healthcosts.net
X-ray clavicle complete (both sides) at UPMC Muncy
215 East Water Street, Muncy, PA · UPMC · · NPI 1609816198
$258.60
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.
$431.00
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.
$14.72 with United Healthcare Community Plan for Families vs $409.45 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 |
|---|---|---|---|
| United Healthcare Community Plan for Families | PA Medicaid | $14.72 | ↓ -94% |
| Highmark Wholecare (prev Gateway) | Medicare | $64.65 | ↓ -75% |
| UPMC Health Plan | Managed Medicare | $64.65 | ↓ -75% |
| AmeriHealth Caritas | Medicare | $66.59 | ↓ -74% |
| Cigna | Medicare | $67.88 | ↓ -74% |
| United Healthcare | Medicare | $69.18 | ↓ -73% |
| UPMC Work Partners | Workers Comp | $69.81 | ↓ -73% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $69.82 | ↓ -73% |
| Three Rivers Provider Network | All | $74.69 | ↓ -71% |
| Highmark BCBS of PA | Bluecare HMO/FPLIC PPO/Traditional Products | $169.04 | ↓ -35% |
| Aetna | PEBTF Custom Network | $174.77 | ↓ -32% |
| UPMC Health Plan | Commercial | $187.92 | ↓ -27% |
| Highmark BCBS of PA | Managed Care - Social Mission | $199.08 | ↓ -23% |
| Aetna | Commercial | $205.59 | ↓ -20% |
| Coventry/First Health | Commercial | $215.93 | ↓ -17% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $237.05 | ↓ -8% |
| Wirerope Works | Commercial | $239.64 | ↓ -7% |
| Aetna | First Health | $284.46 | ↑ +10% |
| Geisinger | Commercial | $288.77 | ↑ +12% |
| Coventry/First Health | FH-Medical Rental | $290.06 | ↑ +12% |
| United Healthcare | Commercial | $294.80 | ↑ +14% |
| Cigna | Commercial | $295.24 | ↑ +14% |
| Multiplan | Auto | $336.18 | ↑ +30% |
| Multiplan | PPO (Includes PHCS as a Payer) | $336.18 | ↑ +30% |
| America's Choice | PPO | $344.80 | ↑ +33% |
| InterGroup | PPO | $344.80 | ↑ +33% |
| Multiplan | Worker's Compensation | $409.45 | ↑ +58% |
Visitor-reported prices
Comments
X-ray clavicle complete (both sides) at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $621.60 | $30.34 – $880.60 |
| UPMC Mercy | Pittsburgh | $456.60 | $30.16 – $684.90 |
| UPMC Northwest | Seneca | $118.20 | $30.35 – $167.45 |
| UPMC Presbyterian | Pittsburgh | $686.40 | $13.80 – $972.40 |
| UPMC Somerset | Somerset | $188.40 | $13.22 – $235.50 |
| UPMC St. Margaret | Pittsburgh | $405.00 | $30.41 – $573.75 |
| UPMC Wellsboro | Wellsboro | $312.00 | $14.72 – $351.00 |
| UPMC Williamsport | Williamsport | $258.60 | $14.72 – $344.80 |