healthcosts.net
Dup scan/ue art/graft/bilat/comp 93930 at UPMC Wellsboro
32-36 Central Ave, Wellsboro, PA · UPMC · · NPI 1427501766
$1,179.20
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.
$1,625.00
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.
$152.76 with United Healthcare Community Plan for Families vs $1,400.30 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 | $152.76 | ↓ -87% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $155.72 | ↓ -87% |
| Geisinger | Medicaid/CHIP | $155.72 | ↓ -87% |
| UPMC Health Plan | CHIP | $155.72 | ↓ -87% |
| UPMC Health Plan | Managed Medicaid | $155.72 | ↓ -87% |
| Highmark Wholecare (prev Gateway) | Medicaid | $157.84 | ↓ -87% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $213.47 | ↓ -82% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $241.25 | ↓ -80% |
| Aetna | Medicare | $265.32 | ↓ -78% |
| Highmark BCBS of PA | Medicare | $294.80 | ↓ -75% |
| Highmark Wholecare (prev Gateway) | Medicare | $294.80 | ↓ -75% |
| UPMC Health Plan | Managed Medicare | $300.70 | ↓ -74% |
| Cigna | Medicare | $309.54 | ↓ -74% |
| United Healthcare | Medicare | $315.44 | ↓ -73% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $318.38 | ↓ -73% |
| UPMC Work Partners | Workers Comp | $383.80 | ↓ -67% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $632.94 | ↓ -46% |
| UPMC Health Plan | Commercial | $642.66 | ↓ -46% |
| Highmark BCBS of PA | Commercial | $745.40 | ↓ -37% |
| Wirerope Works | Commercial | $819.54 | ↓ -31% |
| Geisinger | Commercial | $987.58 | ↓ -16% |
| Aetna | PEBTF Custom Network | $1,081.33 | ↓ -8% |
| Multiplan | Auto | $1,149.72 | ↓ -3% |
| Multiplan | PPO (Includes PHCS as a Payer) | $1,149.72 | ↓ -3% |
| United Healthcare | Commercial | $1,252.90 | ↑ +6% |
| Aetna | Commercial | $1,272.06 | ↑ +8% |
| America's Choice | PPO | $1,326.60 | ↑ +13% |
| InterGroup | PPO | $1,326.60 | ↑ +13% |
| Multiplan | Worker's Compensation | $1,400.30 | ↑ +19% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Dup scan/ue art/graft/bilat/comp 93930 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $1,347.00 | $146.23 – $2,020.50 |
| UPMC Muncy | Muncy | $975.00 | $152.76 – $1,300.00 |
| UPMC Northwest | Seneca | $490.20 | $155.72 – $694.45 |
| UPMC Passavant-McCandless | Pittsburgh | $1,938.00 | $147.62 – $2,745.50 |
| UPMC Presbyterian | Pittsburgh | $1,404.00 | $143.21 – $1,989.00 |
| UPMC Somerset | Somerset | $819.60 | $137.24 – $1,024.50 |
| UPMC St. Margaret | Pittsburgh | $490.80 | $147.62 – $695.30 |
| UPMC Williamsport | Williamsport | $974.40 | $152.76 – $1,299.20 |