healthcosts.net
Application skin substitute graft face/scalp/neck/genit/hnd/ft <100 sq cm 1st 25 sq cm at UPMC Wellsboro
32-36 Central Ave, Wellsboro, PA · UPMC · · NPI 1427501766
$170.40
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.
?
What you pay up front if you don't use insurance.
$284.00
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.
$15.53 with Aetna vs $993.28 with United Healthcare Community Plan for Families — 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 | $15.53 | ↓ -91% |
| Highmark BCBS of PA | Medicare | $17.25 | ↓ -90% |
| Highmark Wholecare (prev Gateway) | Medicare | $17.25 | ↓ -90% |
| UPMC Health Plan | Managed Medicare | $17.59 | ↓ -90% |
| Cigna | Medicare | $18.11 | ↓ -89% |
| United Healthcare | Medicare | $18.46 | ↓ -89% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $18.63 | ↓ -89% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $37.04 | ↓ -78% |
| UPMC Health Plan | Commercial | $37.60 | ↓ -78% |
| Highmark BCBS of PA | Commercial | $43.62 | ↓ -74% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $47.44 | ↓ -72% |
| Wirerope Works | Commercial | $47.95 | ↓ -72% |
| Geisinger | Commercial | $57.79 | ↓ -66% |
| Aetna | PEBTF Custom Network | $63.27 | ↓ -63% |
| Multiplan | Auto | $67.28 | ↓ -61% |
| Multiplan | PPO (Includes PHCS as a Payer) | $67.28 | ↓ -61% |
| United Healthcare | Commercial | $73.31 | ↓ -57% |
| Aetna | Commercial | $74.43 | ↓ -56% |
| America's Choice | PPO | $77.62 | ↓ -54% |
| InterGroup | PPO | $77.62 | ↓ -54% |
| Multiplan | Worker's Compensation | $81.94 | ↓ -52% |
| UPMC Work Partners | Workers Comp | $219.71 | ↑ +29% |
| United Healthcare Community Plan for Families | PA Medicaid | $993.28 | ↑ +483% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Application skin substitute graft face/scalp/neck/genit/hnd/ft <100 sq cm 1st 25 sq cm at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $2,561.40 | $219.71 – $3,628.65 |
| UPMC Mercy | Pittsburgh | $2,682.00 | $246.45 – $4,023.00 |
| UPMC Northwest | Seneca | $2,992.20 | $219.71 – $4,238.95 |
| UPMC Presbyterian | Pittsburgh | $4,429.20 | $246.45 – $6,274.70 |
| UPMC St. Margaret | Pittsburgh | $2,764.80 | $219.71 – $3,916.80 |
| UPMC Williamsport | Williamsport | $1,242.60 | $219.71 – $1,883.29 |
| UPMC Somerset | Somerset | not published | $219.71 – $1,883.29 |