healthcosts.net
Support clav 29.6-40.5in med at UPMC Muncy
215 East Water Street, Muncy, PA · UPMC · · NPI 1609816198
$180.60
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.
?
What you pay up front if you don't use insurance.
$301.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$45.15 with Highmark Wholecare (prev Gateway) vs $285.95 with Multiplan — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $45.15 | ↓ -75% |
| UPMC Health Plan | Managed Medicare | $45.15 | ↓ -75% |
| AmeriHealth Caritas | Medicare | $46.50 | ↓ -74% |
| Cigna | Medicare | $47.41 | ↓ -74% |
| United Healthcare | Medicare | $48.31 | ↓ -73% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $48.76 | ↓ -73% |
| Highmark Wholecare (prev Gateway) | Medicaid | $60.20 | ↓ -67% |
| United Healthcare Community Plan for Families | PA Medicaid | $64.08 | ↓ -65% |
| UPMC Work Partners | Workers Comp | $114.97 | ↓ -36% |
| Highmark BCBS of PA | Bluecare HMO/FPLIC PPO/Traditional Products | $118.05 | ↓ -35% |
| Aetna | PEBTF Custom Network | $122.06 | ↓ -32% |
| Three Rivers Provider Network | All | $122.99 | ↓ -32% |
| UPMC Health Plan | Commercial | $131.24 | ↓ -27% |
| Highmark BCBS of PA | Managed Care - Social Mission | $139.03 | ↓ -23% |
| Aetna | Commercial | $143.58 | ↓ -20% |
| Coventry/First Health | Commercial | $150.80 | ↓ -17% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $165.55 | ↓ -8% |
| Wirerope Works | Commercial | $167.36 | ↓ -7% |
| Aetna | First Health | $198.66 | ↑ +10% |
| Geisinger | Commercial | $201.67 | ↑ +12% |
| Coventry/First Health | FH-Medical Rental | $202.57 | ↑ +12% |
| United Healthcare | Commercial | $205.88 | ↑ +14% |
| Cigna | Commercial | $206.19 | ↑ +14% |
| Multiplan | Auto | $234.78 | ↑ +30% |
| Multiplan | PPO (Includes PHCS as a Payer) | $234.78 | ↑ +30% |
| America's Choice | PPO | $240.80 | ↑ +33% |
| InterGroup | PPO | $240.80 | ↑ +33% |
| Multiplan | Worker's Compensation | $285.95 | ↑ +58% |
Visitor-reported prices
Comments
Support clav 29.6-40.5in med at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $129.60 | $51.84 – $236.84 |
| UPMC Northwest | Seneca | $165.00 | $68.75 – $362.95 |
| UPMC Passavant-McCandless | Pittsburgh | $137.40 | $50.38 – $435.24 |
| UPMC Presbyterian | Pittsburgh | $133.20 | $26.64 – $484.94 |
| UPMC St. Margaret | Pittsburgh | $131.40 | $43.80 – $368.04 |
| UPMC Wellsboro | Wellsboro | $218.40 | $49.14 – $245.70 |
| UPMC Williamsport | Williamsport | $180.60 | $60.20 – $240.80 |