healthcosts.net
Tc-99m succimer (dmsa) at UPMC Muncy
215 East Water Street, Muncy, PA · UPMC · · NPI 1609816198
$556.20
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.
?
What you pay up front if you don't use insurance.
$927.00
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.
$139.05 with Highmark Wholecare (prev Gateway) vs $880.65 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 | $139.05 | ↓ -75% |
| UPMC Health Plan | Managed Medicare | $139.05 | ↓ -75% |
| AmeriHealth Caritas | Medicare | $143.22 | ↓ -74% |
| Cigna | Medicare | $146.00 | ↓ -74% |
| United Healthcare | Medicare | $148.78 | ↓ -73% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $150.17 | ↓ -73% |
| Highmark BCBS of PA | Bluecare HMO/FPLIC PPO/Traditional Products | $363.57 | ↓ -35% |
| Aetna | PEBTF Custom Network | $375.90 | ↓ -32% |
| UPMC Health Plan | Commercial | $404.17 | ↓ -27% |
| Highmark BCBS of PA | Managed Care - Social Mission | $428.18 | ↓ -23% |
| Aetna | Commercial | $442.18 | ↓ -20% |
| Coventry/First Health | Commercial | $464.43 | ↓ -16% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $509.85 | ↓ -8% |
| Wirerope Works | Commercial | $515.41 | ↓ -7% |
| Aetna | First Health | $611.82 | ↑ +10% |
| Geisinger | Commercial | $621.09 | ↑ +12% |
| Coventry/First Health | FH-Medical Rental | $623.87 | ↑ +12% |
| United Healthcare | Commercial | $634.07 | ↑ +14% |
| Cigna | Commercial | $635.00 | ↑ +14% |
| Multiplan | Auto | $723.06 | ↑ +30% |
| Multiplan | PPO (Includes PHCS as a Payer) | $723.06 | ↑ +30% |
| America's Choice | PPO | $741.60 | ↑ +33% |
| InterGroup | PPO | $741.60 | ↑ +33% |
| Three Rivers Provider Network | All | $834.30 | ↑ +50% |
| Multiplan | Worker's Compensation | $880.65 | ↑ +58% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
Visitor-reported prices
Comments
Tc-99m succimer (dmsa) at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Presbyterian | Pittsburgh | $2,748.00 | $237.62 – $3,893.00 |
| UPMC Somerset | Somerset | $1,749.60 | $233.00 – $2,187.00 |
| UPMC Wellsboro | Wellsboro | $672.80 | $151.38 – $756.90 |