healthcosts.net
Culture fungi other (except blood) at UPMC Wellsboro
32-36 Central Ave, Wellsboro, PA · UPMC · · NPI 1427501766
$207.20
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.
$286.00
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.
$8.31 with UPMC Work Partners vs $107.35 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 |
|---|---|---|---|
| UPMC Work Partners | Workers Comp | $8.31 | ↓ -96% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $9.70 | ↓ -95% |
| Geisinger | Medicaid/CHIP | $10.67 | ↓ -95% |
| UPMC Health Plan | CHIP | $10.67 | ↓ -95% |
| UPMC Health Plan | Managed Medicaid | $10.67 | ↓ -95% |
| Highmark Wholecare (prev Gateway) | Medicaid | $10.82 | ↓ -95% |
| United Healthcare Community Plan for Families | PA Medicaid | $12.42 | ↓ -94% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $14.63 | ↓ -93% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $16.53 | ↓ -92% |
| Aetna | Medicare | $20.34 | ↓ -90% |
| Highmark BCBS of PA | Medicare | $22.60 | ↓ -89% |
| Highmark Wholecare (prev Gateway) | Medicare | $22.60 | ↓ -89% |
| UPMC Health Plan | Managed Medicare | $23.05 | ↓ -89% |
| Cigna | Medicare | $23.73 | ↓ -89% |
| United Healthcare | Medicare | $24.18 | ↓ -88% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $24.41 | ↓ -88% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $48.52 | ↓ -77% |
| UPMC Health Plan | Commercial | $49.27 | ↓ -76% |
| Highmark BCBS of PA | Commercial | $57.14 | ↓ -72% |
| Wirerope Works | Commercial | $62.83 | ↓ -70% |
| Geisinger | Commercial | $75.71 | ↓ -63% |
| Aetna | PEBTF Custom Network | $82.90 | ↓ -60% |
| Multiplan | Auto | $88.14 | ↓ -57% |
| Multiplan | PPO (Includes PHCS as a Payer) | $88.14 | ↓ -57% |
| United Healthcare | Commercial | $96.05 | ↓ -54% |
| Aetna | Commercial | $97.52 | ↓ -53% |
| America's Choice | PPO | $101.70 | ↓ -51% |
| InterGroup | PPO | $101.70 | ↓ -51% |
| Multiplan | Worker's Compensation | $107.35 | ↓ -48% |
Visitor-reported prices
Comments
Culture fungi other (except blood) at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $268.20 | $7.82 – $199.75 |
| UPMC Mercy | Pittsburgh | $137.40 | $7.01 – $206.10 |
| UPMC Muncy | Muncy | $170.40 | $8.31 – $227.20 |
| UPMC Northwest | Seneca | $80.40 | $7.63 – $113.90 |
| UPMC Presbyterian | Pittsburgh | $520.20 | $8.31 – $736.95 |
| UPMC Somerset | Somerset | $46.80 | $8.31 – $58.50 |
| UPMC St. Margaret | Pittsburgh | $297.00 | $7.26 – $420.75 |
| UPMC Williamsport | Williamsport | $170.40 | $8.31 – $227.20 |