healthcosts.net
Established Patient Office Visit (level 2) at UPMC Wellsboro
32-36 Central Ave, Wellsboro, PA · UPMC · · NPI 1427501766
$250.80
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.
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What you pay up front if you don't use insurance.
$418.00
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.
$11.84 with Aetna vs $62.46 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 |
|---|---|---|---|
| Aetna | Medicare | $11.84 | ↓ -95% |
| Highmark BCBS of PA | Medicare | $13.15 | ↓ -95% |
| Highmark Wholecare (prev Gateway) | Medicare | $13.15 | ↓ -95% |
| UPMC Health Plan | Managed Medicare | $13.41 | ↓ -95% |
| Cigna | Medicare | $13.81 | ↓ -94% |
| United Healthcare | Medicare | $14.07 | ↓ -94% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $14.20 | ↓ -94% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $28.23 | ↓ -89% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $28.60 | ↓ -89% |
| Geisinger | Medicaid/CHIP | $28.60 | ↓ -89% |
| UPMC Health Plan | CHIP | $28.60 | ↓ -89% |
| UPMC Health Plan | Managed Medicaid | $28.60 | ↓ -89% |
| UPMC Health Plan | Commercial | $28.67 | ↓ -89% |
| Highmark Wholecare (prev Gateway) | Medicaid | $28.99 | ↓ -88% |
| Highmark BCBS of PA | Commercial | $33.25 | ↓ -87% |
| United Healthcare Community Plan for Families | PA Medicaid | $33.28 | ↓ -87% |
| Wirerope Works | Commercial | $36.56 | ↓ -85% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $39.21 | ↓ -84% |
| Geisinger | Commercial | $44.05 | ↓ -82% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $44.31 | ↓ -82% |
| Aetna | PEBTF Custom Network | $48.23 | ↓ -81% |
| Multiplan | Auto | $51.28 | ↓ -80% |
| Multiplan | PPO (Includes PHCS as a Payer) | $51.28 | ↓ -80% |
| United Healthcare | Commercial | $55.89 | ↓ -78% |
| Aetna | Commercial | $56.74 | ↓ -77% |
| UPMC Work Partners | Workers Comp | $58.20 | ↓ -77% |
| America's Choice | PPO | $59.17 | ↓ -76% |
| InterGroup | PPO | $59.17 | ↓ -76% |
| Multiplan | Worker's Compensation | $62.46 | ↓ -75% |
Visitor-reported prices
Comments
Established Patient Office Visit (level 2) at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $125.40 | $28.60 – $177.65 |
| UPMC East | Monroeville | $138.60 | $28.60 – $184.80 |
| UPMC Altoona | Altoona | $207.00 | $20.00 – $276.00 |
| UPMC Bedford | Everett | $104.40 | $27.30 – $156.60 |
| UPMC Cole | Coudersport | $110.40 | $27.30 – $96.80 |
| UPMC Hamot | Erie | $138.60 | $28.60 – $161.70 |
| UPMC Community Osteopathic | Harrisburg | $174.00 | $20.60 – $215.42 |
| UPMC Hanover | Hanover | $61.80 | $19.57 – $89.61 |