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Carcinoembryonic ag (cea) at UPMC Wellsboro
32-36 Central Ave, Wellsboro, PA · UPMC · · NPI 1427501766
$496.80
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.
$685.00
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.
$17.00 with AmeriHealth Caritas vs $478.80 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 | $17.00 | ↓ -97% |
| Geisinger | Medicaid/CHIP | $18.70 | ↓ -96% |
| UPMC Health Plan | CHIP | $18.70 | ↓ -96% |
| UPMC Health Plan | Managed Medicaid | $18.70 | ↓ -96% |
| UPMC Work Partners | Workers Comp | $18.73 | ↓ -96% |
| Highmark Wholecare (prev Gateway) | Medicaid | $18.95 | ↓ -96% |
| United Healthcare Community Plan for Families | PA Medicaid | $21.76 | ↓ -96% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $25.64 | ↓ -95% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $28.97 | ↓ -94% |
| Aetna | Medicare | $90.72 | ↓ -82% |
| Highmark BCBS of PA | Medicare | $100.80 | ↓ -80% |
| Highmark Wholecare (prev Gateway) | Medicare | $100.80 | ↓ -80% |
| UPMC Health Plan | Managed Medicare | $102.82 | ↓ -79% |
| Cigna | Medicare | $105.84 | ↓ -79% |
| United Healthcare | Medicare | $107.86 | ↓ -78% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $108.86 | ↓ -78% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $216.42 | ↓ -56% |
| UPMC Health Plan | Commercial | $219.74 | ↓ -56% |
| Highmark BCBS of PA | Commercial | $254.87 | ↓ -49% |
| Wirerope Works | Commercial | $280.22 | ↓ -44% |
| Geisinger | Commercial | $337.68 | ↓ -32% |
| Aetna | PEBTF Custom Network | $369.73 | ↓ -26% |
| Multiplan | Auto | $393.12 | ↓ -21% |
| Multiplan | PPO (Includes PHCS as a Payer) | $393.12 | ↓ -21% |
| United Healthcare | Commercial | $428.40 | ↓ -14% |
| Aetna | Commercial | $434.95 | ↓ -12% |
| America's Choice | PPO | $453.60 | ↓ -9% |
| InterGroup | PPO | $453.60 | ↓ -9% |
| Multiplan | Worker's Compensation | $478.80 | ↓ -4% |
Visitor-reported prices
Comments
Carcinoembryonic ag (cea) at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $386.40 | $17.62 – $515.95 |
| UPMC Mercy | Pittsburgh | $194.40 | $15.81 – $291.60 |
| UPMC Muncy | Muncy | $411.00 | $18.70 – $548.00 |
| UPMC Northwest | Seneca | $96.60 | $17.19 – $136.85 |
| UPMC Presbyterian | Pittsburgh | $532.20 | $17.00 – $753.95 |
| UPMC Somerset | Somerset | $96.60 | $17.00 – $62.25 |
| UPMC St. Margaret | Pittsburgh | $144.60 | $16.37 – $204.85 |
| UPMC Williamsport | Williamsport | $334.20 | $18.70 – $444.00 |