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Dicyclomine injection at UPMC Wellsboro

32-36 Central Ave, Wellsboro, PA · UPMC · · NPI 1427501766

Source: hospital's published price file ↗ · Published Mar 6, 2026 · Ingested Aug 13, 2026

$494.40

Cash price

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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.

$618.00

Gross charge

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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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$11.36 with AmeriHealth Caritas vs $587.10 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 →

Payer
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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
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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
AmeriHealth Caritas Community HealthChoices (CHC)/Medicaid $11.36 ↓ -98%
Geisinger CHIP $11.36 ↓ -98%
Geisinger Medicaid/CHIP $11.36 ↓ -98%
Highmark Wholecare (prev Gateway) Medicaid $11.36 ↓ -98%
PA Health & Wellness Community Health Choices/PA Medicaid HMO $11.36 ↓ -98%
UPMC Health Plan CHIP $12.49 ↓ -97%
UPMC Health Plan Managed Medicaid $12.49 ↓ -97%
Aetna Medicare $111.24 ↓ -78%
Highmark BCBS of PA Medicare $123.60 ↓ -75%
Highmark Wholecare (prev Gateway) Medicare $123.60 ↓ -75%
UPMC Health Plan Managed Medicare $126.07 ↓ -75%
Cigna Medicare $129.78 ↓ -74%
United Healthcare Medicare $132.25 ↓ -73%
PA Health & Wellness Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) $133.49 ↓ -73%
UPMC Work Partners Workers Comp $233.60 ↓ -53%
Highmark BCBS of PA Commercial - Social Mission Indemnity $265.37 ↓ -46%
UPMC Health Plan Commercial $269.45 ↓ -45%
Highmark BCBS of PA Commercial $312.52 ↓ -37%
Wirerope Works Commercial $343.61 ↓ -30%
Geisinger Commercial $414.06 ↓ -16%
Aetna PEBTF Custom Network $453.36 ↓ -8%
Multiplan Auto $482.04 ↓ -3%
Multiplan PPO (Includes PHCS as a Payer) $482.04 ↓ -3%
United Healthcare Commercial $525.30 ↑ +6%
Aetna Commercial $533.33 ↑ +8%
America's Choice PPO $556.20 ↑ +13%
InterGroup PPO $556.20 ↑ +13%
Multiplan Worker's Compensation $587.10 ↑ +19%

Visitor-reported prices

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Dicyclomine injection at other Pennsylvania hospitals

Hospital City Cash price Negotiated range
UPMC Mercy Pittsburgh $425.60 $3.35 – $478.80
UPMC Muncy Muncy $494.40 $11.36 – $556.20
UPMC Northwest Seneca $84.00 $7.17 – $89.25
UPMC Passavant-McCandless Pittsburgh $691.20 $3.38 – $256.70
UPMC Presbyterian Pittsburgh $691.20 $3.38 – $979.20
UPMC Somerset Somerset $25.20 $3.31 – $28.97
UPMC St. Margaret Pittsburgh $399.20 $3.38 – $424.15
UPMC Western Psychiatric Pittsburgh $691.20 $3.31 – $979.20

All Pennsylvania hospitals for this procedure →