▸ Hospital · PA · CCN 391301
UPMC Muncy
215 EAST WATER STREET, MUNCY, PA, 17756
20 bedsCritical Access Hospitals2
Compliance grade
A
100/100
Procedures tracked
136
of 209 target codes
Payers
15
with negotiated rates
Rates published
29,124
last crawl 2026-05-24
Procedures & rates
| Procedure | Type | Code | Payers | Gross | Cash | Neg min | Neg median | Neg max |
|---|---|---|---|---|---|---|---|---|
| behavioral | ||||||||
| Psychoses | MS-DRG | 885 | 5 | — | — | $2,208.32 | $12,401 | $23,838 |
| emergency | ||||||||
| ED visit level 1 | CPT | 99281 | 15 | $421 | $252.6 | $51.6 | $277.86 | $2,315.52 |
| ED visit level 2 | CPT | 99282 | 15 | $678 | $406.8 | $36.28 | $358.66 | $2,315.52 |
| ED visit level 3 | CPT | 99283 | 15 | $1,240 | $744 | $62.31 | $655.96 | $2,315.52 |
| ED visit level 4 | CPT | 99284 | 15 | $2,073 | $1,243.8 | $104.86 | $1,096.62 | $2,315.52 |
| ED visit level 5 | CPT | 99285 | 15 | $2,146 | $1,287.6 | $152.61 | $1,135.23 | $2,315.52 |
| Critical care, first hour | CPT | 99291 | 15 | $2,994 | $1,796.4 | $166.79 | $1,583.83 | $2,844.3 |
| imaging | ||||||||
| CT head without contrast | CPT | 70450 | 15 | $2,671 | $1,602.6 | $99.2 | $1,412.96 | $2,537.45 |
| CT head with contrast | CPT | 70460 | 15 | $3,952 | $2,371.2 | $102.4 | $2,090.61 | $3,754.4 |
| CT head with and without contrast | CPT | 70470 | 15 | $4,507 | $2,704.2 | $128 | $2,271.53 | $4,281.65 |
| CT neck with contrast | CPT | 70491 | 15 | $4,185 | $2,511 | $105.6 | $2,208.32 | $3,975.75 |
| MRI brain without contrast | CPT | 70551 | 15 | $3,997 | $2,398.2 | $344.32 | $2,114.41 | $3,797.15 |
| MRI brain with contrast | CPT | 70552 | 15 | $4,851 | $2,910.6 | $344.32 | $2,430.35 | $4,608.45 |
| MRI brain with and without contrast | CPT | 70553 | 15 | $6,340 | $3,804 | $344.32 | $3,176.34 | $6,023 |
| Chest X-ray single view | CPT | 71045 | 15 | $292 | $175.2 | $10.38 | $154.47 | $2,315.52 |
| Chest X-ray 2 views | CPT | 71046 | 15 | $967 | $580.2 | $19.01 | $511.54 | $2,315.52 |
| Chest X-ray 3 views | CPT | 71047 | 15 | $832 | $499.2 | $24.19 | $440.13 | $2,315.52 |
| CT chest without contrast | CPT | 71250 | 15 | $3,741 | $2,244.6 | $106.37 | $1,978.99 | $3,553.95 |
| CT chest with contrast | CPT | 71260 | 15 | $4,440 | $2,664 | $112 | $2,237.76 | $4,218 |
| CT chest with and without contrast | CPT | 71270 | 15 | $5,254 | $3,152.4 | $132.48 | $2,632.25 | $4,991.3 |
| MRI chest without contrast | CPT | 71550 | 15 | $4,190 | $2,514 | $344.32 | $2,208.32 | $3,980.5 |
| MRI chest with contrast | CPT | 71551 | 15 | $5,085 | $3,051 | $399.62 | $2,547.59 | $4,830.75 |
| MRI chest with and without contrast | CPT | 71552 | 15 | $6,643 | $3,985.8 | $605.3 | $3,328.14 | $6,310.85 |
| Lumbosacral spine X-ray | CPT | 72100 | 15 | $695 | $417 | $28.8 | $367.65 | $2,315.52 |
| CT cervical spine without contrast | CPT | 72125 | 15 | $3,514 | $2,108.4 | $106.37 | $1,858.91 | $3,338.3 |
