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Diphtheria-tetanus toxoids 0.5 ml (peds) at UPMC Wellsboro
32-36 Central Ave, Wellsboro, PA · UPMC · · NPI 1427501766
$25.80
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.
$43.00
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.
$7.38 with Aetna vs $38.95 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 | $7.38 | ↓ -71% |
| Highmark BCBS of PA | Medicare | $8.20 | ↓ -68% |
| Highmark Wholecare (prev Gateway) | Medicare | $8.20 | ↓ -68% |
| UPMC Health Plan | Managed Medicare | $8.36 | ↓ -68% |
| Cigna | Medicare | $8.61 | ↓ -67% |
| United Healthcare | Medicare | $8.77 | ↓ -66% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $8.86 | ↓ -66% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $11.00 | ↓ -57% |
| Geisinger | Medicaid/CHIP | $11.00 | ↓ -57% |
| UPMC Health Plan | CHIP | $11.00 | ↓ -57% |
| UPMC Health Plan | Managed Medicaid | $11.00 | ↓ -57% |
| Highmark Wholecare (prev Gateway) | Medicaid | $11.15 | ↓ -57% |
| United Healthcare Community Plan for Families | PA Medicaid | $12.80 | ↓ -50% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $15.08 | ↓ -42% |
| UPMC Work Partners | Workers Comp | $15.50 | ↓ -40% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $17.04 | ↓ -34% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $17.61 | ↓ -32% |
| UPMC Health Plan | Commercial | $17.88 | ↓ -31% |
| Highmark BCBS of PA | Commercial | $20.73 | ↓ -20% |
| Wirerope Works | Commercial | $22.80 | ↓ -12% |
| Geisinger | Commercial | $27.47 | ↑ +6% |
| Aetna | PEBTF Custom Network | $30.08 | ↑ +17% |
| Multiplan | Auto | $31.98 | ↑ +24% |
| Multiplan | PPO (Includes PHCS as a Payer) | $31.98 | ↑ +24% |
| United Healthcare | Commercial | $34.85 | ↑ +35% |
| Aetna | Commercial | $35.38 | ↑ +37% |
| America's Choice | PPO | $36.90 | ↑ +43% |
| InterGroup | PPO | $36.90 | ↑ +43% |
| Multiplan | Worker's Compensation | $38.95 | ↑ +51% |
Visitor-reported prices
Comments
Diphtheria-tetanus toxoids 0.5 ml (peds) at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $24.60 | $9.93 – $36.90 |
| UPMC Muncy | Muncy | $24.60 | $6.15 – $36.90 |
| UPMC Northwest | Seneca | $24.60 | $10.25 – $34.85 |
| UPMC Williamsport | Williamsport | $24.60 | $11.00 – $36.90 |