healthcosts.net
Ultrasound chest at UPMC Muncy
215 East Water Street, Muncy, PA · UPMC · · NPI 1609816198
$461.40
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.
$769.00
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.
$60.06 with United Healthcare Community Plan for Families vs $730.55 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 |
|---|---|---|---|
| United Healthcare Community Plan for Families | PA Medicaid | $60.06 | ↓ -87% |
| UPMC Health Plan | Managed Medicaid | $81.43 | ↓ -82% |
| Geisinger | Medicaid/CHIP | $81.43 | ↓ -82% |
| UPMC Health Plan | CHIP | $81.43 | ↓ -82% |
| Highmark Wholecare (prev Gateway) | Medicaid | $82.54 | ↓ -82% |
| AmeriHealth Caritas | Community HealthChoices (CHC) | $83.47 | ↓ -82% |
| AmeriHealth Caritas | Medicaid | $83.47 | ↓ -82% |
| UPMC Health Plan | Managed Medicare | $115.35 | ↓ -75% |
| Highmark Wholecare (prev Gateway) | Medicare | $115.35 | ↓ -75% |
| AmeriHealth Caritas | Medicare | $118.81 | ↓ -74% |
| Cigna | Medicare | $121.12 | ↓ -74% |
| United Healthcare | Medicare | $123.42 | ↓ -73% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $124.58 | ↓ -73% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $126.16 | ↓ -73% |
| UPMC Work Partners | Workers Comp | $200.03 | ↓ -57% |
| Three Rivers Provider Network | All | $213.98 | ↓ -54% |
| Highmark BCBS of PA | Bluecare HMO/FPLIC PPO/Traditional Products | $301.60 | ↓ -35% |
| Aetna | PEBTF Custom Network | $311.83 | ↓ -32% |
| UPMC Health Plan | Commercial | $335.28 | ↓ -27% |
| Highmark BCBS of PA | Managed Care - Social Mission | $355.20 | ↓ -23% |
| Aetna | Commercial | $366.81 | ↓ -21% |
| Coventry/First Health | Commercial | $385.27 | ↓ -16% |
| Wirerope Works | Commercial | $427.56 | ↓ -7% |
| Aetna | First Health | $507.54 | ↑ +10% |
| Geisinger | Commercial | $515.23 | ↑ +12% |
| Coventry/First Health | FH-Medical Rental | $517.54 | ↑ +12% |
| United Healthcare | Commercial | $526.00 | ↑ +14% |
| Cigna | Commercial | $526.76 | ↑ +14% |
| Multiplan | Auto | $599.82 | ↑ +30% |
| Multiplan | PPO (Includes PHCS as a Payer) | $599.82 | ↑ +30% |
| America's Choice | PPO | $615.20 | ↑ +33% |
| InterGroup | PPO | $615.20 | ↑ +33% |
| Multiplan | Worker's Compensation | $730.55 | ↑ +58% |
Visitor-reported prices
Comments
Ultrasound chest at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $867.60 | $81.43 – $1,229.10 |
| UPMC Mercy | Pittsburgh | $711.60 | $81.43 – $1,067.40 |
| UPMC Northwest | Seneca | $543.60 | $81.43 – $770.10 |
| UPMC Presbyterian | Pittsburgh | $1,263.00 | $56.30 – $1,789.25 |
| UPMC Somerset | Somerset | $394.20 | $53.96 – $492.75 |
| UPMC St. Margaret | Pittsburgh | $285.00 | $81.43 – $403.75 |
| UPMC Wellsboro | Wellsboro | $557.60 | $60.06 – $627.30 |
| UPMC Williamsport | Williamsport | $461.40 | $60.06 – $615.20 |