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Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 0.5 ml im at UPMC Muncy
215 East Water Street, Muncy, PA · UPMC · · NPI 1609816198
$1,184.80
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.
$1,481.00
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.
$11.00 with UPMC Health Plan vs $1,406.95 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 Medicaid | $11.00 | ↓ -99% |
| Geisinger | Medicaid/CHIP | $11.00 | ↓ -99% |
| UPMC Health Plan | CHIP | $11.00 | ↓ -99% |
| Highmark Wholecare (prev Gateway) | Medicaid | $11.15 | ↓ -99% |
| AmeriHealth Caritas | Community HealthChoices (CHC) | $11.28 | ↓ -99% |
| AmeriHealth Caritas | Medicaid | $11.28 | ↓ -99% |
| United Healthcare Community Plan for Families | PA Medicaid | $12.80 | ↓ -99% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $17.04 | ↓ -99% |
| UPMC Health Plan | Managed Medicare | $222.15 | ↓ -81% |
| Highmark Wholecare (prev Gateway) | Medicare | $222.15 | ↓ -81% |
| AmeriHealth Caritas | Medicare | $228.81 | ↓ -81% |
| Cigna | Medicare | $233.26 | ↓ -80% |
| United Healthcare | Medicare | $237.70 | ↓ -80% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $239.92 | ↓ -80% |
| UPMC Work Partners | Workers Comp | $410.39 | ↓ -65% |
| Highmark BCBS of PA | Bluecare HMO/FPLIC PPO/Traditional Products | $580.85 | ↓ -51% |
| Aetna | PEBTF Custom Network | $600.55 | ↓ -49% |
| UPMC Health Plan | Commercial | $645.72 | ↓ -45% |
| Highmark BCBS of PA | Managed Care - Social Mission | $684.07 | ↓ -42% |
| Aetna | Commercial | $706.44 | ↓ -40% |
| Coventry/First Health | Commercial | $741.98 | ↓ -37% |
| Wirerope Works | Commercial | $823.44 | ↓ -30% |
| Aetna | First Health | $977.46 | ↓ -18% |
| Geisinger | Commercial | $992.27 | ↓ -16% |
| Coventry/First Health | FH-Medical Rental | $996.71 | ↓ -16% |
| United Healthcare | Commercial | $1,013.00 | ↓ -15% |
| Cigna | Commercial | $1,014.49 | ↓ -14% |
| Multiplan | Auto | $1,155.18 | ↓ -3% |
| Multiplan | PPO (Includes PHCS as a Payer) | $1,155.18 | ↓ -3% |
| America's Choice | PPO | $1,184.80 | ↑ +0% |
| InterGroup | PPO | $1,184.80 | ↑ +0% |
| Three Rivers Provider Network | All | $1,332.90 | ↑ +13% |
| Multiplan | Worker's Compensation | $1,406.95 | ↑ +19% |
Visitor-reported prices
Comments
Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 0.5 ml im at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $1,196.00 | $11.00 – $1,345.50 |
| UPMC Northwest | Seneca | $1,196.00 | $11.00 – $3,152.20 |
| UPMC Passavant-McCandless | Pittsburgh | $1,195.80 | $11.00 – $1,226.11 |
| UPMC Presbyterian | Pittsburgh | $1,195.80 | $11.00 – $1,226.11 |
| UPMC St. Margaret | Pittsburgh | $1,196.00 | $11.00 – $1,270.75 |
| UPMC Wellsboro | Wellsboro | $1,184.80 | $11.00 – $1,327.50 |
| UPMC Western Psychiatric | Pittsburgh | $1,195.80 | $16.69 – $1,201.47 |
| UPMC Williamsport | Williamsport | $1,184.80 | $11.00 – $1,269.00 |