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Critical Access HospitalVoluntary Non-Profit - Private

Upmc Muncy

UPMC ยท Muncy, PA

215 East Water Street, Muncy, PA 17756(570) 546-8282

32

In-network payers

259

Disclosed rate categories

20

Beds

4

Care quality

About this hospital

Upmc Muncy is a 20-bed voluntary non-profit - private hospital in Muncy, PA, affiliated with UPMC. Below you'll find publicly disclosed negotiated rates and facility details, including 32 in-network payers and 259 disclosed rate categories.

CCN (Medicare provider number)

391301

NPI

1609816198

Type

Critical Access Hospital

Ownership

Voluntary Non-Profit - Private

Beds

20

Care Quality

4

Insurance Accepted

Insurance acceptance may vary by specific plan, network status, and services required. Contact your insurance provider or the hospital's billing department to confirm coverage details.

Medicare
Aetna
BCBS
Cigna
United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health)
Ameri HealthAspirus Health PlanAvera Health PlansBanner HealthCenteneEMI Health

Prices for common services

The 24 services Upmc Muncy most likely performs, ranked by likely volume and what it is paid. Each service names one insurer. * marks hidden insurer names; A, B and C rank the remaining rates from low to high and reset for each service.

Book a demo to see hidden insurer names, more payer rates, and hospital data.

CT imaging

CT abdomen and pelvis with contrast

CPT 74177

$3,332 - $5,084

from 4 insurers ยท median $4,308

Aetna$3,540
Insurer A*$3,332
Insurer B*$5,077
Insurer C*$5,084
Medicare $356Nearby hospitals $1,165270% above nearby hospitals

Typical for a hospital with this service line

CT imaging

CT head or brain without contrast

CPT 70450

$812 - $1,830

from 4 insurers ยท median $1,501

Aetna$812
Insurer A*$1,175
Insurer B*$1,827
Insurer C*$1,830
Medicare $107Nearby hospitals $289419% above nearby hospitals

Typical for a hospital with this service line

CT imaging

CT of the abdomen and pelvis, without contrast

CPT 74176

$2,434 - $3,791

from 4 insurers ยท median $3,113

Aetna$2,441
Insurer A*$2,434
Insurer B*$3,785
Insurer C*$3,791
Medicare $244Nearby hospitals $736323% above nearby hospitals

Typical for a hospital with this service line

Cardiology and vascular testing

Complete echocardiogram with Doppler and color flow

CPT 93306

$1,566 - $2,586

from 4 insurers ยท median $2,191

Aetna$1,801
Insurer A*$1,566
Insurer B*$2,582
Insurer C*$2,586
Medicare $558Nearby hospitals $820167% above nearby hospitals

Typical for a hospital with this service line

Digestive procedures

Upper GI endoscopy with biopsy

CPT 43239

$2,510 - $5,608

from 4 insurers ยท median $4,023

Blue Cross$2,510
Insurer A*$4,020
Insurer B*$4,026
Insurer C*$5,608
Medicare $927Nearby hospitals $1,198236% above nearby hospitals

Typical for a hospital with this service line

CT imaging

CT angiography of chest blood vessels

CPT 71275

$2,340 - $2,690

from 2 insurers ยท median $2,515

Aetna$2,690
Insurer A*$2,340
Medicare $179Nearby hospitals $631298% above nearby hospitals

Typical for a hospital with this service line

X-ray and bone density

Chest X-ray, two views

CPT 71046

$401 - $662

from 4 insurers ยท median $561

Blue Cross$401
Insurer A*$461
Insurer B*$661
Insurer C*$662
Medicare $89Nearby hospitals $124351% above nearby hospitals

Typical for a hospital with this service line

MRI imaging

MRI brain before and after contrast

CPT 70553

$2,928 - $4,343

from 4 insurers ยท median $3,681

Cigna$4,343
Insurer A*$2,928
Insurer B*$3,025
Insurer C*$4,337
Medicare $356Nearby hospitals $1,116230% above nearby hospitals

Typical for a hospital with this service line

Digestive procedures

Colonoscopy with polyp removal

CPT 45385

$2,315 - $4,048

from 4 insurers ยท median $3,711

Blue Cross$2,315
Insurer A*$3,708
Insurer B*$3,713
Insurer C*$4,048
Medicare $1,223Nearby hospitals $1,463154% above nearby hospitals

Typical for a hospital with this service line

Digestive procedures

Colonoscopy with biopsy

CPT 45380

$2,315 - $6,193

from 4 insurers ยท median $3,711

Blue Cross$2,315
Insurer A*$3,708
Insurer B*$3,713
Insurer C*$6,193
Medicare $1,223Nearby hospitals $1,608131% above nearby hospitals

