healthcosts.net
Ercp lithotripsy calculi at UPMC Wellsboro
32-36 Central Ave, Wellsboro, PA · UPMC · · NPI 1427501766
$7,896.80
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.
?
What you pay up front if you don't use insurance.
$10,883.00
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.
$993.28 with United Healthcare Community Plan for Families vs $9,377.45 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 |
|---|---|---|---|
| United Healthcare Community Plan for Families | PA Medicaid | $993.28 | ↓ -87% |
| UPMC Work Partners | Workers Comp | $1,369.04 | ↓ -83% |
| Aetna | Medicare | $1,776.78 | ↓ -78% |
| Highmark BCBS of PA | Medicare | $1,974.20 | ↓ -75% |
| Highmark Wholecare (prev Gateway) | Medicare | $1,974.20 | ↓ -75% |
| UPMC Health Plan | Managed Medicare | $2,013.68 | ↓ -75% |
| Cigna | Medicare | $2,072.91 | ↓ -74% |
| United Healthcare | Medicare | $2,112.39 | ↓ -73% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $2,132.14 | ↓ -73% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $4,238.61 | ↓ -46% |
| UPMC Health Plan | Commercial | $4,303.76 | ↓ -45% |
| Highmark BCBS of PA | Commercial | $4,991.76 | ↓ -37% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $5,429.05 | ↓ -31% |
| Wirerope Works | Commercial | $5,488.28 | ↓ -30% |
| Geisinger | Commercial | $6,613.57 | ↓ -16% |
| Aetna | PEBTF Custom Network | $7,241.37 | ↓ -8% |
| Multiplan | Auto | $7,699.38 | ↓ -3% |
| Multiplan | PPO (Includes PHCS as a Payer) | $7,699.38 | ↓ -3% |
| United Healthcare | Commercial | $8,390.35 | ↑ +6% |
| Aetna | Commercial | $8,518.67 | ↑ +8% |
| America's Choice | PPO | $8,883.90 | ↑ +13% |
| InterGroup | PPO | $8,883.90 | ↑ +13% |
| Multiplan | Worker's Compensation | $9,377.45 | ↑ +19% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Ercp lithotripsy calculi at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $2,490.00 | $736.75 – $6,242.82 |
| UPMC Mercy | Pittsburgh | $3,417.00 | $596.00 – $6,129.31 |
| UPMC Presbyterian | Pittsburgh | $5,378.40 | $736.75 – $7,619.40 |
| UPMC Somerset | Somerset | $7,247.40 | $722.42 – $9,059.25 |
| UPMC St. Margaret | Pittsburgh | $3,165.00 | $736.75 – $6,128.75 |
| UPMC Williamsport | Williamsport | $6,529.80 | $993.28 – $8,706.40 |