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Shunt glaucoma baerveldt 350mm at UPMC Muncy
215 East Water Street, Muncy, PA · UPMC · · NPI 1609816198
$5,572.20
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.
$9,287.00
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.
$343.35 with Highmark Wholecare (prev Gateway) vs $2,174.55 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 | $343.35 | ↓ -94% |
| UPMC Health Plan | Managed Medicare | $343.35 | ↓ -94% |
| AmeriHealth Caritas | Medicare | $353.65 | ↓ -94% |
| Cigna | Medicare | $360.52 | ↓ -94% |
| United Healthcare | Medicare | $367.38 | ↓ -93% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $370.82 | ↓ -93% |
| Highmark Wholecare (prev Gateway) | Medicaid | $457.80 | ↓ -92% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $755.37 | ↓ -86% |
| Highmark BCBS of PA | Bluecare HMO/FPLIC PPO/Traditional Products | $897.75 | ↓ -84% |
| Aetna | PEBTF Custom Network | $928.19 | ↓ -83% |
| UPMC Health Plan | Commercial | $998.00 | ↓ -82% |
| Highmark BCBS of PA | Managed Care - Social Mission | $1,057.29 | ↓ -81% |
| Aetna | Commercial | $1,091.85 | ↓ -80% |
| Coventry/First Health | Commercial | $1,146.79 | ↓ -79% |
| Wirerope Works | Commercial | $1,272.68 | ↓ -77% |
| Aetna | First Health | $1,510.74 | ↓ -73% |
| Geisinger | Commercial | $1,533.63 | ↓ -72% |
| Coventry/First Health | FH-Medical Rental | $1,540.50 | ↓ -72% |
| United Healthcare | Commercial | $1,565.68 | ↓ -72% |
| Cigna | Commercial | $1,567.96 | ↓ -72% |
| Multiplan | Auto | $1,785.42 | ↓ -68% |
| Multiplan | PPO (Includes PHCS as a Payer) | $1,785.42 | ↓ -68% |
| America's Choice | PPO | $1,831.20 | ↓ -67% |
| InterGroup | PPO | $1,831.20 | ↓ -67% |
| Three Rivers Provider Network | All | $2,060.10 | ↓ -63% |
| Multiplan | Worker's Compensation | $2,174.55 | ↓ -61% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
Visitor-reported prices
Comments
Shunt glaucoma baerveldt 350mm at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $5,882.40 | $484.55 – $4,567.35 |
| UPMC Northwest | Seneca | $4,636.80 | $1,257.60 – $6,999.24 |
| UPMC Passavant-McCandless | Pittsburgh | $5,235.60 | $489.17 – $8,393.41 |
| UPMC Presbyterian | Pittsburgh | $10,690.80 | $369.00 – $9,351.81 |
| UPMC St. Margaret | Pittsburgh | $4,636.80 | $489.17 – $7,097.47 |
| UPMC Wellsboro | Wellsboro | $6,739.20 | $491.94 – $2,459.70 |