healthcosts.net
Alpha-1-proteinase inhibitor (human) 1,000 mg (+/-) IV solution at UPMC Wellsboro
32-36 Central Ave, Wellsboro, PA · UPMC · · NPI 1427501766
$29.80
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.
?
What you pay up front if you don't use insurance.
$37.25
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.
$5.46 with AmeriHealth Caritas vs $33.25 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 |
|---|---|---|---|
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $5.46 | ↓ -82% |
| Geisinger | CHIP | $5.46 | ↓ -82% |
| Geisinger | Medicaid/CHIP | $5.46 | ↓ -82% |
| Highmark Wholecare (prev Gateway) | Medicaid | $5.46 | ↓ -82% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $5.46 | ↓ -82% |
| United Healthcare Community Plan for Families | PA Medicaid | $5.46 | ↓ -82% |
| UPMC Health Plan | CHIP | $6.00 | ↓ -80% |
| UPMC Health Plan | Managed Medicaid | $6.00 | ↓ -80% |
| Aetna | Medicare | $6.30 | ↓ -79% |
| Highmark BCBS of PA | Medicare | $7.00 | ↓ -77% |
| Highmark Wholecare (prev Gateway) | Medicare | $7.00 | ↓ -77% |
| UPMC Health Plan | Managed Medicare | $7.14 | ↓ -76% |
| Cigna | Medicare | $7.35 | ↓ -75% |
| United Healthcare | Medicare | $7.49 | ↓ -75% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $7.56 | ↓ -75% |
| UPMC Work Partners | Workers Comp | $13.23 | ↓ -56% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $15.03 | ↓ -50% |
| UPMC Health Plan | Commercial | $15.26 | ↓ -49% |
| Highmark BCBS of PA | Commercial | $17.70 | ↓ -41% |
| Wirerope Works | Commercial | $19.46 | ↓ -35% |
| Geisinger | Commercial | $23.45 | ↓ -21% |
| Aetna | PEBTF Custom Network | $25.68 | ↓ -14% |
| Multiplan | Auto | $27.30 | ↓ -8% |
| Multiplan | PPO (Includes PHCS as a Payer) | $27.30 | ↓ -8% |
| United Healthcare | Commercial | $29.75 | ↓ -0% |
| Aetna | Commercial | $30.20 | ↑ +1% |
| America's Choice | PPO | $31.50 | ↑ +6% |
| InterGroup | PPO | $31.50 | ↑ +6% |
| Multiplan | Worker's Compensation | $33.25 | ↑ +12% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Alpha-1-proteinase inhibitor (human) 1,000 mg (+/-) IV solution at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $40.40 | $3.45 – $45.00 |
| UPMC Muncy | Muncy | $29.80 | $5.25 – $31.50 |
| UPMC Northwest | Seneca | $40.40 | $3.45 – $40.80 |
| UPMC Passavant-McCandless | Pittsburgh | $59.40 | $3.45 – $42.50 |
| UPMC Presbyterian | Pittsburgh | $59.40 | $3.45 – $84.15 |
| UPMC Somerset | Somerset | $378.00 | $5.41 – $236.25 |
| UPMC St. Margaret | Pittsburgh | $51.00 | $3.45 – $53.55 |
| UPMC Western Psychiatric | Pittsburgh | $59.40 | $5.46 – $84.15 |