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Exc ben+marg excep skin tag tal 0.6-1cm 11401 at UPMC Wellsboro
32-36 Central Ave, Wellsboro, PA · UPMC · · NPI 1427501766
$346.40
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.
$478.00
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.
$51.15 with AmeriHealth Caritas vs $737.28 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 | $51.15 | ↓ -85% |
| Geisinger | Medicaid/CHIP | $51.15 | ↓ -85% |
| UPMC Health Plan | CHIP | $51.15 | ↓ -85% |
| UPMC Health Plan | Managed Medicaid | $51.15 | ↓ -85% |
| Highmark Wholecare (prev Gateway) | Medicaid | $51.85 | ↓ -85% |
| Aetna | Medicare | $54.90 | ↓ -84% |
| Highmark BCBS of PA | Medicare | $61.00 | ↓ -82% |
| Highmark Wholecare (prev Gateway) | Medicare | $61.00 | ↓ -82% |
| UPMC Health Plan | Managed Medicare | $62.22 | ↓ -82% |
| Cigna | Medicare | $64.05 | ↓ -82% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $65.88 | ↓ -81% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $70.12 | ↓ -80% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $79.25 | ↓ -77% |
| United Healthcare | Medicare | $92.66 | ↓ -73% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $130.97 | ↓ -62% |
| UPMC Health Plan | Commercial | $132.98 | ↓ -62% |
| Highmark BCBS of PA | Commercial | $154.24 | ↓ -55% |
| Wirerope Works | Commercial | $169.58 | ↓ -51% |
| UPMC Work Partners | Workers Comp | $180.92 | ↓ -48% |
| Geisinger | Commercial | $204.35 | ↓ -41% |
| Aetna | PEBTF Custom Network | $223.75 | ↓ -35% |
| Multiplan | Auto | $237.90 | ↓ -31% |
| Multiplan | PPO (Includes PHCS as a Payer) | $237.90 | ↓ -31% |
| United Healthcare | Commercial | $259.25 | ↓ -25% |
| Aetna | Commercial | $263.21 | ↓ -24% |
| America's Choice | PPO | $274.50 | ↓ -21% |
| InterGroup | PPO | $274.50 | ↓ -21% |
| Multiplan | Worker's Compensation | $289.75 | ↓ -16% |
| United Healthcare Community Plan for Families | PA Medicaid | $737.28 | ↑ +113% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
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Exc ben+marg excep skin tag tal 0.6-1cm 11401 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $2,958.00 | $51.15 – $4,190.50 |
| UPMC Presbyterian | Pittsburgh | $2,961.60 | $51.15 – $4,195.60 |
| UPMC Somerset | Somerset | $969.00 | $51.15 – $1,211.25 |
| UPMC St. Margaret | Pittsburgh | $2,637.00 | $51.15 – $3,735.75 |
| UPMC Williamsport | Williamsport | $258.60 | $51.15 – $737.28 |
| UPMC Mercy | Pittsburgh | not published | $51.15 – $545.04 |
| UPMC Northwest | Seneca | not published | $51.15 – $399.94 |