healthcosts.net
Conjugated estrogens 25 mg solution for injection at UPMC Wellsboro
32-36 Central Ave, Wellsboro, PA · UPMC · · NPI 1427501766
$1,375.20
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.
?
What you pay up front if you don't use insurance.
$2,292.00
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.
$171.54 with Aetna vs $905.35 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 |
|---|---|---|---|
| Aetna | Medicare | $171.54 | ↓ -88% |
| Highmark BCBS of PA | Medicare | $190.60 | ↓ -86% |
| Highmark Wholecare (prev Gateway) | Medicare | $190.60 | ↓ -86% |
| UPMC Health Plan | Managed Medicare | $194.41 | ↓ -86% |
| Cigna | Medicare | $200.13 | ↓ -85% |
| United Healthcare | Medicare | $203.94 | ↓ -85% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $205.85 | ↓ -85% |
| UPMC Work Partners | Workers Comp | $360.23 | ↓ -74% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $392.06 | ↓ -71% |
| Geisinger | CHIP | $392.06 | ↓ -71% |
| Geisinger | Medicaid/CHIP | $392.06 | ↓ -71% |
| Highmark Wholecare (prev Gateway) | Medicaid | $392.06 | ↓ -71% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $392.06 | ↓ -71% |
| United Healthcare Community Plan for Families | PA Medicaid | $392.06 | ↓ -71% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $409.22 | ↓ -70% |
| UPMC Health Plan | Commercial | $415.51 | ↓ -70% |
| UPMC Health Plan | CHIP | $431.27 | ↓ -69% |
| UPMC Health Plan | Managed Medicaid | $431.27 | ↓ -69% |
| Highmark BCBS of PA | Commercial | $481.93 | ↓ -65% |
| Wirerope Works | Commercial | $529.87 | ↓ -61% |
| Geisinger | Commercial | $638.51 | ↓ -54% |
| Aetna | PEBTF Custom Network | $699.12 | ↓ -49% |
| Multiplan | Auto | $743.34 | ↓ -46% |
| Multiplan | PPO (Includes PHCS as a Payer) | $743.34 | ↓ -46% |
| United Healthcare | Commercial | $810.05 | ↓ -41% |
| Aetna | Commercial | $822.44 | ↓ -40% |
| America's Choice | PPO | $857.70 | ↓ -38% |
| InterGroup | PPO | $857.70 | ↓ -38% |
| Multiplan | Worker's Compensation | $905.35 | ↓ -34% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Conjugated estrogens 25 mg solution for injection at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Muncy | Muncy | $1,375.20 | $142.95 – $857.70 |
| UPMC Passavant-McCandless | Pittsburgh | $1,431.00 | $60.25 – $431.27 |
| UPMC Presbyterian | Pittsburgh | $1,431.00 | $60.25 – $2,027.25 |
| UPMC Somerset | Somerset | $220.80 | $59.08 – $392.06 |
| UPMC St. Margaret | Pittsburgh | $860.00 | $60.25 – $913.75 |
| UPMC Western Psychiatric | Pittsburgh | $1,431.00 | $59.04 – $2,027.25 |
| UPMC Williamsport | Williamsport | $762.40 | $258.45 – $857.70 |