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Complx repair enel 1.1-2.5 cm 13151 at UPMC Wellsboro
32-36 Central Ave, Wellsboro, PA · UPMC · · NPI 1427501766
$2,627.20
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.
$3,620.00
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.
$194.70 with AmeriHealth Caritas vs $3,119.80 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 | $194.70 | ↓ -93% |
| Geisinger | Medicaid/CHIP | $194.70 | ↓ -93% |
| UPMC Health Plan | CHIP | $194.70 | ↓ -93% |
| UPMC Health Plan | Managed Medicaid | $194.70 | ↓ -93% |
| Highmark Wholecare (prev Gateway) | Medicaid | $197.35 | ↓ -92% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $266.92 | ↓ -90% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $301.64 | ↓ -89% |
| Aetna | Medicare | $591.12 | ↓ -78% |
| Highmark BCBS of PA | Medicare | $656.80 | ↓ -75% |
| Highmark Wholecare (prev Gateway) | Medicare | $656.80 | ↓ -75% |
| UPMC Work Partners | Workers Comp | $658.08 | ↓ -75% |
| UPMC Health Plan | Managed Medicare | $669.94 | ↓ -74% |
| Cigna | Medicare | $689.64 | ↓ -74% |
| United Healthcare | Medicare | $702.78 | ↓ -73% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $709.34 | ↓ -73% |
| United Healthcare Community Plan for Families | PA Medicaid | $993.28 | ↓ -62% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $1,410.15 | ↓ -46% |
| UPMC Health Plan | Commercial | $1,431.82 | ↓ -46% |
| Highmark BCBS of PA | Commercial | $1,660.72 | ↓ -37% |
| Wirerope Works | Commercial | $1,825.90 | ↓ -31% |
| Geisinger | Commercial | $2,200.28 | ↓ -16% |
| Aetna | PEBTF Custom Network | $2,409.14 | ↓ -8% |
| Multiplan | Auto | $2,561.52 | ↓ -3% |
| Multiplan | PPO (Includes PHCS as a Payer) | $2,561.52 | ↓ -3% |
| United Healthcare | Commercial | $2,791.40 | ↑ +6% |
| Aetna | Commercial | $2,834.09 | ↑ +8% |
| America's Choice | PPO | $2,955.60 | ↑ +13% |
| InterGroup | PPO | $2,955.60 | ↑ +13% |
| Multiplan | Worker's Compensation | $3,119.80 | ↑ +19% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Complx repair enel 1.1-2.5 cm 13151 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $4,557.60 | $194.70 – $6,456.60 |
| UPMC Mercy | Pittsburgh | $1,966.80 | $194.70 – $2,950.20 |
| UPMC Muncy | Muncy | $2,172.00 | $194.70 – $2,896.00 |
| UPMC Northwest | Seneca | $4,909.80 | $194.70 – $6,955.55 |
| UPMC Presbyterian | Pittsburgh | $5,469.00 | $194.70 – $7,747.75 |
| UPMC Somerset | Somerset | $1,332.60 | $194.70 – $1,665.75 |
| UPMC St. Margaret | Pittsburgh | $3,955.80 | $194.70 – $5,604.05 |
| UPMC Williamsport | Williamsport | $2,172.00 | $194.70 – $2,896.00 |