healthcosts.net
Allergy injection; single 95115 at UPMC Wellsboro
32-36 Central Ave, Wellsboro, PA · UPMC · · NPI 1427501766
$10.20
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.
$17.00
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.
$1.26 with Aetna vs $28.62 with UPMC Work Partners — 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 | $1.26 | ↓ -88% |
| Highmark BCBS of PA | Medicare | $1.40 | ↓ -86% |
| Highmark Wholecare (prev Gateway) | Medicare | $1.40 | ↓ -86% |
| UPMC Health Plan | Managed Medicare | $1.43 | ↓ -86% |
| Cigna | Medicare | $1.47 | ↓ -86% |
| United Healthcare | Medicare | $1.50 | ↓ -85% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $1.51 | ↓ -85% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $3.01 | ↓ -70% |
| UPMC Health Plan | Commercial | $3.05 | ↓ -70% |
| Highmark BCBS of PA | Commercial | $3.54 | ↓ -65% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $3.85 | ↓ -62% |
| Wirerope Works | Commercial | $3.89 | ↓ -62% |
| United Healthcare Community Plan for Families | PA Medicaid | $4.48 | ↓ -56% |
| Geisinger | Commercial | $4.69 | ↓ -54% |
| Aetna | PEBTF Custom Network | $5.14 | ↓ -50% |
| Multiplan | Auto | $5.46 | ↓ -46% |
| Multiplan | PPO (Includes PHCS as a Payer) | $5.46 | ↓ -46% |
| United Healthcare | Commercial | $5.95 | ↓ -42% |
| Aetna | Commercial | $6.04 | ↓ -41% |
| America's Choice | PPO | $6.30 | ↓ -38% |
| InterGroup | PPO | $6.30 | ↓ -38% |
| Multiplan | Worker's Compensation | $6.65 | ↓ -35% |
| UPMC Work Partners | Workers Comp | $28.62 | ↑ +181% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Allergy injection; single 95115 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Presbyterian | Pittsburgh | $52.20 | $4.20 – $73.95 |