healthcosts.net
CT heart w/evaluation of calcium without contrast at UPMC Wellsboro
32-36 Central Ave, Wellsboro, PA · UPMC · · NPI 1427501766
$200.00
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.
?
What you pay up front if you don't use insurance.
$250.00
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.
$37.80 with Aetna vs $199.50 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 | $37.80 | ↓ -81% |
| Highmark BCBS of PA | Medicare | $42.00 | ↓ -79% |
| Highmark Wholecare (prev Gateway) | Medicare | $42.00 | ↓ -79% |
| UPMC Health Plan | Managed Medicare | $42.84 | ↓ -79% |
| Cigna | Medicare | $44.10 | ↓ -78% |
| United Healthcare Community Plan for Families | PA Medicaid | $44.52 | ↓ -78% |
| United Healthcare | Medicare | $44.94 | ↓ -78% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $45.36 | ↓ -77% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $62.52 | ↓ -69% |
| Geisinger | Medicaid/CHIP | $62.52 | ↓ -69% |
| UPMC Health Plan | CHIP | $62.52 | ↓ -69% |
| UPMC Health Plan | Managed Medicaid | $62.52 | ↓ -69% |
| Highmark Wholecare (prev Gateway) | Medicaid | $63.38 | ↓ -68% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $85.71 | ↓ -57% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $90.17 | ↓ -55% |
| UPMC Health Plan | Commercial | $91.56 | ↓ -54% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $96.87 | ↓ -52% |
| Highmark BCBS of PA | Commercial | $106.20 | ↓ -47% |
| UPMC Work Partners | Workers Comp | $107.43 | ↓ -46% |
| Wirerope Works | Commercial | $116.76 | ↓ -42% |
| Geisinger | Commercial | $140.70 | ↓ -30% |
| Aetna | PEBTF Custom Network | $154.06 | ↓ -23% |
| Multiplan | Auto | $163.80 | ↓ -18% |
| Multiplan | PPO (Includes PHCS as a Payer) | $163.80 | ↓ -18% |
| United Healthcare | Commercial | $178.50 | ↓ -11% |
| Aetna | Commercial | $181.23 | ↓ -9% |
| America's Choice | PPO | $189.00 | ↓ -6% |
| InterGroup | PPO | $189.00 | ↓ -6% |
| Multiplan | Worker's Compensation | $199.50 | ↓ -0% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
CT heart w/evaluation of calcium without contrast at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $120.00 | $62.52 – $170.00 |
| UPMC Muncy | Muncy | $126.00 | $31.50 – $168.00 |
| UPMC Presbyterian | Pittsburgh | $120.00 | $41.74 – $170.00 |
| UPMC Somerset | Somerset | $127.20 | $38.99 – $107.43 |
| UPMC St. Margaret | Pittsburgh | $120.00 | $50.40 – $170.00 |
| UPMC Williamsport | Williamsport | $120.00 | $44.52 – $160.00 |