healthcosts.net
App high cost ss f/n/g/h/f <100sq cm addl <25sq cm at UPMC Wellsboro
32-36 Central Ave, Wellsboro, PA · UPMC · · NPI 1427501766
$315.20
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.
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What you pay up front if you don't use insurance.
$435.00
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.
$12.24 with Aetna vs $84.32 with United Healthcare — 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 | $12.24 | ↓ -96% |
| Highmark BCBS of PA | Medicare | $13.60 | ↓ -96% |
| Highmark Wholecare (prev Gateway) | Medicare | $13.60 | ↓ -96% |
| UPMC Health Plan | Managed Medicare | $13.87 | ↓ -96% |
| Cigna | Medicare | $14.28 | ↓ -95% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $14.69 | ↓ -95% |
| United Healthcare Community Plan for Families | PA Medicaid | $25.19 | ↓ -92% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $29.20 | ↓ -91% |
| UPMC Health Plan | Commercial | $29.65 | ↓ -91% |
| Highmark BCBS of PA | Commercial | $34.39 | ↓ -89% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $37.40 | ↓ -88% |
| Wirerope Works | Commercial | $37.81 | ↓ -88% |
| Geisinger | Commercial | $45.56 | ↓ -86% |
| UPMC Work Partners | Workers Comp | $48.19 | ↓ -85% |
| Aetna | PEBTF Custom Network | $49.88 | ↓ -84% |
| Multiplan | Auto | $53.04 | ↓ -83% |
| Multiplan | PPO (Includes PHCS as a Payer) | $53.04 | ↓ -83% |
| United Healthcare | Commercial | $57.80 | ↓ -82% |
| Aetna | Commercial | $58.68 | ↓ -81% |
| America's Choice | PPO | $61.20 | ↓ -81% |
| InterGroup | PPO | $61.20 | ↓ -81% |
| Multiplan | Worker's Compensation | $64.60 | ↓ -80% |
| United Healthcare | Medicare | $84.32 | ↓ -73% |
Visitor-reported prices
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App high cost ss f/n/g/h/f <100sq cm addl <25sq cm at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $345.60 | $48.19 – $489.60 |
| UPMC Mercy | Pittsburgh | $384.00 | $53.17 – $576.00 |
| UPMC Presbyterian | Pittsburgh | $634.80 | $23.62 – $899.30 |
| UPMC St. Margaret | Pittsburgh | $433.20 | $48.19 – $613.70 |