healthcosts.net
Ado-trastuzumab emtansine 100 mg intravenous solution at UPMC Wellsboro
32-36 Central Ave, Wellsboro, PA · UPMC · · NPI 1427501766
$139.20
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.
?
What you pay up front if you don't use insurance.
$232.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$41.76 with Aetna vs $220.40 with Multiplan — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $41.76 | ↓ -70% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $42.16 | ↓ -70% |
| Geisinger | CHIP | $42.16 | ↓ -70% |
| Geisinger | Medicaid/CHIP | $42.16 | ↓ -70% |
| Highmark Wholecare (prev Gateway) | Medicaid | $42.16 | ↓ -70% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $42.16 | ↓ -70% |
| United Healthcare Community Plan for Families | PA Medicaid | $42.16 | ↓ -70% |
| UPMC Health Plan | CHIP | $46.38 | ↓ -67% |
| UPMC Health Plan | Managed Medicaid | $46.38 | ↓ -67% |
| Highmark BCBS of PA | Medicare | $46.40 | ↓ -67% |
| Highmark Wholecare (prev Gateway) | Medicare | $46.40 | ↓ -67% |
| UPMC Health Plan | Managed Medicare | $47.33 | ↓ -66% |
| Cigna | Medicare | $48.72 | ↓ -65% |
| United Healthcare | Medicare | $49.65 | ↓ -64% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $50.11 | ↓ -64% |
| UPMC Work Partners | Workers Comp | $87.70 | ↓ -37% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $99.62 | ↓ -28% |
| UPMC Health Plan | Commercial | $101.15 | ↓ -27% |
| Highmark BCBS of PA | Commercial | $117.32 | ↓ -16% |
| Wirerope Works | Commercial | $128.99 | ↓ -7% |
| Geisinger | Commercial | $155.44 | ↑ +12% |
| Aetna | PEBTF Custom Network | $170.20 | ↑ +22% |
| Multiplan | Auto | $180.96 | ↑ +30% |
| Multiplan | PPO (Includes PHCS as a Payer) | $180.96 | ↑ +30% |
| United Healthcare | Commercial | $197.20 | ↑ +42% |
| Aetna | Commercial | $200.22 | ↑ +44% |
| America's Choice | PPO | $208.80 | ↑ +50% |
| InterGroup | PPO | $208.80 | ↑ +50% |
| Multiplan | Worker's Compensation | $220.40 | ↑ +58% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Ado-trastuzumab emtansine 100 mg intravenous solution at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $102.60 | $23.33 – $153.90 |
| UPMC Northwest | Seneca | $108.60 | $26.62 – $153.85 |
| UPMC Passavant-McCandless | Pittsburgh | $106.80 | $23.55 – $151.30 |
| UPMC Somerset | Somerset | $3,735.60 | $23.09 – $2,918.25 |
| UPMC Williamsport | Williamsport | $139.20 | $42.16 – $208.80 |
| UPMC St. Margaret | Pittsburgh | not published | $23.55 – $7,004.94 |