healthcosts.net
Sincalide 5 mcg solution for injection at UPMC Muncy
215 East Water Street, Muncy, PA · UPMC · · NPI 1609816198
$516.00
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.
$645.00
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.
$96.75 with UPMC Health Plan vs $612.75 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 Health Plan | Managed Medicare | $96.75 | ↓ -81% |
| Highmark Wholecare (prev Gateway) | Medicare | $96.75 | ↓ -81% |
| AmeriHealth Caritas | Medicare | $99.65 | ↓ -81% |
| Cigna | Medicare | $101.59 | ↓ -80% |
| United Healthcare | Medicare | $103.52 | ↓ -80% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $104.49 | ↓ -80% |
| AmeriHealth Caritas | Community HealthChoices (CHC) | $123.36 | ↓ -76% |
| Geisinger | Medicaid/CHIP | $123.36 | ↓ -76% |
| Highmark Wholecare (prev Gateway) | Medicaid | $123.36 | ↓ -76% |
| Geisinger | CHIP | $123.36 | ↓ -76% |
| AmeriHealth Caritas | Medicaid | $123.36 | ↓ -76% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $123.36 | ↓ -76% |
| UPMC Health Plan | Managed Medicaid | $135.70 | ↓ -74% |
| UPMC Health Plan | CHIP | $135.70 | ↓ -74% |
| UPMC Work Partners | Workers Comp | $178.73 | ↓ -65% |
| Highmark BCBS of PA | Bluecare HMO/FPLIC PPO/Traditional Products | $252.97 | ↓ -51% |
| Aetna | PEBTF Custom Network | $261.55 | ↓ -49% |
| UPMC Health Plan | Commercial | $281.22 | ↓ -46% |
| Highmark BCBS of PA | Managed Care - Social Mission | $297.93 | ↓ -42% |
| Aetna | Commercial | $307.67 | ↓ -40% |
| Coventry/First Health | Commercial | $323.14 | ↓ -37% |
| Wirerope Works | Commercial | $358.62 | ↓ -31% |
| Aetna | First Health | $425.70 | ↓ -18% |
| Geisinger | Commercial | $432.15 | ↓ -16% |
| Coventry/First Health | FH-Medical Rental | $434.08 | ↓ -16% |
| United Healthcare | Commercial | $441.18 | ↓ -15% |
| Cigna | Commercial | $441.82 | ↓ -14% |
| Multiplan | Auto | $503.10 | ↓ -3% |
| Multiplan | PPO (Includes PHCS as a Payer) | $503.10 | ↓ -3% |
| America's Choice | PPO | $516.00 | ↑ +0% |
| InterGroup | PPO | $516.00 | ↑ +0% |
| Three Rivers Provider Network | All | $580.50 | ↑ +13% |
| Multiplan | Worker's Compensation | $612.75 | ↑ +19% |
Visitor-reported prices
Comments
Sincalide 5 mcg solution for injection at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $228.80 | $71.50 – $257.40 |
| UPMC Northwest | Seneca | $475.20 | $77.89 – $504.90 |
| UPMC Passavant-McCandless | Pittsburgh | $753.00 | $77.89 – $504.90 |
| UPMC Presbyterian | Pittsburgh | $753.00 | $77.89 – $1,066.75 |
| UPMC Somerset | Somerset | $81.60 | $41.75 – $154.45 |
| UPMC St. Margaret | Pittsburgh | $430.40 | $77.89 – $457.30 |
| UPMC Wellsboro | Wellsboro | $516.00 | $116.10 – $580.50 |
| UPMC Western Psychiatric | Pittsburgh | $753.00 | $95.89 – $1,066.75 |