healthcosts.net
Culture mycobacteria definitive id each isolate at UPMC Wellsboro
32-36 Central Ave, Wellsboro, PA · UPMC · · NPI 1427501766
$154.20
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.
$257.00
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.
$14.44 with UPMC Work Partners vs $244.15 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 |
|---|---|---|---|
| UPMC Work Partners | Workers Comp | $14.44 | ↓ -91% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $15.12 | ↓ -90% |
| Geisinger | Medicaid/CHIP | $16.63 | ↓ -89% |
| UPMC Health Plan | CHIP | $16.63 | ↓ -89% |
| UPMC Health Plan | Managed Medicaid | $16.63 | ↓ -89% |
| Highmark Wholecare (prev Gateway) | Medicaid | $16.86 | ↓ -89% |
| United Healthcare Community Plan for Families | PA Medicaid | $19.35 | ↓ -87% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $22.80 | ↓ -85% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $25.77 | ↓ -83% |
| Aetna | Medicare | $46.26 | ↓ -70% |
| Highmark BCBS of PA | Medicare | $51.40 | ↓ -67% |
| Highmark Wholecare (prev Gateway) | Medicare | $51.40 | ↓ -67% |
| UPMC Health Plan | Managed Medicare | $52.43 | ↓ -66% |
| Cigna | Medicare | $53.97 | ↓ -65% |
| United Healthcare | Medicare | $55.00 | ↓ -64% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $55.51 | ↓ -64% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $110.36 | ↓ -28% |
| UPMC Health Plan | Commercial | $112.05 | ↓ -27% |
| Highmark BCBS of PA | Commercial | $129.96 | ↓ -16% |
| Wirerope Works | Commercial | $142.89 | ↓ -7% |
| Geisinger | Commercial | $172.19 | ↑ +12% |
| Aetna | PEBTF Custom Network | $188.54 | ↑ +22% |
| Multiplan | Auto | $200.46 | ↑ +30% |
| Multiplan | PPO (Includes PHCS as a Payer) | $200.46 | ↑ +30% |
| United Healthcare | Commercial | $218.45 | ↑ +42% |
| Aetna | Commercial | $221.79 | ↑ +44% |
| America's Choice | PPO | $231.30 | ↑ +50% |
| InterGroup | PPO | $231.30 | ↑ +50% |
| Multiplan | Worker's Compensation | $244.15 | ↑ +58% |
Visitor-reported prices
Comments
Culture mycobacteria definitive id each isolate at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $114.60 | $13.58 – $162.35 |
| UPMC Mercy | Pittsburgh | $134.40 | $12.18 – $201.60 |
| UPMC Northwest | Seneca | $189.60 | $13.25 – $268.60 |
| UPMC Somerset | Somerset | $81.00 | $14.44 – $101.25 |
| UPMC St. Margaret | Pittsburgh | $127.20 | $12.61 – $180.20 |
| UPMC Williamsport | Williamsport | $154.20 | $14.44 – $205.60 |