healthcosts.net
Tube trach disp innr can 5 xlt at UPMC Muncy
215 East Water Street, Muncy, PA · UPMC · · NPI 1609816198
$220.80
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.
$368.00
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.
$23.25 with Highmark Wholecare (prev Gateway) vs $147.25 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 | $23.25 | ↓ -89% |
| UPMC Health Plan | Managed Medicare | $23.25 | ↓ -89% |
| AmeriHealth Caritas | Medicare | $23.95 | ↓ -89% |
| Cigna | Medicare | $24.41 | ↓ -89% |
| United Healthcare | Medicare | $24.88 | ↓ -89% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $25.11 | ↓ -89% |
| United Healthcare Community Plan for Families | PA Medicaid | $48.18 | ↓ -78% |
| Highmark BCBS of PA | Bluecare HMO/FPLIC PPO/Traditional Products | $60.79 | ↓ -72% |
| Aetna | PEBTF Custom Network | $62.85 | ↓ -72% |
| UPMC Health Plan | Commercial | $67.58 | ↓ -69% |
| Highmark BCBS of PA | Managed Care - Social Mission | $71.59 | ↓ -68% |
| Aetna | Commercial | $73.94 | ↓ -67% |
| Coventry/First Health | Commercial | $77.66 | ↓ -65% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $85.25 | ↓ -61% |
| Wirerope Works | Commercial | $86.18 | ↓ -61% |
| UPMC Work Partners | Workers Comp | $89.35 | ↓ -60% |
| Three Rivers Provider Network | All | $95.59 | ↓ -57% |
| Aetna | First Health | $102.30 | ↓ -54% |
| Geisinger | Commercial | $103.85 | ↓ -53% |
| Coventry/First Health | FH-Medical Rental | $104.31 | ↓ -53% |
| United Healthcare | Commercial | $106.02 | ↓ -52% |
| Cigna | Commercial | $106.17 | ↓ -52% |
| Multiplan | Auto | $120.90 | ↓ -45% |
| Multiplan | PPO (Includes PHCS as a Payer) | $120.90 | ↓ -45% |
| America's Choice | PPO | $124.00 | ↓ -44% |
| InterGroup | PPO | $124.00 | ↓ -44% |
| Multiplan | Worker's Compensation | $147.25 | ↓ -33% |
Visitor-reported prices
Comments
Tube trach disp innr can 5 xlt at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $394.80 | $22.75 – $207.79 |
| UPMC Northwest | Seneca | $141.00 | $31.00 – $318.43 |
| UPMC Passavant-McCandless | Pittsburgh | $775.20 | $49.25 – $381.85 |
| UPMC Presbyterian | Pittsburgh | $4,183.80 | $1.08 – $425.46 |
| UPMC St. Margaret | Pittsburgh | $421.80 | $49.25 – $322.90 |
| UPMC Wellsboro | Wellsboro | $266.40 | $25.38 – $126.90 |
| UPMC Williamsport | Williamsport | $220.80 | $35.10 – $104.00 |