healthcosts.net
Device intraute mirena at UPMC Wellsboro
32-36 Central Ave, Wellsboro, PA · UPMC · · NPI 1427501766
$4,133.60
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.
$5,167.00
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.
$930.06 with Aetna vs $4,908.65 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 |
|---|---|---|---|
| Aetna | Medicare | $930.06 | ↓ -78% |
| Highmark BCBS of PA | Medicare | $1,033.40 | ↓ -75% |
| Highmark Wholecare (prev Gateway) | Medicare | $1,033.40 | ↓ -75% |
| UPMC Health Plan | Managed Medicare | $1,054.07 | ↓ -74% |
| Cigna | Medicare | $1,085.07 | ↓ -74% |
| United Healthcare | Medicare | $1,105.74 | ↓ -73% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $1,116.07 | ↓ -73% |
| United Healthcare Community Plan for Families | PA Medicaid | $1,133.82 | ↓ -73% |
| UPMC Work Partners | Workers Comp | $1,953.13 | ↓ -53% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $2,218.71 | ↓ -46% |
| UPMC Health Plan | Commercial | $2,252.81 | ↓ -46% |
| Highmark BCBS of PA | Commercial | $2,612.95 | ↓ -37% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $2,841.85 | ↓ -31% |
| Wirerope Works | Commercial | $2,872.85 | ↓ -31% |
| Geisinger | Commercial | $3,461.89 | ↓ -16% |
| Aetna | PEBTF Custom Network | $3,790.51 | ↓ -8% |
| Multiplan | Auto | $4,030.26 | ↓ -3% |
| Multiplan | PPO (Includes PHCS as a Payer) | $4,030.26 | ↓ -3% |
| United Healthcare | Commercial | $4,391.95 | ↑ +6% |
| Aetna | Commercial | $4,459.12 | ↑ +8% |
| America's Choice | PPO | $4,650.30 | ↑ +13% |
| InterGroup | PPO | $4,650.30 | ↑ +13% |
| Multiplan | Worker's Compensation | $4,908.65 | ↑ +19% |
Visitor-reported prices
Comments
Device intraute mirena at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $3,052.80 | $645.67 – $3,279.60 |
| UPMC Muncy | Muncy | $4,133.60 | $546.60 – $3,279.60 |
| UPMC Northwest | Seneca | $3,052.80 | $911.00 – $3,097.40 |
| UPMC Passavant-McCandless | Pittsburgh | $2,427.00 | $651.82 – $3,126.30 |
| UPMC Presbyterian | Pittsburgh | $2,943.00 | $651.82 – $3,243.60 |
| UPMC Somerset | Somerset | $693.60 | $389.23 – $1,018.67 |
| UPMC St. Margaret | Pittsburgh | $2,289.60 | $651.82 – $3,243.60 |
| UPMC Western Psychiatric | Pittsburgh | $2,289.60 | $638.73 – $3,243.60 |