healthcosts.net
Cmv pcr-sendout at UPMC Wellsboro
32-36 Central Ave, Wellsboro, PA · UPMC · · NPI 1427501766
$1,040.80
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.
?
What you pay up front if you don't use insurance.
$1,434.00
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.
$34.68 with UPMC Work Partners vs $950.00 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 | $34.68 | ↓ -97% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $39.77 | ↓ -96% |
| Geisinger | Medicaid/CHIP | $43.75 | ↓ -96% |
| UPMC Health Plan | CHIP | $43.75 | ↓ -96% |
| UPMC Health Plan | Managed Medicaid | $43.75 | ↓ -96% |
| Highmark Wholecare (prev Gateway) | Medicaid | $44.34 | ↓ -96% |
| United Healthcare Community Plan for Families | PA Medicaid | $50.91 | ↓ -95% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $59.97 | ↓ -94% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $67.78 | ↓ -93% |
| Aetna | Medicare | $180.00 | ↓ -83% |
| Highmark BCBS of PA | Medicare | $200.00 | ↓ -81% |
| Highmark Wholecare (prev Gateway) | Medicare | $200.00 | ↓ -81% |
| UPMC Health Plan | Managed Medicare | $204.00 | ↓ -80% |
| Cigna | Medicare | $210.00 | ↓ -80% |
| United Healthcare | Medicare | $214.00 | ↓ -79% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $216.00 | ↓ -79% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $429.40 | ↓ -59% |
| UPMC Health Plan | Commercial | $436.00 | ↓ -58% |
| Highmark BCBS of PA | Commercial | $505.70 | ↓ -51% |
| Wirerope Works | Commercial | $556.00 | ↓ -47% |
| Geisinger | Commercial | $670.00 | ↓ -36% |
| Aetna | PEBTF Custom Network | $733.60 | ↓ -30% |
| Multiplan | Auto | $780.00 | ↓ -25% |
| Multiplan | PPO (Includes PHCS as a Payer) | $780.00 | ↓ -25% |
| United Healthcare | Commercial | $850.00 | ↓ -18% |
| Aetna | Commercial | $863.00 | ↓ -17% |
| America's Choice | PPO | $900.00 | ↓ -14% |
| InterGroup | PPO | $900.00 | ↓ -14% |
| Multiplan | Worker's Compensation | $950.00 | ↓ -9% |
Visitor-reported prices
Comments
Cmv pcr-sendout at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $699.60 | $29.25 – $1,049.40 |
| UPMC Muncy | Muncy | $860.40 | $34.68 – $1,147.20 |
| UPMC Northwest | Seneca | $306.60 | $31.82 – $434.35 |
| UPMC Passavant-McCandless | Pittsburgh | $245.40 | $32.61 – $328.10 |
| UPMC Presbyterian | Pittsburgh | $1,109.40 | $34.68 – $1,571.65 |
| UPMC Somerset | Somerset | $195.60 | $8.38 – $45.74 |
| UPMC St. Margaret | Pittsburgh | $728.40 | $30.30 – $1,031.90 |
| UPMC Williamsport | Williamsport | $860.40 | $34.68 – $1,147.20 |