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Clsd tx/patellar fx without manip 27520 at UPMC Wellsboro
32-36 Central Ave, Wellsboro, PA · UPMC · · NPI 1427501766
$998.40
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.
$1,376.00
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.
$144.10 with AmeriHealth Caritas vs $814.15 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 | $144.10 | ↓ -86% |
| Geisinger | Medicaid/CHIP | $144.10 | ↓ -86% |
| UPMC Health Plan | CHIP | $144.10 | ↓ -86% |
| UPMC Health Plan | Managed Medicaid | $144.10 | ↓ -86% |
| Highmark Wholecare (prev Gateway) | Medicaid | $146.06 | ↓ -85% |
| Aetna | Medicare | $154.26 | ↓ -85% |
| United Healthcare Community Plan for Families | PA Medicaid | $167.68 | ↓ -83% |
| Highmark BCBS of PA | Medicare | $171.40 | ↓ -83% |
| Highmark Wholecare (prev Gateway) | Medicare | $171.40 | ↓ -83% |
| UPMC Health Plan | Managed Medicare | $174.83 | ↓ -82% |
| Cigna | Medicare | $179.97 | ↓ -82% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $185.11 | ↓ -81% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $197.55 | ↓ -80% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $223.25 | ↓ -78% |
| United Healthcare | Medicare | $267.07 | ↓ -73% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $368.00 | ↓ -63% |
| UPMC Health Plan | Commercial | $373.65 | ↓ -63% |
| Highmark BCBS of PA | Commercial | $433.38 | ↓ -57% |
| Wirerope Works | Commercial | $476.49 | ↓ -52% |
| Geisinger | Commercial | $574.19 | ↓ -42% |
| UPMC Work Partners | Workers Comp | $618.80 | ↓ -38% |
| Aetna | PEBTF Custom Network | $628.70 | ↓ -37% |
| Multiplan | Auto | $668.46 | ↓ -33% |
| Multiplan | PPO (Includes PHCS as a Payer) | $668.46 | ↓ -33% |
| United Healthcare | Commercial | $728.45 | ↓ -27% |
| Aetna | Commercial | $739.59 | ↓ -26% |
| America's Choice | PPO | $771.30 | ↓ -23% |
| InterGroup | PPO | $771.30 | ↓ -23% |
| Multiplan | Worker's Compensation | $814.15 | ↓ -18% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Clsd tx/patellar fx without manip 27520 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Muncy | Muncy | $825.60 | $144.10 – $1,100.80 |
| UPMC Somerset | Somerset | $759.00 | $144.10 – $948.75 |
| UPMC Williamsport | Williamsport | $3,355.20 | $144.10 – $4,473.60 |