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Drug assay vedolizumab at UPMC Wellsboro
32-36 Central Ave, Wellsboro, PA · UPMC · · NPI 1427501766
$431.40
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.
$719.00
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.
$30.12 with United Healthcare Community Plan for Families vs $683.05 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 |
|---|---|---|---|
| United Healthcare Community Plan for Families | PA Medicaid | $30.12 | ↓ -93% |
| UPMC Work Partners | Workers Comp | $38.12 | ↓ -91% |
| Aetna | Medicare | $129.42 | ↓ -70% |
| Highmark BCBS of PA | Medicare | $143.80 | ↓ -67% |
| Highmark Wholecare (prev Gateway) | Medicare | $143.80 | ↓ -67% |
| UPMC Health Plan | Managed Medicare | $146.68 | ↓ -66% |
| Cigna | Medicare | $150.99 | ↓ -65% |
| United Healthcare | Medicare | $153.87 | ↓ -64% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $155.30 | ↓ -64% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $308.74 | ↓ -28% |
| UPMC Health Plan | Commercial | $313.48 | ↓ -27% |
| Highmark BCBS of PA | Commercial | $363.60 | ↓ -16% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $395.45 | ↓ -8% |
| Wirerope Works | Commercial | $399.76 | ↓ -7% |
| Geisinger | Commercial | $481.73 | ↑ +12% |
| Aetna | PEBTF Custom Network | $527.46 | ↑ +22% |
| Multiplan | Auto | $560.82 | ↑ +30% |
| Multiplan | PPO (Includes PHCS as a Payer) | $560.82 | ↑ +30% |
| United Healthcare | Commercial | $611.15 | ↑ +42% |
| Aetna | Commercial | $620.50 | ↑ +44% |
| America's Choice | PPO | $647.10 | ↑ +50% |
| InterGroup | PPO | $647.10 | ↑ +50% |
| Multiplan | Worker's Compensation | $683.05 | ↑ +58% |
Visitor-reported prices
Comments
Drug assay vedolizumab at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $93.00 | $21.80 – $131.75 |
| UPMC Mercy | Pittsburgh | $129.60 | $21.60 – $194.40 |
| UPMC Muncy | Muncy | $431.40 | $30.12 – $575.20 |
| UPMC Northwest | Seneca | $126.60 | $34.98 – $179.35 |
| UPMC Presbyterian | Pittsburgh | $210.00 | $21.80 – $297.50 |
| UPMC Somerset | Somerset | $83.40 | $21.38 – $104.25 |
| UPMC St. Margaret | Pittsburgh | $298.80 | $21.80 – $423.30 |
| UPMC Williamsport | Williamsport | $431.40 | $30.12 – $575.20 |