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Screening Colonoscopy (average risk) at UPMC Muncy
215 East Water Street, Muncy, PA · UPMC · · NPI 1609816198
$1,512.00
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.
$2,520.00
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.
$378.00 with Highmark Wholecare (prev Gateway) vs $2,394.00 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 | $378.00 | ↓ -75% |
| UPMC Health Plan | Managed Medicare | $378.00 | ↓ -75% |
| AmeriHealth Caritas | Medicare | $389.34 | ↓ -74% |
| Cigna | Medicare | $396.90 | ↓ -74% |
| United Healthcare | Medicare | $404.46 | ↓ -73% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $408.24 | ↓ -73% |
| United Healthcare Community Plan for Families | PA Medicaid | $648.87 | ↓ -57% |
| Highmark BCBS of PA | Bluecare HMO/FPLIC PPO/Traditional Products | $988.34 | ↓ -35% |
| Aetna | PEBTF Custom Network | $1,021.86 | ↓ -32% |
| UPMC Health Plan | Commercial | $1,098.72 | ↓ -27% |
| Highmark BCBS of PA | Managed Care - Social Mission | $1,163.99 | ↓ -23% |
| Aetna | Commercial | $1,202.04 | ↓ -21% |
| Coventry/First Health | Commercial | $1,262.52 | ↓ -17% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $1,386.00 | ↓ -8% |
| Wirerope Works | Commercial | $1,401.12 | ↓ -7% |
| Aetna | First Health | $1,663.20 | ↑ +10% |
| Geisinger | Commercial | $1,688.40 | ↑ +12% |
| Coventry/First Health | FH-Medical Rental | $1,695.96 | ↑ +12% |
| United Healthcare | Commercial | $1,723.68 | ↑ +14% |
| Cigna | Commercial | $1,726.20 | ↑ +14% |
| Multiplan | Auto | $1,965.60 | ↑ +30% |
| Multiplan | PPO (Includes PHCS as a Payer) | $1,965.60 | ↑ +30% |
| America's Choice | PPO | $2,016.00 | ↑ +33% |
| InterGroup | PPO | $2,016.00 | ↑ +33% |
| Three Rivers Provider Network | All | $2,268.00 | ↑ +50% |
| Multiplan | Worker's Compensation | $2,394.00 | ↑ +58% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
Visitor-reported prices
Comments
Screening Colonoscopy (average risk) at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $1,800.00 | $626.45 – $2,550.00 |
| UPMC East | Monroeville | $1,440.00 | $626.45 – $1,920.00 |
| UPMC Hamot | Erie | $1,440.00 | $360.00 – $1,680.00 |
| UPMC Bedford | Everett | $1,440.00 | $313.61 – $2,160.00 |
| UPMC Cole | Coudersport | $633.00 | $292.45 – $1,041.88 |
| UPMC Magee | Pittsburgh | $1,440.00 | $432.00 – $2,208.00 |
| UPMC McKeesport | Mckeesport | $1,440.00 | $626.45 – $2,040.00 |
| UPMC Presbyterian | Pittsburgh | $1,440.00 | $432.00 – $3,529.15 |