| CT thoracic spine without contrast | CPT | 72128 | 15 | $3,457 | $2,074.2 | $115.97 | $1,828.75 | $3,284.15 |
| CT lumbar spine without contrast | CPT | 72131 | 15 | $3,419 | $2,051.4 | $112.77 | $1,808.65 | $3,248.05 |
| MRI cervical spine without contrast | CPT | 72141 | 15 | $4,040 | $2,424 | $344.32 | $2,137.16 | $3,838 |
| MRI thoracic spine without contrast | CPT | 72146 | 15 | $4,190 | $2,514 | $239.62 | $2,208.32 | $3,980.5 |
| MRI lumbar spine without contrast | CPT | 72148 | 15 | $4,190 | $2,514 | $239.62 | $2,208.32 | $3,980.5 |
| MRI lumbar spine with and without contrast | CPT | 72149 | 15 | $5,085 | $3,051 | $344.32 | $2,547.59 | $4,830.75 |
| MRI cervical spine with and without contrast | CPT | 72156 | 15 | $6,446 | $3,867.6 | $344.32 | $3,229.45 | $6,123.7 |
| MRI lumbar spine with contrast | CPT | 72158 | 15 | $6,684 | $4,010.4 | $344.32 | $3,348.68 | $6,349.8 |
| CT pelvis without contrast | CPT | 72192 | 15 | $2,189 | $1,313.4 | $86.4 | $1,157.98 | $2,315.52 |
| CT pelvis with contrast | CPT | 72193 | 15 | $3,170 | $1,902 | $110.72 | $1,676.93 | $3,011.5 |
| Shoulder X-ray | CPT | 73030 | 15 | $512 | $307.2 | $21.12 | $337.92 | $2,315.52 |
| Humerus X-ray | CPT | 73060 | 15 | $945 | $567 | $14.72 | $623.7 | $2,315.52 |
| Hand X-ray 3 views | CPT | 73130 | 15 | $491 | $294.6 | $14.72 | $324.06 | $2,315.52 |
| MRI upper extremity joint without contrast | CPT | 73221 | 15 | $4,190 | $2,514 | $344.32 | $2,329.64 | $3,980.5 |
| MRI upper extremity joint with and without contrast | CPT | 73223 | 15 | $6,684 | $4,010.4 | $604.71 | $3,716.3 | $6,349.8 |
| Knee X-ray 1-2 views | CPT | 73560 | 15 | $1,014 | $608.4 | $21.12 | $669.24 | $2,315.52 |
| Ankle X-ray 3 views | CPT | 73610 | 15 | $512 | $307.2 | $23.97 | $337.92 | $2,315.52 |
| MRI lower extremity joint without contrast | CPT | 73721 | 15 | $4,190 | $2,514 | $344.32 | $2,329.64 | $3,980.5 |
| MRI lower extremity joint with and without contrast | CPT | 73723 | 15 | $6,684 | $4,010.4 | $604.71 | $3,716.3 | $6,349.8 |
| CT abdomen without contrast | CPT | 74150 | 15 | $3,625 | $2,175 | $99.2 | $1,917.62 | $3,443.75 |
| CT abdomen with contrast | CPT | 74160 | 15 | $4,621 | $2,772.6 | $115.2 | $2,315.52 | $4,389.95 |
| CT abdomen with and without contrast | CPT | 74170 | 15 | $5,794 | $3,476.4 | $142.72 | $2,902.79 | $5,504.3 |
| CT abdomen and pelvis without contrast | CPT | 74176 | 15 | $5,534 | $3,320.4 | $129.37 | $2,772.53 | $5,257.3 |
| CT abdomen and pelvis with contrast | CPT | 74177 | 15 | $7,422 | $4,453.2 | $246.69 | $3,718.42 | $7,050.9 |
| CT abdomen and pelvis with and without contrast | CPT | 74178 | 15 | $9,539 | $5,723.4 | $326.02 | $4,779.04 | $9,062.05 |
| MRI abdomen without contrast | CPT | 74181 | 15 | $4,190 | $2,514 | $344.32 | $2,208.32 | $3,980.5 |
| MRI abdomen with and without contrast | CPT | 74183 | 15 | $6,684 | $4,010.4 | $604.49 | $3,348.68 | $6,349.8 |
| Abdominal ultrasound complete | CPT | 76700 | 15 | $1,528 | $916.8 | $73.6 | $808.31 | $2,315.52 |
