healthcosts.net
Cath cv dl inj 7fx16cm at UPMC Wellsboro
32-36 Central Ave, Wellsboro, PA · UPMC · · NPI 1427501766
$1,068.80
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.
$1,473.00
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.
$4.28 with Aetna vs $62.60 with Highmark Wholecare (prev Gateway) — 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 | $4.28 | ↓ -100% |
| Highmark BCBS of PA | Medicare | $4.75 | ↓ -100% |
| Highmark Wholecare (prev Gateway) | Medicare | $4.75 | ↓ -100% |
| UPMC Health Plan | Managed Medicare | $4.84 | ↓ -100% |
| Cigna | Medicare | $4.99 | ↓ -100% |
| United Healthcare | Medicare | $5.08 | ↓ -100% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $5.13 | ↓ -100% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $10.20 | ↓ -99% |
| UPMC Health Plan | Commercial | $10.36 | ↓ -99% |
| Highmark BCBS of PA | Commercial | $12.01 | ↓ -99% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $13.06 | ↓ -99% |
| Wirerope Works | Commercial | $13.21 | ↓ -99% |
| Geisinger | Commercial | $15.91 | ↓ -99% |
| Aetna | PEBTF Custom Network | $17.42 | ↓ -98% |
| Multiplan | Auto | $18.52 | ↓ -98% |
| Multiplan | PPO (Includes PHCS as a Payer) | $18.52 | ↓ -98% |
| United Healthcare | Commercial | $20.19 | ↓ -98% |
| Aetna | Commercial | $20.50 | ↓ -98% |
| America's Choice | PPO | $21.38 | ↓ -98% |
| InterGroup | PPO | $21.38 | ↓ -98% |
| Multiplan | Worker's Compensation | $22.56 | ↓ -98% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $59.47 | ↓ -94% |
| Highmark Wholecare (prev Gateway) | Medicaid | $62.60 | ↓ -94% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
Visitor-reported prices
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Cath cv dl inj 7fx16cm at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $2,865.60 | $6.75 – $621.69 |
| UPMC Muncy | Muncy | $532.80 | $9.15 – $54.90 |
| UPMC Northwest | Seneca | $670.80 | $54.75 – $952.71 |
| UPMC Passavant-McCandless | Pittsburgh | $1,887.00 | $1.00 – $1,142.48 |
| UPMC Presbyterian | Pittsburgh | $10,690.80 | $0.90 – $1,272.93 |
| UPMC Somerset | Somerset | $2,185.20 | $21.80 – $471.57 |
| UPMC St. Margaret | Pittsburgh | $2,257.80 | $6.75 – $966.08 |
| UPMC Williamsport | Williamsport | $1,059.00 | $7.02 – $64.40 |