healthcosts.net
Exc ben+marg excep skin tag tal 2.1-3/>cm 11403 at UPMC Wellsboro
32-36 Central Ave, Wellsboro, PA · UPMC · · NPI 1427501766
$636.00
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.
$877.00
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.
$71.50 with AmeriHealth Caritas vs $750.08 with United Healthcare Community Plan for Families — 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 |
|---|---|---|---|
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $71.50 | ↓ -89% |
| Geisinger | Medicaid/CHIP | $71.50 | ↓ -89% |
| UPMC Health Plan | CHIP | $71.50 | ↓ -89% |
| UPMC Health Plan | Managed Medicaid | $71.50 | ↓ -89% |
| Highmark Wholecare (prev Gateway) | Medicaid | $72.47 | ↓ -89% |
| Aetna | Medicare | $75.24 | ↓ -88% |
| Highmark BCBS of PA | Medicare | $83.60 | ↓ -87% |
| Highmark Wholecare (prev Gateway) | Medicare | $83.60 | ↓ -87% |
| UPMC Health Plan | Managed Medicare | $85.27 | ↓ -87% |
| Cigna | Medicare | $87.78 | ↓ -86% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $90.29 | ↓ -86% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $98.02 | ↓ -85% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $110.77 | ↓ -83% |
| United Healthcare | Medicare | $170.13 | ↓ -73% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $179.49 | ↓ -72% |
| UPMC Health Plan | Commercial | $182.25 | ↓ -71% |
| Highmark BCBS of PA | Commercial | $211.38 | ↓ -67% |
| Wirerope Works | Commercial | $232.41 | ↓ -63% |
| Geisinger | Commercial | $280.06 | ↓ -56% |
| Aetna | PEBTF Custom Network | $306.64 | ↓ -52% |
| UPMC Work Partners | Workers Comp | $309.69 | ↓ -51% |
| Multiplan | Auto | $326.04 | ↓ -49% |
| Multiplan | PPO (Includes PHCS as a Payer) | $326.04 | ↓ -49% |
| United Healthcare | Commercial | $355.30 | ↓ -44% |
| Aetna | Commercial | $360.73 | ↓ -43% |
| America's Choice | PPO | $376.20 | ↓ -41% |
| InterGroup | PPO | $376.20 | ↓ -41% |
| Multiplan | Worker's Compensation | $397.10 | ↓ -38% |
| United Healthcare Community Plan for Families | PA Medicaid | $750.08 | ↑ +18% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Exc ben+marg excep skin tag tal 2.1-3/>cm 11403 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $2,584.20 | $71.50 – $3,660.95 |
| UPMC Presbyterian | Pittsburgh | $3,265.20 | $71.50 – $4,625.70 |
| UPMC Somerset | Somerset | $1,651.80 | $71.50 – $2,064.75 |
| UPMC St. Margaret | Pittsburgh | $2,574.60 | $71.50 – $3,647.35 |
| UPMC Williamsport | Williamsport | $526.20 | $71.50 – $750.08 |
| UPMC Mercy | Pittsburgh | not published | $71.50 – $737.87 |
| UPMC Northwest | Seneca | not published | $71.50 – $704.33 |