| Abdominal ultrasound limited | CPT | 76705 | 15 | $1,151 | $690.6 | $48 | $608.88 | $2,315.52 |
| Retroperitoneal ultrasound complete | CPT | 76770 | 15 | $1,221 | $732.6 | $62.72 | $645.91 | $2,315.52 |
| Obstetric ultrasound first trimester | CPT | 76801 | 15 | $1,151 | $690.6 | $49.14 | $608.88 | $2,315.52 |
| Obstetric ultrasound after first trimester | CPT | 76805 | 15 | $1,151 | $690.6 | $59.52 | $608.88 | $2,315.52 |
| Transvaginal ultrasound | CPT | 76830 | 15 | $1,131 | $678.6 | $59.52 | $598.3 | $2,315.52 |
| Pelvic ultrasound complete | CPT | 76856 | 15 | $1,220 | $732 | $59.52 | $645.38 | $2,315.52 |
| Scrotal ultrasound | CPT | 76870 | 15 | $1,077 | $646.2 | $56.32 | $569.73 | $2,315.52 |
| Diagnostic mammography unilateral | CPT | 77065 | 14 | $528 | $316.8 | $79.2 | $293.57 | $2,315.52 |
| Diagnostic mammography bilateral | CPT | 77066 | 14 | $805 | $483 | $116.26 | $447.58 | $2,315.52 |
| Screening mammography bilateral | CPT | 77067 | 14 | $396 | $237.6 | $59.4 | $220.18 | $2,315.52 |
| EKG tracing only | CPT | 93005 | 15 | $453 | $271.8 | $11.51 | $239.64 | $2,315.52 |
| Transthoracic echocardiogram complete | CPT | 93306 | 15 | $3,775 | $2,265 | $125.62 | $1,996.97 | $3,586.25 |
| Transthoracic echocardiogram | CPT | 93307 | 15 | $1,414 | $848.4 | $121.6 | $748.01 | $2,315.52 |
| Stress echocardiogram | CPT | 93350 | 15 | $1,455 | $873 | $59.52 | $808.98 | $2,315.52 |
| inpatient | ||||||||
| Intracranial hemorrhage/CVA w MCC | MS-DRG | 064 | 5 | — | — | $2,208.32 | $30,069 | $35,052 |
| Intracranial hemorrhage/CVA w CC | MS-DRG | 065 | 5 | — | — | $2,208.32 | $16,243 | $22,020 |
| Intracranial hemorrhage/CVA w/o CC/MCC | MS-DRG | 066 | 5 | — | — | $2,208.32 | $11,003 | $17,201 |
| Respiratory infections & inflammations w MCC | MS-DRG | 177 | 5 | — | — | $2,208.32 | $23,270 | $27,013 |
| COPD w MCC | MS-DRG | 190 | 5 | — | — | $2,208.32 | $16,103 | $18,904 |
| COPD w CC | MS-DRG | 191 | 5 | — | — | $2,208.32 | $13,204 | $16,103 |
| COPD w/o CC/MCC | MS-DRG | 192 | 5 | — | — | $2,208.32 | $10,308 | $12,857 |
| Simple pneumonia & pleurisy w CC | MS-DRG | 194 | 5 | — | — | $2,208.32 | $12,563 | $15,254 |
| Simple pneumonia & pleurisy w/o CC/MCC | MS-DRG | 195 | 5 | — | — | $2,208.32 | $9,611.87 | $11,459 |
| AMI discharged alive w MCC | MS-DRG | 280 | 5 | — | — | $2,208.32 | $23,731 | $27,376 |
| AMI discharged alive w CC | MS-DRG | 281 | 5 | — | — | $2,208.32 | $14,777 | $18,874 |
| AMI discharged alive w/o CC/MCC | MS-DRG | 282 | 5 | — | — | $2,208.32 | $11,626 | $17,027 |
| Heart failure & shock w MCC | MS-DRG | 291 | 5 | — | — | $2,208.32 | $18,673 | $21,909 |
| Heart failure & shock w CC | MS-DRG | 292 | 5 | — | — | $2,208.32 | $12,538 | $14,489 |
| Heart failure & shock w/o CC/MCC | MS-DRG | 293 | 5 | — | — | $2,208.32 | $9,099.85 | $12,907 |
| Cardiac arrhythmia w MCC | MS-DRG | 308 | 5 | — | — | $2,208.32 | $17,423 | $20,548 |
