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Caffeine citrate 20 mg/ml inj for po at UPMC Wellsboro

32-36 Central Ave, Wellsboro, PA · UPMC · · NPI 1427501766

Source: hospital's published price file ↗ · Published Mar 6, 2026 · Ingested Aug 13, 2026

$111.00

Cash price

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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.

$185.00

Gross charge

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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.

$2.70 with Aetna vs $14.25 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.

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Payer
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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
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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 $2.70 ↓ -98%
Highmark BCBS of PA Medicare $3.00 ↓ -97%
Highmark Wholecare (prev Gateway) Medicare $3.00 ↓ -97%
UPMC Health Plan Managed Medicare $3.06 ↓ -97%
Cigna Medicare $3.15 ↓ -97%
United Healthcare Medicare $3.21 ↓ -97%
PA Health & Wellness Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) $3.24 ↓ -97%
UPMC Work Partners Workers Comp $5.67 ↓ -95%
Highmark BCBS of PA Commercial - Social Mission Indemnity $6.44 ↓ -94%
UPMC Health Plan Commercial $6.54 ↓ -94%
Highmark BCBS of PA Commercial $7.59 ↓ -93%
PA Health & Wellness Community Health Choices/PA Medicaid HMO $8.25 ↓ -93%
Wirerope Works Commercial $8.34 ↓ -92%
Geisinger Commercial $10.05 ↓ -91%
Aetna PEBTF Custom Network $11.00 ↓ -90%
Multiplan Auto $11.70 ↓ -89%
Multiplan PPO (Includes PHCS as a Payer) $11.70 ↓ -89%
United Healthcare Commercial $12.75 ↓ -89%
Aetna Commercial $12.95 ↓ -88%
America's Choice PPO $13.50 ↓ -88%
InterGroup PPO $13.50 ↓ -88%
Multiplan Worker's Compensation $14.25 ↓ -87%

Visitor-reported prices

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Caffeine citrate 20 mg/ml inj for po at other Pennsylvania hospitals

Hospital City Cash price Negotiated range
UPMC Mercy Pittsburgh $15.60 $0.25 – $5.69
UPMC Muncy Muncy $111.00 $2.25 – $13.50
UPMC Passavant-McCandless Pittsburgh $28.80 $1.00 – $5.74
UPMC Presbyterian Pittsburgh $276.00 $5.74 – $32.30
UPMC Somerset Somerset $7.20 $0.67 – $5.63
UPMC Western Psychiatric Pittsburgh $22.95 $5.63 – $32.51
UPMC Williamsport Williamsport $109.80 $4.05 – $13.50
UPMC Northwest Seneca not published $0.25 – $14.76

All Pennsylvania hospitals for this procedure →