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Allograft amniotic activebarrier 200 2x2cm-q4100-cost per sheet at UPMC Wellsboro
32-36 Central Ave, Wellsboro, PA · UPMC · · NPI 1427501766
$2,929.80
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.
$4,883.00
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.
$604.62 with Aetna vs $3,191.05 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 | $604.62 | ↓ -79% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $638.21 | ↓ -78% |
| Highmark BCBS of PA | Medicare | $671.80 | ↓ -77% |
| Highmark Wholecare (prev Gateway) | Medicaid | $671.80 | ↓ -77% |
| Highmark Wholecare (prev Gateway) | Medicare | $671.80 | ↓ -77% |
| UPMC Health Plan | Managed Medicare | $685.24 | ↓ -77% |
| Cigna | Medicare | $705.39 | ↓ -76% |
| United Healthcare | Medicare | $718.83 | ↓ -75% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $725.54 | ↓ -75% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $1,108.47 | ↓ -62% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $1,442.35 | ↓ -51% |
| UPMC Health Plan | Commercial | $1,464.52 | ↓ -50% |
| Highmark BCBS of PA | Commercial | $1,698.65 | ↓ -42% |
| Wirerope Works | Commercial | $1,867.60 | ↓ -36% |
| Geisinger | Commercial | $2,250.53 | ↓ -23% |
| Aetna | PEBTF Custom Network | $2,464.16 | ↓ -16% |
| Multiplan | Auto | $2,620.02 | ↓ -11% |
| Multiplan | PPO (Includes PHCS as a Payer) | $2,620.02 | ↓ -11% |
| United Healthcare | Commercial | $2,855.15 | ↓ -3% |
| Aetna | Commercial | $2,898.82 | ↓ -1% |
| America's Choice | PPO | $3,023.10 | ↑ +3% |
| InterGroup | PPO | $3,023.10 | ↑ +3% |
| Multiplan | Worker's Compensation | $3,191.05 | ↑ +9% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
Visitor-reported prices
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Allograft amniotic activebarrier 200 2x2cm-q4100-cost per sheet at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Muncy | Muncy | $2,221.80 | $555.45 – $3,332.70 |
| UPMC Passavant-McCandless | Pittsburgh | $6,838.20 | $319.22 – $5,230.33 |
| UPMC Presbyterian | Pittsburgh | $19,476.00 | $717.36 – $5,827.55 |
| UPMC St. Margaret | Pittsburgh | $4,444.20 | $1,481.40 – $6,295.95 |
| UPMC Williamsport | Williamsport | $2,982.60 | $265.00 – $1,192.50 |