healthcosts.net
#cf-97variants at UPMC Wellsboro
32-36 Central Ave, Wellsboro, PA · UPMC · · NPI 1427501766
$3,108.00
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.
$5,180.00
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.
$62.64 with Aetna vs $758.85 with PA Health & Wellness — 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 |
|---|---|---|---|
| Aetna | Medicare | $62.64 | ↓ -98% |
| Highmark BCBS of PA | Medicare | $69.60 | ↓ -98% |
| Highmark Wholecare (prev Gateway) | Medicare | $69.60 | ↓ -98% |
| UPMC Health Plan | Managed Medicare | $70.99 | ↓ -98% |
| Cigna | Medicare | $73.08 | ↓ -98% |
| United Healthcare | Medicare | $74.47 | ↓ -98% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $75.17 | ↓ -98% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $149.43 | ↓ -95% |
| UPMC Health Plan | Commercial | $151.73 | ↓ -95% |
| Highmark BCBS of PA | Commercial | $175.98 | ↓ -94% |
| Wirerope Works | Commercial | $193.49 | ↓ -94% |
| Geisinger | Commercial | $233.16 | ↓ -92% |
| Aetna | PEBTF Custom Network | $255.29 | ↓ -92% |
| Multiplan | Auto | $271.44 | ↓ -91% |
| Multiplan | PPO (Includes PHCS as a Payer) | $271.44 | ↓ -91% |
| United Healthcare | Commercial | $295.80 | ↓ -90% |
| Aetna | Commercial | $300.32 | ↓ -90% |
| America's Choice | PPO | $313.20 | ↓ -90% |
| InterGroup | PPO | $313.20 | ↓ -90% |
| Multiplan | Worker's Compensation | $330.60 | ↓ -89% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $445.28 | ↓ -86% |
| Geisinger | Medicaid/CHIP | $489.81 | ↓ -84% |
| UPMC Health Plan | CHIP | $489.81 | ↓ -84% |
| UPMC Health Plan | Managed Medicaid | $489.81 | ↓ -84% |
| Highmark Wholecare (prev Gateway) | Medicaid | $496.49 | ↓ -84% |
| UPMC Work Partners | Workers Comp | $550.10 | ↓ -82% |
| United Healthcare Community Plan for Families | PA Medicaid | $569.96 | ↓ -82% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $671.48 | ↓ -78% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $758.85 | ↓ -76% |
Visitor-reported prices
Comments
#cf-97variants at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $3,357.60 | $257.67 – $1,096.50 |
| UPMC Mercy | Pittsburgh | $3,357.60 | $256.16 – $1,095.30 |
| UPMC Muncy | Muncy | $2,487.60 | $54.75 – $569.96 |
| UPMC Northwest | Seneca | $3,357.60 | $257.79 – $674.05 |
| UPMC Presbyterian | Pittsburgh | $5,034.60 | $271.88 – $1,034.45 |
| UPMC Somerset | Somerset | $3,216.00 | $489.81 – $4,020.00 |
| UPMC St. Margaret | Pittsburgh | $3,357.60 | $258.30 – $1,034.45 |
| UPMC Williamsport | Williamsport | $3,263.40 | $119.61 – $601.13 |