healthcosts.net
Cath adherent clot 10mm 6f 10 at UPMC Wellsboro
32-36 Central Ave, Wellsboro, PA · UPMC · · NPI 1427501766
$276.00
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.
$380.00
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.
$25.02 with Aetna vs $132.05 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 |
|---|---|---|---|
| Aetna | Medicare | $25.02 | ↓ -91% |
| Highmark BCBS of PA | Medicare | $27.80 | ↓ -90% |
| Highmark Wholecare (prev Gateway) | Medicare | $27.80 | ↓ -90% |
| UPMC Health Plan | Managed Medicare | $28.36 | ↓ -90% |
| Cigna | Medicare | $29.19 | ↓ -89% |
| United Healthcare | Medicare | $29.75 | ↓ -89% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $30.02 | ↓ -89% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $59.69 | ↓ -78% |
| UPMC Health Plan | Commercial | $60.60 | ↓ -78% |
| Highmark BCBS of PA | Commercial | $70.29 | ↓ -75% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $76.45 | ↓ -72% |
| Wirerope Works | Commercial | $77.28 | ↓ -72% |
| Geisinger | Commercial | $93.13 | ↓ -66% |
| Aetna | PEBTF Custom Network | $101.97 | ↓ -63% |
| Multiplan | Auto | $108.42 | ↓ -61% |
| Multiplan | PPO (Includes PHCS as a Payer) | $108.42 | ↓ -61% |
| United Healthcare | Commercial | $118.15 | ↓ -57% |
| Aetna | Commercial | $119.96 | ↓ -57% |
| America's Choice | PPO | $125.10 | ↓ -55% |
| InterGroup | PPO | $125.10 | ↓ -55% |
| Multiplan | Worker's Compensation | $132.05 | ↓ -52% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
Visitor-reported prices
Comments
Cath adherent clot 10mm 6f 10 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $24,926.40 | $44.75 – $837.39 |
| UPMC Muncy | Muncy | $228.00 | $22.95 – $137.70 |
| UPMC Northwest | Seneca | $1,504.20 | $5.75 – $1,283.27 |
| UPMC Passavant-McCandless | Pittsburgh | $21,679.20 | $44.75 – $1,538.88 |
| UPMC Presbyterian | Pittsburgh | $33,235.80 | $2.52 – $1,714.59 |
| UPMC Somerset | Somerset | $4,761.60 | $64.19 – $635.18 |
| UPMC St. Margaret | Pittsburgh | $12,863.40 | $44.75 – $1,301.27 |
| UPMC Williamsport | Williamsport | $15,737.40 | $5.94 – $19.80 |