healthcosts.net
Anaplsma phgcytophlm amp prb at UPMC Wellsboro
32-36 Central Ave, Wellsboro, PA · UPMC · · NPI 1427501766
$290.40
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.
$484.00
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.
$28.07 with AmeriHealth Caritas vs $459.80 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 |
|---|---|---|---|
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $28.07 | ↓ -90% |
| Geisinger | Medicaid/CHIP | $30.88 | ↓ -89% |
| UPMC Health Plan | CHIP | $30.88 | ↓ -89% |
| UPMC Health Plan | Managed Medicaid | $30.88 | ↓ -89% |
| Highmark Wholecare (prev Gateway) | Medicaid | $31.30 | ↓ -89% |
| UPMC Work Partners | Workers Comp | $34.68 | ↓ -88% |
| United Healthcare Community Plan for Families | PA Medicaid | $35.93 | ↓ -88% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $42.33 | ↓ -85% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $47.84 | ↓ -84% |
| Aetna | Medicare | $87.12 | ↓ -70% |
| Highmark BCBS of PA | Medicare | $96.80 | ↓ -67% |
| Highmark Wholecare (prev Gateway) | Medicare | $96.80 | ↓ -67% |
| UPMC Health Plan | Managed Medicare | $98.74 | ↓ -66% |
| Cigna | Medicare | $101.64 | ↓ -65% |
| United Healthcare | Medicare | $103.58 | ↓ -64% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $104.54 | ↓ -64% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $207.83 | ↓ -28% |
| UPMC Health Plan | Commercial | $211.02 | ↓ -27% |
| Highmark BCBS of PA | Commercial | $244.76 | ↓ -16% |
| Wirerope Works | Commercial | $269.10 | ↓ -7% |
| Geisinger | Commercial | $324.28 | ↑ +12% |
| Aetna | PEBTF Custom Network | $355.06 | ↑ +22% |
| Multiplan | Auto | $377.52 | ↑ +30% |
| Multiplan | PPO (Includes PHCS as a Payer) | $377.52 | ↑ +30% |
| United Healthcare | Commercial | $411.40 | ↑ +42% |
| Aetna | Commercial | $417.69 | ↑ +44% |
| America's Choice | PPO | $435.60 | ↑ +50% |
| InterGroup | PPO | $435.60 | ↑ +50% |
| Multiplan | Worker's Compensation | $459.80 | ↑ +58% |
Visitor-reported prices
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Anaplsma phgcytophlm amp prb at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $355.80 | $13.98 – $533.70 |
| UPMC Muncy | Muncy | $290.40 | $30.88 – $387.20 |
| UPMC Northwest | Seneca | $189.00 | $30.88 – $267.75 |
| UPMC Passavant-McCandless | Pittsburgh | $331.20 | $14.11 – $469.20 |
| UPMC Presbyterian | Pittsburgh | $451.20 | $14.11 – $639.20 |
| UPMC Somerset | Somerset | $70.80 | $13.84 – $88.50 |
| UPMC St. Margaret | Pittsburgh | $349.80 | $14.11 – $495.55 |
| UPMC Williamsport | Williamsport | $290.40 | $30.88 – $387.20 |