Typical for a hospital with this service line

Nuclear imaging

Nuclear imaging of blood flow to the heart, multiple studies

CPT 78452

$3,074 - $4,803

from 4 insurers ยท median $4,070

Cigna$4,803
Insurer A*$3,074
Insurer B*$3,345
Insurer C*$4,796
Medicare $1,323Nearby hospitals $822395% above nearby hospitals

Hospital reports nuclear medicine services to CMS

Mammography

Screening mammography, bilateral

CPT 77067

$174 - $271

from 4 insurers ยท median $251

UnitedHealthcare$271
Insurer A*$174
Insurer B*$232
Insurer C*$271
Medicare $92Nearby hospitals $32122% below nearby hospitals

Typical for a hospital with this service line

MRI imaging

MRI lumbar spine without contrast

CPT 72148

$1,849 - $2,870

from 4 insurers ยท median $2,401

Cigna$2,870
Insurer A*$1,849
Insurer B*$1,935
Insurer C*$2,866
Medicare $244Nearby hospitals $641275% above nearby hospitals

Typical for a hospital with this service line

MRI imaging

MRI of the brain, without contrast

CPT 70551

$1,315 - $2,738

from 4 insurers ยท median $2,290

Cigna$2,738
Insurer A*$1,315
Insurer B*$1,846
Insurer C*$2,734
Medicare $244Nearby hospitals $573300% above nearby hospitals

Typical for a hospital with this service line

MRI imaging

MRI lower-extremity joint without contrast

CPT 73721

$1,887 - $3,498

from 4 insurers ยท median $2,868

Cigna$2,870
Insurer A*$1,887
Insurer B*$2,866
Insurer C*$3,498
Medicare $244Nearby hospitals $704307% above nearby hospitals

Typical for a hospital with this service line

Ultrasound

Limited ultrasound of the abdomen

CPT 76705

$467 - $788

from 4 insurers ยท median $632

UnitedHealthcare$787
Insurer A*$467
Insurer B*$477
Insurer C*$788
Medicare $107Nearby hospitals $114455% above nearby hospitals

Typical for a hospital with this service line

Ear, nose and throat

Ear-tube insertion under general anesthesia

CPT 69436

$1,466 - $8,136

from 4 insurers ยท median $6,599

Aetna$1,466
Insurer A*$5,073
Insurer B*$8,125
Insurer C*$8,136
Medicare $1,585Nearby hospitals $1,481346% above nearby hospitals

Typical for a hospital with this service line

Digestive procedures

Diagnostic colonoscopy

CPT 45378

$1,177 - $4,123

from 4 insurers ยท median $1,886

Blue Cross$1,177
Insurer A*$1,885
Insurer B*$1,888
Insurer C*$4,123
Medicare $950Nearby hospitals $1,38137% above nearby hospitals

Typical for a hospital with this service line

Cardiology and vascular testing

Ultrasound of veins in one limb or a limited bilateral study

CPT 93971

$576 - $968

from 4 insurers ยท median $813

Aetna$659
Insurer A*$576
Insurer B*$966
Insurer C*$968
Medicare $107Nearby hospitals $108654% above nearby hospitals

Typical for a hospital with this service line

Laboratory and pathology

Comprehensive metabolic panel

CPT 80053

$129 - $162

from 2 insurers ยท median $146

Blue Cross$162
Insurer A*$129
Medicare $11Nearby hospitals $38281% above nearby hospitals

Typical for a hospital with this service line

Ultrasound

Transvaginal pelvic ultrasound

CPT 76830

$497 - $775

from 4 insurers ยท median $656

UnitedHealthcare$774
Insurer A*$497
Insurer B*$539
Insurer C*$775
Medicare $107Nearby hospitals $162305% above nearby hospitals

Typical for a hospital with this service line

Ultrasound

Complete pelvic ultrasound

CPT 76856

$537 - $836

from 4 insurers ยท median $708

UnitedHealthcare$834
Insurer A*$537
Insurer B*$582
Insurer C*$836
Medicare $107Nearby hospitals $136422% above nearby hospitals

Typical for a hospital with this service line

Ultrasound

Limited ultrasound of one breast

CPT 76642

$341 - $547

from 4 insurers ยท median $497

UnitedHealthcare$547
Insurer A*$341
Insurer B*$448
Insurer C*$547
Medicare $89Nearby hospitals $163204% above nearby hospitals

Typical for a hospital with this service line

X-ray and bone density

Foot X-ray, at least three views

CPT 73630

$281 - $416

from 4 insurers ยท median $355

Blue Cross$281
Insurer A*$294
Insurer B*$416
Insurer C*$416
Medicare $89Nearby hospitals $82330% above nearby hospitals

Typical for a hospital with this service line

How the insurers pay at Upmc Muncy

Median rate as a percent of Medicare across the outpatient services above, and how many services sit above or below the same insurer's median at nearby hospitals. * marks hidden insurer names. These table labels track the same insurers across services; the labels on each service card reset.

