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System pcmkr dual chamber leadless micra av2 intrdcr cath at UPMC Muncy
215 East Water Street, Muncy, PA · UPMC · · NPI 1609816198
$6,970.20
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.
$11,617.00
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.
$1,742.55 with Highmark Wholecare (prev Gateway) vs $11,036.15 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 | $1,742.55 | ↓ -75% |
| UPMC Health Plan | Managed Medicare | $1,742.55 | ↓ -75% |
| AmeriHealth Caritas | Medicare | $1,794.83 | ↓ -74% |
| Cigna | Medicare | $1,829.68 | ↓ -74% |
| United Healthcare | Medicare | $1,864.53 | ↓ -73% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $1,881.95 | ↓ -73% |
| Highmark Wholecare (prev Gateway) | Medicaid | $2,323.40 | ↓ -67% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $3,833.61 | ↓ -45% |
| Highmark BCBS of PA | Bluecare HMO/FPLIC PPO/Traditional Products | $4,556.19 | ↓ -35% |
| Aetna | PEBTF Custom Network | $4,710.69 | ↓ -32% |
| UPMC Health Plan | Commercial | $5,065.01 | ↓ -27% |
| Highmark BCBS of PA | Managed Care - Social Mission | $5,365.89 | ↓ -23% |
| Aetna | Commercial | $5,541.31 | ↓ -20% |
| Coventry/First Health | Commercial | $5,820.12 | ↓ -16% |
| Wirerope Works | Commercial | $6,459.05 | ↓ -7% |
| Aetna | First Health | $7,667.22 | ↑ +10% |
| Geisinger | Commercial | $7,783.39 | ↑ +12% |
| Coventry/First Health | FH-Medical Rental | $7,818.24 | ↑ +12% |
| United Healthcare | Commercial | $7,946.03 | ↑ +14% |
| Cigna | Commercial | $7,957.65 | ↑ +14% |
| Multiplan | Auto | $9,061.26 | ↑ +30% |
| Multiplan | PPO (Includes PHCS as a Payer) | $9,061.26 | ↑ +30% |
| America's Choice | PPO | $9,293.60 | ↑ +33% |
| InterGroup | PPO | $9,293.60 | ↑ +33% |
| Three Rivers Provider Network | All | $10,455.30 | ↑ +50% |
| Multiplan | Worker's Compensation | $11,036.15 | ↑ +58% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
Visitor-reported prices
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System pcmkr dual chamber leadless micra av2 intrdcr cath at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $12,878.40 | $4,381.08 – $19,317.60 |
| UPMC Northwest | Seneca | $7,169.40 | $2,486.50 – $22,349.03 |
| UPMC Passavant-McCandless | Pittsburgh | $31,525.20 | $0.22 – $26,800.70 |
| UPMC Presbyterian | Pittsburgh | $33,284.40 | $0.12 – $29,860.93 |
| UPMC Somerset | Somerset | $9,256.80 | $3,085.60 – $11,571.00 |
| UPMC Wellsboro | Wellsboro | $8,429.60 | $1,896.66 – $9,483.30 |
| UPMC Williamsport | Williamsport | $24,240.00 | $0.20 – $0.90 |