| Cardiac arrhythmia w CC | MS-DRG | 309 | 5 | — | — | $2,208.32 | $10,803 | $12,556 |
| Cardiac arrhythmia w/o CC/MCC | MS-DRG | 310 | 5 | — | — | $2,208.32 | $8,377.14 | $9,661.75 |
| GI hemorrhage w CC | MS-DRG | 378 | 5 | — | — | $2,208.32 | $15,569 | $19,224 |
| GI hemorrhage w/o CC/MCC | MS-DRG | 379 | 5 | — | — | $2,208.32 | $10,135 | $13,556 |
| Esophagitis/gastroenteritis w/o MCC | MS-DRG | 392 | 5 | — | — | $2,208.32 | $11,388 | $13,305 |
| Fractures of femur w/o MCC | MS-DRG | 533 | 5 | — | — | $2,208.32 | $25,205 | $38,148 |
| Kidney/UTI w MCC | MS-DRG | 689 | 5 | — | — | $2,208.32 | $18,431 | $22,769 |
| Kidney/UTI w/o MCC | MS-DRG | 690 | 5 | — | — | $2,208.32 | $11,402 | $13,815 |
| Septicemia or severe sepsis w MV 96+ hrs | MS-DRG | 871 | 5 | — | — | $2,208.32 | $29,531 | $35,002 |
| Septicemia or severe sepsis w/o MV 96+ hrs | MS-DRG | 872 | 5 | — | — | $2,208.32 | $15,317 | $17,875 |
| lab | ||||||||
| Basic metabolic panel (BMP) | CPT | 80048 | 15 | $311 | $186.6 | $8.36 | $159.85 | $2,315.52 |
| Electrolyte panel | CPT | 80051 | 15 | $218 | $130.8 | $6.92 | $112.05 | $2,315.52 |
| Comprehensive metabolic panel | CPT | 80053 | 15 | $359 | $215.4 | $10.43 | $184.53 | $2,315.52 |
| Lipid panel | CPT | 80061 | 15 | $380 | $228 | $13.24 | $195.32 | $2,315.52 |
| Renal function panel | CPT | 80069 | 15 | $260 | $156 | $8.58 | $133.64 | $2,315.52 |
| Hepatic function panel | CPT | 80076 | 15 | $387 | $232.2 | $8.08 | $198.92 | $2,315.52 |
| Urinalysis non-automated | CPT | 81002 | 15 | $85 | $51 | $3.44 | $43.69 | $2,315.52 |
| Urinalysis automated | CPT | 81003 | 15 | $63 | $37.8 | $2.22 | $32.38 | $2,315.52 |
| Glucose quantitative | CPT | 82947 | 15 | $87 | $52.2 | $3.89 | $44.72 | $2,315.52 |
| Hemoglobin A1c | CPT | 83036 | 15 | $276 | $165.6 | $7.7 | $141.86 | $2,315.52 |
| Thyroid stimulating hormone (TSH) | CPT | 84443 | 15 | $748 | $448.8 | $16.6 | $384.47 | $2,315.52 |
| Complete blood count with automated differential | CPT | 85025 | 15 | $159 | $95.4 | $6.6 | $81.73 | $2,315.52 |
| Complete blood count without differential | CPT | 85027 | 15 | $134 | $80.4 | $6.39 | $68.88 | $2,315.52 |
| Urine culture bacterial | CPT | 87086 | 15 | $364 | $218.4 | $7.98 | $187.1 | $2,315.52 |
| Urine culture identification | CPT | 87088 | 15 | $128 | $76.8 | $8 | $65.79 | $2,315.52 |
| Tissue exam by pathologist level IV | CPT | 88305 | 15 | $417 | $250.2 | $11.52 | $214.34 | $2,315.52 |
| maternity | ||||||||
| Vaginal delivery only | CPT | 59409 | 15 | $1,688 | $1,012.8 | $253.2 | $1,136.02 | $2,628.39 |
| office | ||||||||
| Office visit, established patient, 5 min | CPT | 99211 | 15 | $192 | $115.2 | $22 | $101.57 | $2,315.52 |
| preventive | ||||||||
| Upper GI endoscopy diagnostic | CPT | 43235 | 15 | $5,877 | $3,526.2 | $137.74 | $2,944.38 | $5,583.15 |
| Upper GI endoscopy with biopsy | CPT | 43239 | 15 | $5,877 | $3,526.2 | $163.44 | $2,944.38 | $5,583.15 |
