healthcosts.net
Endo cath bile duct s&i at UPMC Wellsboro
32-36 Central Ave, Wellsboro, PA · UPMC · · NPI 1427501766
$1,471.20
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.
?
What you pay up front if you don't use insurance.
$2,028.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$331.02 with Aetna vs $1,747.05 with Multiplan — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $331.02 | ↓ -78% |
| UPMC Work Partners | Workers Comp | $352.88 | ↓ -76% |
| Highmark BCBS of PA | Medicare | $367.80 | ↓ -75% |
| Highmark Wholecare (prev Gateway) | Medicare | $367.80 | ↓ -75% |
| UPMC Health Plan | Managed Medicare | $375.16 | ↓ -74% |
| Cigna | Medicare | $386.19 | ↓ -74% |
| United Healthcare | Medicare | $393.55 | ↓ -73% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $397.22 | ↓ -73% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $789.67 | ↓ -46% |
| UPMC Health Plan | Commercial | $801.80 | ↓ -46% |
| Highmark BCBS of PA | Commercial | $929.98 | ↓ -37% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $1,011.45 | ↓ -31% |
| Wirerope Works | Commercial | $1,022.48 | ↓ -31% |
| Geisinger | Commercial | $1,232.13 | ↓ -16% |
| Aetna | PEBTF Custom Network | $1,349.09 | ↓ -8% |
| Multiplan | Auto | $1,434.42 | ↓ -3% |
| Multiplan | PPO (Includes PHCS as a Payer) | $1,434.42 | ↓ -3% |
| United Healthcare | Commercial | $1,563.15 | ↑ +6% |
| Aetna | Commercial | $1,587.06 | ↑ +8% |
| America's Choice | PPO | $1,655.10 | ↑ +13% |
| InterGroup | PPO | $1,655.10 | ↑ +13% |
| Multiplan | Worker's Compensation | $1,747.05 | ↑ +19% |
Visitor-reported prices
Comments
Endo cath bile duct s&i at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $982.20 | $179.43 – $1,390.60 |
| UPMC Mercy | Pittsburgh | $877.20 | $177.74 – $1,315.80 |
| UPMC Muncy | Muncy | $1,216.80 | $304.20 – $1,622.40 |
| UPMC Presbyterian | Pittsburgh | $1,486.80 | $179.43 – $2,106.30 |
| UPMC Somerset | Somerset | $525.00 | $175.94 – $656.25 |
| UPMC St. Margaret | Pittsburgh | $950.40 | $179.43 – $1,346.40 |
| UPMC Williamsport | Williamsport | $1,216.80 | $385.46 – $1,622.40 |