healthcosts.net
Target gsa panel hmtlmph neop at UPMC Muncy
215 East Water Street, Muncy, PA · UPMC · · NPI 1609816198
$2,947.80
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.
$4,913.00
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.
$621.75 with UPMC Health Plan vs $3,937.75 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 | $621.75 | ↓ -79% |
| Highmark Wholecare (prev Gateway) | Medicare | $621.75 | ↓ -79% |
| AmeriHealth Caritas | Medicare | $640.40 | ↓ -78% |
| Cigna | Medicare | $652.84 | ↓ -78% |
| United Healthcare | Medicare | $665.27 | ↓ -77% |
| UPMC Health Plan | Managed Medicaid | $668.38 | ↓ -77% |
| Geisinger | Medicaid/CHIP | $668.38 | ↓ -77% |
| UPMC Health Plan | CHIP | $668.38 | ↓ -77% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $671.49 | ↓ -77% |
| Highmark Wholecare (prev Gateway) | Medicaid | $677.50 | ↓ -77% |
| AmeriHealth Caritas | Community HealthChoices (CHC) | $685.09 | ↓ -77% |
| AmeriHealth Caritas | Medicaid | $685.09 | ↓ -77% |
| UPMC Work Partners | Workers Comp | $750.66 | ↓ -75% |
| United Healthcare Community Plan for Families | PA Medicaid | $777.75 | ↓ -74% |
| Three Rivers Provider Network | All | $803.03 | ↓ -73% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $1,035.51 | ↓ -65% |
| Coventry/First Health | Commercial | $1,566.81 | ↓ -47% |
| Highmark BCBS of PA | Bluecare HMO/FPLIC PPO/Traditional Products | $1,625.67 | ↓ -45% |
| Aetna | PEBTF Custom Network | $1,680.80 | ↓ -43% |
| UPMC Health Plan | Commercial | $1,807.22 | ↓ -39% |
| Highmark BCBS of PA | Managed Care - Social Mission | $1,914.58 | ↓ -35% |
| Aetna | Commercial | $1,977.16 | ↓ -33% |
| Cigna | Commercial | $2,130.53 | ↓ -28% |
| United Healthcare | Commercial | $2,300.47 | ↓ -22% |
| Wirerope Works | Commercial | $2,304.62 | ↓ -22% |
| Aetna | First Health | $2,735.70 | ↓ -7% |
| Geisinger | Commercial | $2,777.15 | ↓ -6% |
| Coventry/First Health | FH-Medical Rental | $2,789.59 | ↓ -5% |
| Multiplan | Auto | $3,233.10 | ↑ +10% |
| Multiplan | PPO (Includes PHCS as a Payer) | $3,233.10 | ↑ +10% |
| America's Choice | PPO | $3,316.00 | ↑ +12% |
| InterGroup | PPO | $3,316.00 | ↑ +12% |
| Multiplan | Worker's Compensation | $3,937.75 | ↑ +34% |
Visitor-reported prices
Comments
Target gsa panel hmtlmph neop at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $3,792.60 | $130.22 – $835.48 |
| UPMC Mercy | Pittsburgh | $1,353.00 | $279.00 – $900.00 |
| UPMC Northwest | Seneca | $7,146.00 | $400.00 – $850.00 |
| UPMC Presbyterian | Pittsburgh | $3,169.80 | $457.42 – $945.88 |
| UPMC St. Margaret | Pittsburgh | $7,146.00 | $457.42 – $1,916.75 |
| UPMC Wellsboro | Wellsboro | $3,743.20 | $180.00 – $916.29 |
| UPMC Williamsport | Williamsport | $1,302.00 | $270.00 – $820.29 |