healthcosts.net
C-reactive protein high sensitivity at UPMC Wellsboro
32-36 Central Ave, Wellsboro, PA · UPMC · · NPI 1427501766
$571.20
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.
?
What you pay up front if you don't use insurance.
$952.00
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.
$10.53 with AmeriHealth Caritas vs $649.80 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 |
|---|---|---|---|
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $10.53 | ↓ -98% |
| Geisinger | Medicaid/CHIP | $11.58 | ↓ -98% |
| UPMC Health Plan | CHIP | $11.58 | ↓ -98% |
| UPMC Health Plan | Managed Medicaid | $11.58 | ↓ -98% |
| Highmark Wholecare (prev Gateway) | Medicaid | $11.74 | ↓ -98% |
| UPMC Work Partners | Workers Comp | $12.80 | ↓ -98% |
| United Healthcare Community Plan for Families | PA Medicaid | $13.48 | ↓ -98% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $15.88 | ↓ -97% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $17.95 | ↓ -97% |
| Aetna | Medicare | $123.12 | ↓ -78% |
| Highmark BCBS of PA | Medicare | $136.80 | ↓ -76% |
| Highmark Wholecare (prev Gateway) | Medicare | $136.80 | ↓ -76% |
| UPMC Health Plan | Managed Medicare | $139.54 | ↓ -76% |
| Cigna | Medicare | $143.64 | ↓ -75% |
| United Healthcare | Medicare | $146.38 | ↓ -74% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $147.74 | ↓ -74% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $293.71 | ↓ -49% |
| UPMC Health Plan | Commercial | $298.22 | ↓ -48% |
| Highmark BCBS of PA | Commercial | $345.90 | ↓ -39% |
| Wirerope Works | Commercial | $380.30 | ↓ -33% |
| Geisinger | Commercial | $458.28 | ↓ -20% |
| Aetna | PEBTF Custom Network | $501.78 | ↓ -12% |
| Multiplan | Auto | $533.52 | ↓ -7% |
| Multiplan | PPO (Includes PHCS as a Payer) | $533.52 | ↓ -7% |
| United Healthcare | Commercial | $581.40 | ↑ +2% |
| Aetna | Commercial | $590.29 | ↑ +3% |
| America's Choice | PPO | $615.60 | ↑ +8% |
| InterGroup | PPO | $615.60 | ↑ +8% |
| Multiplan | Worker's Compensation | $649.80 | ↑ +14% |
Visitor-reported prices
Comments
C-reactive protein high sensitivity at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $126.60 | $11.58 – $179.35 |
| UPMC Mercy | Pittsburgh | $168.60 | $10.80 – $252.90 |
| UPMC Muncy | Muncy | $452.40 | $11.58 – $603.20 |
| UPMC Northwest | Seneca | $137.40 | $11.58 – $194.65 |
| UPMC Presbyterian | Pittsburgh | $169.20 | $10.53 – $239.70 |
| UPMC Somerset | Somerset | $72.60 | $11.58 – $90.75 |
| UPMC St. Margaret | Pittsburgh | $453.00 | $11.18 – $641.75 |
| UPMC Williamsport | Williamsport | $452.40 | $11.58 – $603.20 |