CMS Price Transparency Data

Spinal fusion, single level (inpatient stay)

Facility: UPMC Muncy

Billing Code: 451 (MS-DRG)

The BaseRate · fair price medium confidence
A fair price for this
$32,774
about 1.4× the $23,504 Medicare rate · typically $13,529–$52,714
modeled estimate · not a bill or quote
What this hospital charges insurers
$49,849
Above the fair price
about $17,075 over the fair price · 2.1× Medicare
Medicare pays $23,504 Fair price $32,774 This hospital $49,849

How we calculate the fair BaseRate →

How this hospital compares to other PA hospitals

Highest price of the 9 PA hospitals we have prices for — worth calling around.

Cheapest $11,459 Priciest $49,849

Black dot = this hospital, among the 9 PA hospitals with a price for this procedure. Full list below.

A fair price for a Spinal fusion, single level (inpatient stay) is about $32,774 (about 1.4× the $23,504 Medicare rate). UPMC Muncy charges insurers about $49,849 — above the fair price. Located in Muncy, PA.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $32,774. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

1 of 6 major insurers have a published price at this hospital

✓ Blue Cross Blue Shield UnitedHealthcareAetnaCignaHumanaKaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
Blue Cross Blue Shieldmajor $43,312 - $50,955 184%
Geisinger $55,130 235%
UPMC Health Plan $48,743 207%

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 215 East Water Street, Muncy, PA 17756
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals