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Exc ben+marg excep skin tag snhfg 0.6-1cm 11421 at UPMC Wellsboro
32-36 Central Ave, Wellsboro, PA · UPMC · · NPI 1427501766
$490.80
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.
$818.00
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.
$46.75 with AmeriHealth Caritas vs $867.84 with United Healthcare Community Plan for Families — 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 |
|---|---|---|---|
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $46.75 | ↓ -90% |
| Geisinger | Medicaid/CHIP | $46.75 | ↓ -90% |
| UPMC Health Plan | CHIP | $46.75 | ↓ -90% |
| UPMC Health Plan | Managed Medicaid | $46.75 | ↓ -90% |
| Highmark Wholecare (prev Gateway) | Medicaid | $47.39 | ↓ -90% |
| Aetna | Medicare | $57.96 | ↓ -88% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $64.09 | ↓ -87% |
| Highmark BCBS of PA | Medicare | $64.40 | ↓ -87% |
| Highmark Wholecare (prev Gateway) | Medicare | $64.40 | ↓ -87% |
| UPMC Health Plan | Managed Medicare | $65.69 | ↓ -87% |
| Cigna | Medicare | $67.62 | ↓ -86% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $69.55 | ↓ -86% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $72.43 | ↓ -85% |
| United Healthcare | Medicare | $92.66 | ↓ -81% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $138.27 | ↓ -72% |
| UPMC Health Plan | Commercial | $140.39 | ↓ -71% |
| Highmark BCBS of PA | Commercial | $162.84 | ↓ -67% |
| Wirerope Works | Commercial | $179.03 | ↓ -64% |
| UPMC Work Partners | Workers Comp | $205.30 | ↓ -58% |
| Geisinger | Commercial | $215.74 | ↓ -56% |
| Aetna | PEBTF Custom Network | $236.22 | ↓ -52% |
| Multiplan | Auto | $251.16 | ↓ -49% |
| Multiplan | PPO (Includes PHCS as a Payer) | $251.16 | ↓ -49% |
| United Healthcare | Commercial | $273.70 | ↓ -44% |
| Aetna | Commercial | $277.89 | ↓ -43% |
| America's Choice | PPO | $289.80 | ↓ -41% |
| InterGroup | PPO | $289.80 | ↓ -41% |
| Multiplan | Worker's Compensation | $305.90 | ↓ -38% |
| United Healthcare Community Plan for Families | PA Medicaid | $867.84 | ↑ +77% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
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Exc ben+marg excep skin tag snhfg 0.6-1cm 11421 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $2,815.20 | $46.75 – $3,988.20 |
| UPMC Mercy | Pittsburgh | $2,377.20 | $46.75 – $3,565.80 |
| UPMC Presbyterian | Pittsburgh | $2,286.00 | $46.75 – $3,238.50 |
| UPMC St. Margaret | Pittsburgh | $2,712.00 | $46.75 – $3,842.00 |
| UPMC Williamsport | Williamsport | $490.80 | $46.75 – $867.84 |
| UPMC Northwest | Seneca | not published | $46.75 – $704.33 |
| UPMC Somerset | Somerset | not published | $46.75 – $779.70 |