | PPO | $1,130.40 | ↑ +33% |
| InterGroup | PPO | $1,130.40 | ↑ +33% |
| Multiplan | Worker's Compensation | $1,342.35 | ↑ +58% |
Visitor-reported prices
Comments
Scan duplex extremity veins unilateral/limited study at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $807.00 | $84.51 – $1,210.50 |
| UPMC Northwest | Seneca | $339.60 | $91.94 – $481.10 |
| UPMC Passavant-McCandless | Pittsburgh | $1,609.20 | $94.21 – $2,279.70 |
| UPMC Presbyterian | Pittsburgh | $1,486.20 | $94.32 – $2,105.45 |
| UPMC Somerset | Somerset | $394.20 | $90.39 – $361.27 |
| UPMC St. Margaret | Pittsburgh | $985.80 | $87.53 – $1,396.55 |
| UPMC Wellsboro | Wellsboro | $1,002.40 | $100.61 – $1,127.70 |
| UPMC Williamsport | Williamsport | $829.20 | $100.61 – $1,105.60 |