healthcosts.net
Tamoxifen 10 mg tabs 60 each bottle at UPMC Muncy
215 East Water Street, Muncy, PA · UPMC · · NPI 1609816198
$14.80
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.
$18.50
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.
$2.77 with Highmark Wholecare (prev Gateway) vs $17.57 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 | $2.77 | ↓ -81% |
| UPMC Health Plan | Managed Medicare | $2.77 | ↓ -81% |
| AmeriHealth Caritas | Medicare | $2.86 | ↓ -81% |
| Cigna | Medicare | $2.91 | ↓ -80% |
| United Healthcare | Medicare | $2.97 | ↓ -80% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $3.00 | ↓ -80% |
| UPMC Work Partners | Workers Comp | $5.13 | ↓ -65% |
| Highmark BCBS of PA | Bluecare HMO/FPLIC PPO/Traditional Products | $7.26 | ↓ -51% |
| Aetna | PEBTF Custom Network | $7.50 | ↓ -49% |
| UPMC Health Plan | Commercial | $8.07 | ↓ -45% |
| Highmark BCBS of PA | Managed Care - Social Mission | $8.55 | ↓ -42% |
| Aetna | Commercial | $8.82 | ↓ -40% |
| Coventry/First Health | Commercial | $9.27 | ↓ -37% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $10.18 | ↓ -31% |
| Wirerope Works | Commercial | $10.29 | ↓ -30% |
| Aetna | First Health | $12.21 | ↓ -18% |
| Geisinger | Commercial | $12.39 | ↓ -16% |
| Coventry/First Health | FH-Medical Rental | $12.45 | ↓ -16% |
| United Healthcare | Commercial | $12.65 | ↓ -15% |
| Cigna | Commercial | $12.67 | ↓ -14% |
| Multiplan | Auto | $14.43 | ↓ -3% |
| Multiplan | PPO (Includes PHCS as a Payer) | $14.43 | ↓ -3% |
| America's Choice | PPO | $14.80 | ↑ +0% |
| InterGroup | PPO | $14.80 | ↑ +0% |
| Three Rivers Provider Network | All | $16.65 | ↑ +13% |
| Multiplan | Worker's Compensation | $17.57 | ↑ +19% |
Visitor-reported prices
Comments
Tamoxifen 10 mg tabs 60 each bottle at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $10.40 | $0.22 – $15.03 |
| UPMC Northwest | Seneca | $8.20 | $0.22 – $23.04 |
| UPMC Passavant-McCandless | Pittsburgh | $48.60 | $0.30 – $27.63 |
| UPMC Presbyterian | Pittsburgh | $48.60 | $0.28 – $30.78 |
| UPMC St. Margaret | Pittsburgh | $32.40 | $0.22 – $23.36 |
| UPMC Wellsboro | Wellsboro | $14.80 | $3.33 – $16.65 |
| UPMC Western Psychiatric | Pittsburgh | $48.60 | $1.94 – $6.59 |
| UPMC Williamsport | Williamsport | $14.80 | $5.00 – $16.65 |