InsurerServicesMedian % of MedicareAbove nearbyBelow nearby
Insurer A*22
732%
50
Insurer B*22
731%
00
Insurer C*24
529%
221
Insurer D*24
458%
192

How we chose these services: 0 appear in this hospital's own Medicare claims, 0 are common here based on CMS Medicare volume, and 24 are typical for the service lines it reports to CMS. Rates come from insurer and hospital price transparency files as of October 2026. Rates under a quarter of Medicare or over 20 times Medicare are left out as likely physician-fee rows or file errors. Book a demo to see all 300 CMS shoppable services for Upmc Muncy.

Location

215 East Water Street, Muncy, PA 17756

(570) 546-8282

Get directions

Frequently asked questions

About Upmc Muncy's rates and hospital price transparency.

How much does an MRI cost at Upmc Muncy?

For MRI brain before and after contrast (CPT 70553), published negotiated rates at Upmc Muncy range from $2,928 to $4,343 across 4 insurers. Cigna's rate is $4,343. The median at nearby comparable hospitals is $1,116. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a CT scan cost at Upmc Muncy?

For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Upmc Muncy range from $3,332 to $5,084 across 4 insurers. Aetna's rate is $3,540. The median at nearby comparable hospitals is $1,165. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a colonoscopy cost at Upmc Muncy?

For Colonoscopy with polyp removal (CPT 45385), published negotiated rates at Upmc Muncy range from $2,315 to $4,048 across 4 insurers. Blue Cross Blue Shield's rate is $2,315. The median at nearby comparable hospitals is $1,463. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a mammogram cost at Upmc Muncy?

For Screening mammography, bilateral (CPT 77067), published negotiated rates at Upmc Muncy range from $174 to $271 across 4 insurers. UnitedHealthcare's rate is $271. The median at nearby comparable hospitals is $321. What a patient pays depends on their plan's deductible, coinsurance and network status.

How many beds does Upmc Muncy have?

Upmc Muncy has 20 beds. Facility type: Critical Access Hospital.

Where is Upmc Muncy and what is its phone number?

Upmc Muncy is located at 215 East Water Street, Muncy, PA 17756. Its main phone number is (570) 546-8282.

What is Upmc Muncy's CCN (Medicare provider number)?

Upmc Muncy's CMS Certification Number (CCN), also called its Medicare provider number, is 391301.

What is Upmc Muncy's NPI number?

The National Provider Identifier (NPI) on file for Upmc Muncy is 1609816198.

What health system is Upmc Muncy part of?

Upmc Muncy is affiliated with UPMC.

Which insurance plans are in network at Upmc Muncy?

Upmc Muncy lists 32 in-network payers, including Aetna, Ameri Health, Aspirus Health Plan, Avera Health Plans, and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.

For hospital finance and compliance teams

Running price transparency at a hospital like this one?

The data on this page comes from the files hospitals and payers publish. We help hospitals publish theirs correctly, and take a fresh look at their chargemaster.

Compliance MRF

Publish a CMS-compliant machine-readable file

We turn your chargemaster and payer contracts into the CMS template file, then keep it current as rates change.

CMS v3 example: standard_charge_information[0]
{
  "description": "MRI of brain (no contrast)",
  "code_information": [
    { "code": "611", "type": "RC" },
    { "code": "70551", "type": "CPT" }
  ],
  "standard_charges": [{
    "setting": "outpatient",
    "minimum": 250,
    "maximum": 400,
    "gross_charge": 1200,
    "discounted_cash": 1080,
    "payers_information": [
      {
        "payer_name": "Platform Health Insurance",
        "plan_name": "PPO",
        "methodology": "fee schedule",
        "standard_charge_dollar": 400
      },
      {
        "payer_name": "Region Health Insurance",
        "plan_name": "HMO",
        "methodology": "fee schedule",
        "standard_charge_dollar": 250
      }
    ]
  }]
}
  • CMS template layout, in JSON or CSV
  • Gross, discounted cash, payer-specific and de-identified min / max charges
  • cms-hpt.txt file and homepage footer link
  • Refreshed when your contracts change
Talk to us about your MRF
Chargemaster analysis

Get your chargemaster right for billing and payer contracts

Your chargemaster sets the gross charge on every claim, and many payer contracts base payment on it through percent-of-charge, lesser-of and stop-loss terms. We audit it line by line and show how your charges and negotiated rates compare with peer hospitals before your next negotiation.

What a review covers

CodingPricingPayer contractsCompliance
  • CPT, HCPCS, revenue code and modifier errors flagged line by line
  • Missing, duplicate and outdated charge lines identified
  • Charges set below payer allowables caught before lesser-of clauses cut payment
  • Revenue impact of charge changes modeled across percent-of-charge and stop-loss terms
  • Your negotiated rates benchmarked against peer hospitals for the same payers
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