healthcosts.net
Endoscopy swallow (fees) vid at UPMC Wellsboro
32-36 Central Ave, Wellsboro, PA · UPMC · · NPI 1427501766
$196.00
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.
$270.00
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.
$44.10 with Aetna vs $316.31 with UPMC Work Partners — 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 | $44.10 | ↓ -78% |
| Highmark BCBS of PA | Medicare | $49.00 | ↓ -75% |
| Highmark Wholecare (prev Gateway) | Medicare | $49.00 | ↓ -75% |
| UPMC Health Plan | Managed Medicare | $49.98 | ↓ -75% |
| Cigna | Medicare | $51.45 | ↓ -74% |
| United Healthcare | Medicare | $52.43 | ↓ -73% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $52.92 | ↓ -73% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $69.17 | ↓ -65% |
| Geisinger | Medicaid/CHIP | $69.17 | ↓ -65% |
| UPMC Health Plan | CHIP | $69.17 | ↓ -65% |
| UPMC Health Plan | Managed Medicaid | $69.17 | ↓ -65% |
| Highmark Wholecare (prev Gateway) | Medicaid | $70.11 | ↓ -64% |
| United Healthcare Community Plan for Families | PA Medicaid | $80.49 | ↓ -59% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $94.82 | ↓ -52% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $105.20 | ↓ -46% |
| UPMC Health Plan | Commercial | $106.82 | ↓ -46% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $107.16 | ↓ -45% |
| Highmark BCBS of PA | Commercial | $123.90 | ↓ -37% |
| Wirerope Works | Commercial | $136.22 | ↓ -31% |
| Geisinger | Commercial | $164.15 | ↓ -16% |
| Aetna | PEBTF Custom Network | $179.73 | ↓ -8% |
| Multiplan | Auto | $191.10 | ↓ -3% |
| Multiplan | PPO (Includes PHCS as a Payer) | $191.10 | ↓ -3% |
| United Healthcare | Commercial | $208.25 | ↑ +6% |
| Aetna | Commercial | $211.44 | ↑ +8% |
| America's Choice | PPO | $220.50 | ↑ +13% |
| InterGroup | PPO | $220.50 | ↑ +13% |
| Multiplan | Worker's Compensation | $232.75 | ↑ +19% |
| UPMC Work Partners | Workers Comp | $316.31 | ↑ +61% |
Visitor-reported prices
Comments
Endoscopy swallow (fees) vid at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $691.80 | $69.17 – $1,037.70 |
| UPMC Muncy | Muncy | $162.00 | $40.50 – $316.31 |
| UPMC Presbyterian | Pittsburgh | $2,073.60 | $69.17 – $2,937.60 |
| UPMC St. Margaret | Pittsburgh | $1,640.40 | $69.17 – $2,323.90 |
| UPMC Williamsport | Williamsport | $162.00 | $69.17 – $316.31 |