healthcosts.net
Bilirubin total at UPMC Wellsboro
32-36 Central Ave, Wellsboro, PA · UPMC · · NPI 1427501766
$161.60
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.
$202.00
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.
$4.96 with UPMC Work Partners vs $108.30 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 |
|---|---|---|---|
| UPMC Work Partners | Workers Comp | $4.96 | ↓ -97% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $6.93 | ↓ -96% |
| Geisinger | Medicaid/CHIP | $7.62 | ↓ -95% |
| UPMC Health Plan | CHIP | $7.62 | ↓ -95% |
| UPMC Health Plan | Managed Medicaid | $7.62 | ↓ -95% |
| Highmark Wholecare (prev Gateway) | Medicaid | $7.73 | ↓ -95% |
| United Healthcare Community Plan for Families | PA Medicaid | $8.87 | ↓ -95% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $10.45 | ↓ -94% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $11.81 | ↓ -93% |
| Aetna | Medicare | $20.52 | ↓ -87% |
| Highmark BCBS of PA | Medicare | $22.80 | ↓ -86% |
| Highmark Wholecare (prev Gateway) | Medicare | $22.80 | ↓ -86% |
| UPMC Health Plan | Managed Medicare | $23.26 | ↓ -86% |
| Cigna | Medicare | $23.94 | ↓ -85% |
| United Healthcare | Medicare | $24.40 | ↓ -85% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $24.62 | ↓ -85% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $48.95 | ↓ -70% |
| UPMC Health Plan | Commercial | $49.70 | ↓ -69% |
| Highmark BCBS of PA | Commercial | $57.65 | ↓ -64% |
| Wirerope Works | Commercial | $63.38 | ↓ -61% |
| Geisinger | Commercial | $76.38 | ↓ -53% |
| Aetna | PEBTF Custom Network | $83.63 | ↓ -48% |
| Multiplan | Auto | $88.92 | ↓ -45% |
| Multiplan | PPO (Includes PHCS as a Payer) | $88.92 | ↓ -45% |
| United Healthcare | Commercial | $96.90 | ↓ -40% |
| Aetna | Commercial | $98.38 | ↓ -39% |
| America's Choice | PPO | $102.60 | ↓ -37% |
| InterGroup | PPO | $102.60 | ↓ -37% |
| Multiplan | Worker's Compensation | $108.30 | ↓ -33% |
Visitor-reported prices
Comments
Bilirubin total at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $126.60 | $4.67 – $179.35 |
| UPMC Mercy | Pittsburgh | $58.80 | $4.18 – $88.20 |
| UPMC Muncy | Muncy | $133.80 | $4.96 – $101.60 |
| UPMC Northwest | Seneca | $33.00 | $4.55 – $46.75 |
| UPMC Presbyterian | Pittsburgh | $231.60 | $4.96 – $328.10 |
| UPMC Somerset | Somerset | $25.20 | $4.96 – $26.25 |
| UPMC St. Margaret | Pittsburgh | $66.60 | $4.33 – $94.35 |
| UPMC Williamsport | Williamsport | $75.60 | $4.96 – $100.80 |