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Assay of prostaglandin at UPMC Wellsboro
32-36 Central Ave, Wellsboro, PA · UPMC · · NPI 1427501766
$964.00
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.
$1,328.00
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.
$11.00 with AmeriHealth Caritas vs $263.15 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 | $11.00 | ↓ -99% |
| Geisinger | Medicaid/CHIP | $12.10 | ↓ -99% |
| UPMC Health Plan | CHIP | $12.10 | ↓ -99% |
| UPMC Health Plan | Managed Medicaid | $12.10 | ↓ -99% |
| Highmark Wholecare (prev Gateway) | Medicaid | $12.27 | ↓ -99% |
| United Healthcare Community Plan for Families | PA Medicaid | $14.08 | ↓ -99% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $16.59 | ↓ -98% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $18.75 | ↓ -98% |
| UPMC Work Partners | Workers Comp | $41.28 | ↓ -96% |
| Aetna | Medicare | $49.86 | ↓ -95% |
| Highmark BCBS of PA | Medicare | $55.40 | ↓ -94% |
| Highmark Wholecare (prev Gateway) | Medicare | $55.40 | ↓ -94% |
| UPMC Health Plan | Managed Medicare | $56.51 | ↓ -94% |
| Cigna | Medicare | $58.17 | ↓ -94% |
| United Healthcare | Medicare | $59.28 | ↓ -94% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $59.83 | ↓ -94% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $118.94 | ↓ -88% |
| UPMC Health Plan | Commercial | $120.77 | ↓ -87% |
| Highmark BCBS of PA | Commercial | $140.08 | ↓ -85% |
| Wirerope Works | Commercial | $154.01 | ↓ -84% |
| Geisinger | Commercial | $185.59 | ↓ -81% |
| Aetna | PEBTF Custom Network | $203.21 | ↓ -79% |
| Multiplan | Auto | $216.06 | ↓ -78% |
| Multiplan | PPO (Includes PHCS as a Payer) | $216.06 | ↓ -78% |
| United Healthcare | Commercial | $235.45 | ↓ -76% |
| Aetna | Commercial | $239.05 | ↓ -75% |
| America's Choice | PPO | $249.30 | ↓ -74% |
| InterGroup | PPO | $249.30 | ↓ -74% |
| Multiplan | Worker's Compensation | $263.15 | ↓ -73% |
Visitor-reported prices
Comments
Assay of prostaglandin at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $618.60 | $12.10 – $232.05 |
| UPMC Mercy | Pittsburgh | $192.00 | $12.10 – $288.00 |
| UPMC Muncy | Muncy | $183.60 | $12.10 – $244.80 |
| UPMC Northwest | Seneca | $298.20 | $12.10 – $422.45 |
| UPMC Presbyterian | Pittsburgh | $222.60 | $11.00 – $315.35 |
| UPMC Somerset | Somerset | $211.80 | $12.10 – $264.75 |
| UPMC St. Margaret | Pittsburgh | $1,074.60 | $12.10 – $1,522.35 |
| UPMC Williamsport | Williamsport | $796.80 | $12.10 – $1,062.40 |