healthcosts.net
Critical care 30-74 minutes at UPMC Wellsboro
32-36 Central Ave, Wellsboro, PA · UPMC · · NPI 1427501766
$2,172.00
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.
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What you pay up front if you don't use insurance.
$2,994.00
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.
$74.34 with Aetna vs $581.01 with United Healthcare — 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 |
|---|---|---|---|
| Aetna | Medicare | $74.34 | ↓ -97% |
| Highmark BCBS of PA | Medicare | $82.60 | ↓ -96% |
| Highmark Wholecare (prev Gateway) | Medicare | $82.60 | ↓ -96% |
| UPMC Health Plan | Managed Medicare | $84.25 | ↓ -96% |
| Cigna | Medicare | $86.73 | ↓ -96% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $89.21 | ↓ -96% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $166.79 | ↓ -92% |
| Geisinger | Medicaid/CHIP | $166.79 | ↓ -92% |
| UPMC Health Plan | CHIP | $166.79 | ↓ -92% |
| UPMC Health Plan | Managed Medicaid | $166.79 | ↓ -92% |
| Highmark Wholecare (prev Gateway) | Medicaid | $169.07 | ↓ -92% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $177.34 | ↓ -92% |
| UPMC Health Plan | Commercial | $180.07 | ↓ -92% |
| United Healthcare Community Plan for Families | PA Medicaid | $194.09 | ↓ -91% |
| Highmark BCBS of PA | Commercial | $208.85 | ↓ -90% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $228.66 | ↓ -89% |
| Wirerope Works | Commercial | $229.63 | ↓ -89% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $258.41 | ↓ -88% |
| Geisinger | Commercial | $276.71 | ↓ -87% |
| Aetna | PEBTF Custom Network | $302.98 | ↓ -86% |
| Multiplan | Auto | $322.14 | ↓ -85% |
| Multiplan | PPO (Includes PHCS as a Payer) | $322.14 | ↓ -85% |
| UPMC Work Partners | Workers Comp | $343.60 | ↓ -84% |
| United Healthcare | Commercial | $351.05 | ↓ -84% |
| Aetna | Commercial | $356.42 | ↓ -84% |
| America's Choice | PPO | $371.70 | ↓ -83% |
| InterGroup | PPO | $371.70 | ↓ -83% |
| Multiplan | Worker's Compensation | $392.35 | ↓ -82% |
| United Healthcare | Medicare | $581.01 | ↓ -73% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
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Critical care 30-74 minutes at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $3,476.40 | $166.79 – $5,214.60 |
| UPMC Muncy | Muncy | $1,796.40 | $166.79 – $2,395.20 |
| UPMC Northwest | Seneca | $1,263.00 | $166.79 – $1,789.25 |
| UPMC Passavant-McCandless | Pittsburgh | $1,918.20 | $166.79 – $2,717.45 |
| UPMC Presbyterian | Pittsburgh | $4,768.80 | $166.79 – $6,755.80 |
| UPMC Somerset | Somerset | $2,304.00 | $166.79 – $1,149.75 |
| UPMC St. Margaret | Pittsburgh | $2,577.00 | $166.79 – $3,650.75 |
| UPMC Williamsport | Williamsport | $1,796.40 | $166.79 – $2,395.20 |