healthcosts.net
#cbg+cort-cbg at UPMC Wellsboro
32-36 Central Ave, Wellsboro, PA · UPMC · · NPI 1427501766
$246.00
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.
?
What you pay up front if you don't use insurance.
$410.00
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.
$17.79 with UPMC Work Partners vs $389.50 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 |
|---|---|---|---|
| UPMC Work Partners | Workers Comp | $17.79 | ↓ -93% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $24.87 | ↓ -90% |
| Geisinger | Medicaid/CHIP | $27.36 | ↓ -89% |
| UPMC Health Plan | CHIP | $27.36 | ↓ -89% |
| UPMC Health Plan | Managed Medicaid | $27.36 | ↓ -89% |
| Highmark Wholecare (prev Gateway) | Medicaid | $27.73 | ↓ -89% |
| United Healthcare Community Plan for Families | PA Medicaid | $31.83 | ↓ -87% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $37.50 | ↓ -85% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $42.38 | ↓ -83% |
| Aetna | Medicare | $73.80 | ↓ -70% |
| Highmark BCBS of PA | Medicare | $82.00 | ↓ -67% |
| Highmark Wholecare (prev Gateway) | Medicare | $82.00 | ↓ -67% |
| UPMC Health Plan | Managed Medicare | $83.64 | ↓ -66% |
| Cigna | Medicare | $86.10 | ↓ -65% |
| United Healthcare | Medicare | $87.74 | ↓ -64% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $88.56 | ↓ -64% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $176.05 | ↓ -28% |
| UPMC Health Plan | Commercial | $178.76 | ↓ -27% |
| Highmark BCBS of PA | Commercial | $207.34 | ↓ -16% |
| Wirerope Works | Commercial | $227.96 | ↓ -7% |
| Geisinger | Commercial | $274.70 | ↑ +12% |
| Aetna | PEBTF Custom Network | $300.78 | ↑ +22% |
| Multiplan | Auto | $319.80 | ↑ +30% |
| Multiplan | PPO (Includes PHCS as a Payer) | $319.80 | ↑ +30% |
| United Healthcare | Commercial | $348.50 | ↑ +42% |
| Aetna | Commercial | $353.83 | ↑ +44% |
| America's Choice | PPO | $369.00 | ↑ +50% |
| InterGroup | PPO | $369.00 | ↑ +50% |
| Multiplan | Worker's Compensation | $389.50 | ↑ +58% |
Visitor-reported prices
Comments
#cbg+cort-cbg at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $186.00 | $16.73 – $263.50 |
| UPMC Mercy | Pittsburgh | $128.40 | $15.00 – $192.60 |
| UPMC Northwest | Seneca | $328.20 | $16.32 – $464.95 |
| UPMC Presbyterian | Pittsburgh | $1,557.00 | $17.79 – $2,205.75 |
| UPMC Williamsport | Williamsport | $246.00 | $17.79 – $328.00 |