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Warde topiramate therapeutic drug level at UPMC Muncy
215 East Water Street, Muncy, PA · UPMC · · NPI 1609816198
$130.20
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.
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What you pay up front if you don't use insurance.
$217.00
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.
$11.78 with UPMC Work Partners vs $206.15 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 Work Partners | Workers Comp | $11.78 | ↓ -91% |
| Three Rivers Provider Network | All | $12.60 | ↓ -90% |
| UPMC Health Plan | Managed Medicaid | $14.86 | ↓ -89% |
| Geisinger | Medicaid/CHIP | $14.86 | ↓ -89% |
| UPMC Health Plan | CHIP | $14.86 | ↓ -89% |
| Highmark Wholecare (prev Gateway) | Medicaid | $15.06 | ↓ -88% |
| AmeriHealth Caritas | Community HealthChoices (CHC) | $15.23 | ↓ -88% |
| AmeriHealth Caritas | Medicaid | $15.23 | ↓ -88% |
| United Healthcare Community Plan for Families | PA Medicaid | $17.29 | ↓ -87% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $23.02 | ↓ -82% |
| UPMC Health Plan | Managed Medicare | $32.55 | ↓ -75% |
| Highmark Wholecare (prev Gateway) | Medicare | $32.55 | ↓ -75% |
| AmeriHealth Caritas | Medicare | $33.53 | ↓ -74% |
| Cigna | Medicare | $34.18 | ↓ -74% |
| United Healthcare | Medicare | $34.83 | ↓ -73% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $35.15 | ↓ -73% |
| Aetna | PEBTF Custom Network | $66.40 | ↓ -49% |
| Aetna | Commercial | $78.12 | ↓ -40% |
| Coventry/First Health | Commercial | $82.03 | ↓ -37% |
| Highmark BCBS of PA | Bluecare HMO/FPLIC PPO/Traditional Products | $85.11 | ↓ -35% |
| UPMC Health Plan | Commercial | $94.61 | ↓ -27% |
| Highmark BCBS of PA | Managed Care - Social Mission | $100.23 | ↓ -23% |
| Cigna | Commercial | $111.54 | ↓ -14% |
| United Healthcare | Commercial | $120.44 | ↓ -7% |
| Wirerope Works | Commercial | $120.65 | ↓ -7% |
| Aetna | First Health | $143.22 | ↑ +10% |
| Geisinger | Commercial | $145.39 | ↑ +12% |
| Coventry/First Health | FH-Medical Rental | $146.04 | ↑ +12% |
| Multiplan | Auto | $169.26 | ↑ +30% |
| Multiplan | PPO (Includes PHCS as a Payer) | $169.26 | ↑ +30% |
| America's Choice | PPO | $173.60 | ↑ +33% |
| InterGroup | PPO | $173.60 | ↑ +33% |
| Multiplan | Worker's Compensation | $206.15 | ↑ +58% |
Visitor-reported prices
Comments
Warde topiramate therapeutic drug level at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $201.60 | $11.08 – $285.60 |
| UPMC Mercy | Pittsburgh | $124.20 | $9.94 – $186.30 |
| UPMC Northwest | Seneca | $119.40 | $10.81 – $169.15 |
| UPMC Presbyterian | Pittsburgh | $210.00 | $11.78 – $297.50 |
| UPMC Somerset | Somerset | $85.80 | $11.78 – $107.25 |
| UPMC St. Margaret | Pittsburgh | $643.80 | $10.29 – $912.05 |
| UPMC Wellsboro | Wellsboro | $157.60 | $11.78 – $177.30 |
| UPMC Williamsport | Williamsport | $130.20 | $11.78 – $173.60 |