| Sigmoidoscopy diagnostic | CPT | 45330 | 15 | $1,099 | $659.4 | $58.47 | $581.37 | $2,315.52 |
| Sigmoidoscopy with biopsy | CPT | 45331 | 15 | $5,261 | $3,156.6 | $70.04 | $2,635.76 | $4,997.95 |
| Colonoscopy diagnostic | CPT | 45378 | 15 | $2,756 | $1,653.6 | $198.55 | $1,457.92 | $2,618.2 |
| Colonoscopy with biopsy | CPT | 45380 | 15 | $5,421 | $3,252.6 | $247.96 | $2,715.92 | $5,149.95 |
| Colonoscopy with polyp removal | CPT | 45385 | 15 | $5,421 | $3,252.6 | $294.89 | $2,715.92 | $5,149.95 |
| surgery | ||||||||
| Major small/large bowel procedures w MCC | MS-DRG | 329 | 5 | — | — | $2,208.32 | $65,236 | $78,444 |
| Major small/large bowel procedures w CC | MS-DRG | 330 | 5 | — | — | $2,208.32 | $36,877 | $44,214 |
| Major small/large bowel procedures w/o CC/MCC | MS-DRG | 331 | 5 | — | — | $2,208.32 | $26,819 | $33,229 |
| Laparoscopic cholecystectomy w/o CDE w MCC | MS-DRG | 418 | 5 | — | — | $2,208.32 | $26,301 | $31,856 |
| Laparoscopic cholecystectomy w/o CDE w CC | MS-DRG | 419 | 5 | — | — | $2,208.32 | $21,562 | $26,489 |
| Laparoscopic cholecystectomy w/o CDE w/o CC/MCC | MS-DRG | 420 | 5 | — | — | $2,208.32 | $54,778 | $83,436 |
| Spinal fusion (non-cervical) w MCC | MS-DRG | 459 | 2 | — | — | $2,208.32 | $2,261.92 | $2,315.52 |
| Spinal fusion (non-cervical) w/o MCC | MS-DRG | 460 | 2 | — | — | $2,208.32 | $2,261.92 | $2,315.52 |
| Major joint replacement w MCC | MS-DRG | 469 | 5 | — | — | $2,208.32 | $46,450 | $55,449 |
| Major joint replacement w/o MCC | MS-DRG | 470 | 5 | — | — | $2,208.32 | $27,349 | $32,919 |
| Hip & femur procedures except major joint w MCC | MS-DRG | 480 | 5 | — | — | $2,208.32 | $46,822 | $63,638 |
| Hip & femur procedures except major joint w CC | MS-DRG | 481 | 5 | — | — | $2,208.32 | $33,674 | $44,639 |
| Hip & femur procedures except major joint w/o CC/MCC | MS-DRG | 482 | 5 | — | — | $2,208.32 | $26,045 | $32,331 |
| OR procedure for obesity w MCC | MS-DRG | 619 | 5 | — | — | $2,208.32 | $44,999 | $54,625 |
| OR procedure for obesity w CC | MS-DRG | 620 | 5 | — | — | $2,208.32 | $25,623 | $31,881 |
| OR procedure for obesity w/o CC/MCC | MS-DRG | 621 | 5 | — | — | $2,208.32 | $22,319 | $25,742 |
| Uterine & adnexa procedures w CC/MCC | MS-DRG | 743 | 5 | — | — | $2,208.32 | $18,623 | $21,795 |
| Uterine & adnexa procedures w/o CC/MCC | MS-DRG | 744 | 5 | — | — | $2,208.32 | $23,532 | $34,970 |
Payer mix (top 15)
| Payer | Codes covered | Median rate |
|---|---|---|
| pa health & wellness | 136 | $851.72 |
| amerihealth caritas | 136 | $382.22 |
| Blue Cross Blue Shield | 134 | $572.76 |
| geisinger | 134 | $595.3 |
| upmc health plan | 134 | $247.96 |
| Multiplan | 91 | $1,616.94 |
| three rivers provider network | 91 | $822.79 |
| UnitedHealthcare | 91 | $436.85 |
| wirerope works | 91 | $1,152.59 |
| america's choice | 91 | $1,658.4 |
| Cigna | 91 | $737.75 |
| First Health | 91 | $1,115.96 |
| intergroup | 91 | $1,658.4 |
| Aetna | 91 | $998.65 |
| upmc work partners | 88 | $392.19 |