healthcosts.net
X-ray lumbosacral spine >= 4 views at UPMC Muncy
215 East Water Street, Muncy, PA · UPMC · · NPI 1609816198
$710.40
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.
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What you pay up front if you don't use insurance.
$1,184.00
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.
$28.80 with United Healthcare Community Plan for Families vs $1,124.80 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 | $28.80 | ↓ -96% |
| UPMC Health Plan | Managed Medicaid | $40.28 | ↓ -94% |
| Geisinger | Medicaid/CHIP | $40.28 | ↓ -94% |
| UPMC Health Plan | CHIP | $40.28 | ↓ -94% |
| Highmark Wholecare (prev Gateway) | Medicaid | $40.83 | ↓ -94% |
| AmeriHealth Caritas | Community HealthChoices (CHC) | $41.29 | ↓ -94% |
| AmeriHealth Caritas | Medicaid | $41.29 | ↓ -94% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $62.41 | ↓ -91% |
| UPMC Work Partners | Workers Comp | $127.53 | ↓ -82% |
| Three Rivers Provider Network | All | $136.43 | ↓ -81% |
| UPMC Health Plan | Managed Medicare | $177.60 | ↓ -75% |
| Highmark Wholecare (prev Gateway) | Medicare | $177.60 | ↓ -75% |
| AmeriHealth Caritas | Medicare | $182.93 | ↓ -74% |
| Cigna | Medicare | $186.48 | ↓ -74% |
| United Healthcare | Medicare | $190.03 | ↓ -73% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $191.81 | ↓ -73% |
| Highmark BCBS of PA | Bluecare HMO/FPLIC PPO/Traditional Products | $464.36 | ↓ -35% |
| Aetna | PEBTF Custom Network | $480.11 | ↓ -32% |
| UPMC Health Plan | Commercial | $516.22 | ↓ -27% |
| Highmark BCBS of PA | Managed Care - Social Mission | $546.89 | ↓ -23% |
| Aetna | Commercial | $564.77 | ↓ -20% |
| Coventry/First Health | Commercial | $593.18 | ↓ -17% |
| Wirerope Works | Commercial | $658.30 | ↓ -7% |
| Aetna | First Health | $781.44 | ↑ +10% |
| Geisinger | Commercial | $793.28 | ↑ +12% |
| Coventry/First Health | FH-Medical Rental | $796.83 | ↑ +12% |
| United Healthcare | Commercial | $809.86 | ↑ +14% |
| Cigna | Commercial | $811.04 | ↑ +14% |
| Multiplan | Auto | $923.52 | ↑ +30% |
| Multiplan | PPO (Includes PHCS as a Payer) | $923.52 | ↑ +30% |
| America's Choice | PPO | $947.20 | ↑ +33% |
| InterGroup | PPO | $947.20 | ↑ +33% |
| Multiplan | Worker's Compensation | $1,124.80 | ↑ +58% |
Visitor-reported prices
Comments
X-ray lumbosacral spine >= 4 views at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $666.60 | $40.28 – $944.35 |
| UPMC Mercy | Pittsburgh | $765.60 | $40.28 – $1,148.40 |
| UPMC Northwest | Seneca | $257.40 | $40.28 – $364.65 |
| UPMC Presbyterian | Pittsburgh | $1,154.40 | $27.00 – $1,635.40 |
| UPMC Somerset | Somerset | $262.80 | $25.88 – $117.28 |
| UPMC St. Margaret | Pittsburgh | $682.20 | $40.28 – $966.45 |
| UPMC Wellsboro | Wellsboro | $859.20 | $28.80 – $966.60 |
| UPMC Williamsport | Williamsport | $710.40 | $28.80 – $947.20 |