healthcosts.net
Serpina1 gene at UPMC Muncy
215 East Water Street, Muncy, PA · UPMC · · NPI 1609816198
$295.20
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.
$492.00
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.
$43.14 with UPMC Work Partners vs $424.65 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 Work Partners | Workers Comp | $43.14 | ↓ -85% |
| Three Rivers Provider Network | All | $46.15 | ↓ -84% |
| UPMC Health Plan | Managed Medicaid | $52.33 | ↓ -82% |
| Geisinger | Medicaid/CHIP | $52.33 | ↓ -82% |
| UPMC Health Plan | CHIP | $52.33 | ↓ -82% |
| Highmark Wholecare (prev Gateway) | Medicaid | $53.04 | ↓ -82% |
| AmeriHealth Caritas | Community HealthChoices (CHC) | $53.64 | ↓ -82% |
| AmeriHealth Caritas | Medicaid | $53.64 | ↓ -82% |
| United Healthcare Community Plan for Families | PA Medicaid | $60.89 | ↓ -79% |
| UPMC Health Plan | Managed Medicare | $67.05 | ↓ -77% |
| Highmark Wholecare (prev Gateway) | Medicare | $67.05 | ↓ -77% |
| AmeriHealth Caritas | Medicare | $69.06 | ↓ -77% |
| Cigna | Medicare | $70.40 | ↓ -76% |
| United Healthcare | Medicare | $71.74 | ↓ -76% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $72.41 | ↓ -75% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $81.07 | ↓ -73% |
| Coventry/First Health | Commercial | $168.97 | ↓ -43% |
| Highmark BCBS of PA | Bluecare HMO/FPLIC PPO/Traditional Products | $175.31 | ↓ -41% |
| Aetna | PEBTF Custom Network | $181.26 | ↓ -39% |
| UPMC Health Plan | Commercial | $194.89 | ↓ -34% |
| Highmark BCBS of PA | Managed Care - Social Mission | $206.47 | ↓ -30% |
| Aetna | Commercial | $213.22 | ↓ -28% |
| Cigna | Commercial | $229.76 | ↓ -22% |
| United Healthcare | Commercial | $248.09 | ↓ -16% |
| Wirerope Works | Commercial | $248.53 | ↓ -16% |
| Aetna | First Health | $295.02 | ↓ -0% |
| Geisinger | Commercial | $299.49 | ↑ +1% |
| Coventry/First Health | FH-Medical Rental | $300.83 | ↑ +2% |
| Multiplan | Auto | $348.66 | ↑ +18% |
| Multiplan | PPO (Includes PHCS as a Payer) | $348.66 | ↑ +18% |
| America's Choice | PPO | $357.60 | ↑ +21% |
| InterGroup | PPO | $357.60 | ↑ +21% |
| Multiplan | Worker's Compensation | $424.65 | ↑ +44% |
Visitor-reported prices
Comments
Serpina1 gene at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $345.60 | $40.56 – $489.60 |
| UPMC Mercy | Pittsburgh | $345.60 | $36.39 – $518.40 |
| UPMC Northwest | Seneca | $345.60 | $39.59 – $489.60 |
| UPMC Presbyterian | Pittsburgh | $921.60 | $43.14 – $737.80 |
| UPMC Somerset | Somerset | $252.00 | $43.14 – $315.00 |
| UPMC St. Margaret | Pittsburgh | $345.60 | $37.69 – $489.60 |
| UPMC Wellsboro | Wellsboro | $351.20 | $43.14 – $376.20 |
| UPMC Williamsport | Williamsport | $332.40 | $43.14 – $426.40 |