Adalimumab injection at UPMC Wellsboro
32-36 Central Ave, Wellsboro, PA · UPMC · · NPI 1427501766
$7,692.60
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.
$12,821.00
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.
$1,153.98 with Aetna vs $6,090.45 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 |
|---|---|---|---|
| Aetna | Medicare | $1,153.98 | ↓ -85% |
| Highmark Wholecare (prev Gateway) | Medicare | $1,282.20 | ↓ -83% |
| Highmark BCBS of PA | Medicare | $1,282.20 | ↓ -83% |
| UPMC Health Plan | Managed Medicare | $1,307.84 | ↓ -83% |
| Cigna | Medicare | $1,346.31 | ↓ -82% |
| United Healthcare | Medicare | $1,371.95 | ↓ -82% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $1,384.78 | ↓ -82% |
| UPMC Work Partners | Workers Comp | $2,423.36 | ↓ -68% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $2,752.88 | ↓ -64% |
| UPMC Health Plan | Commercial | $2,795.20 | ↓ -64% |
| Highmark BCBS of PA | Commercial | $3,242.04 | ↓ -58% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $3,526.05 | ↓ -54% |
| Wirerope Works | Commercial | $3,564.52 | ↓ -54% |
| Geisinger | Commercial | $4,295.37 | ↓ -44% |
| Aetna | PEBTF Custom Network | $4,703.11 | ↓ -39% |
| Multiplan | PPO (Includes PHCS as a Payer) | $5,000.58 | ↓ -35% |
| Multiplan | Auto | $5,000.58 | ↓ -35% |
| United Healthcare | Commercial | $5,449.35 | ↓ -29% |
| Aetna | Commercial | $5,532.69 | ↓ -28% |
| InterGroup | PPO | $5,769.90 | ↓ -25% |
| America's Choice | PPO | $5,769.90 | ↓ -25% |
| Multiplan | Worker's Compensation | $6,090.45 | ↓ -21% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
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Adalimumab injection at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Cole | Coudersport | $1,089.60 | $503.40 – $1,452.80 |
| UPMC Magee | Pittsburgh | $3,013.20 | $600.78 – $1,366.61 |
| UPMC Passavant-McCandless | Pittsburgh | $6,687.00 | $600.78 – $600.78 |