healthcosts.net
Sling suprapubic suburetheral at UPMC Muncy
215 East Water Street, Muncy, PA · UPMC · · NPI 1609816198
$4,039.80
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.
$6,733.00
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.
$646.80 with Highmark Wholecare (prev Gateway) vs $4,096.40 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 | $646.80 | ↓ -84% |
| UPMC Health Plan | Managed Medicare | $646.80 | ↓ -84% |
| AmeriHealth Caritas | Medicare | $666.20 | ↓ -84% |
| Cigna | Medicare | $679.14 | ↓ -83% |
| United Healthcare | Medicare | $692.08 | ↓ -83% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $698.54 | ↓ -83% |
| Highmark Wholecare (prev Gateway) | Medicaid | $862.40 | ↓ -79% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $1,422.96 | ↓ -65% |
| Highmark BCBS of PA | Bluecare HMO/FPLIC PPO/Traditional Products | $1,691.17 | ↓ -58% |
| Aetna | PEBTF Custom Network | $1,748.52 | ↓ -57% |
| UPMC Health Plan | Commercial | $1,880.03 | ↓ -53% |
| Highmark BCBS of PA | Managed Care - Social Mission | $1,991.71 | ↓ -51% |
| Aetna | Commercial | $2,056.82 | ↓ -49% |
| Coventry/First Health | Commercial | $2,160.31 | ↓ -47% |
| Wirerope Works | Commercial | $2,397.47 | ↓ -41% |
| Aetna | First Health | $2,845.92 | ↓ -30% |
| Geisinger | Commercial | $2,889.04 | ↓ -28% |
| Coventry/First Health | FH-Medical Rental | $2,901.98 | ↓ -28% |
| United Healthcare | Commercial | $2,949.41 | ↓ -27% |
| Cigna | Commercial | $2,953.72 | ↓ -27% |
| Multiplan | Auto | $3,363.36 | ↓ -17% |
| Multiplan | PPO (Includes PHCS as a Payer) | $3,363.36 | ↓ -17% |
| America's Choice | PPO | $3,449.60 | ↓ -15% |
| InterGroup | PPO | $3,449.60 | ↓ -15% |
| Three Rivers Provider Network | All | $3,880.80 | ↓ -4% |
| Multiplan | Worker's Compensation | $4,096.40 | ↑ +1% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
Visitor-reported prices
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Sling suprapubic suburetheral at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $19,302.00 | $885.46 – $22,882.50 |
| UPMC Northwest | Seneca | $3,137.40 | $1,307.25 – $4,860.92 |
| UPMC Passavant-McCandless | Pittsburgh | $7,586.40 | $707.52 – $5,829.16 |
| UPMC Presbyterian | Pittsburgh | $21,560.40 | $455.40 – $6,494.76 |
| UPMC Wellsboro | Wellsboro | $4,885.60 | $703.98 – $3,519.90 |
| UPMC Williamsport | Williamsport | $3,847.20 | $921.60 – $4,147.20 |