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Excision benign lesion face/ears/eyelids/nose/lips/muc memb 0.6 - 1.0 cm at UPMC Wellsboro
32-36 Central Ave, Wellsboro, PA · UPMC · · NPI 1427501766
not published by hospital
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.
not published by hospital
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.
$72.05 with AmeriHealth Caritas vs $674.56 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 | $72.05 | — |
| Geisinger | Medicaid/CHIP | $72.05 | — |
| UPMC Health Plan | CHIP | $72.05 | — |
| UPMC Health Plan | Managed Medicaid | $72.05 | — |
| Highmark Wholecare (prev Gateway) | Medicaid | $73.03 | — |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $98.77 | — |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $111.63 | — |
| UPMC Work Partners | Workers Comp | $234.13 | — |
| United Healthcare Community Plan for Families | PA Medicaid | $674.56 | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Excision benign lesion face/ears/eyelids/nose/lips/muc memb 0.6 - 1.0 cm at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $3,015.00 | $72.05 – $4,522.50 |
| UPMC Presbyterian | Pittsburgh | $3,265.20 | $72.05 – $4,625.70 |
| UPMC Somerset | Somerset | $2,184.60 | $72.05 – $2,730.75 |
| UPMC St. Margaret | Pittsburgh | $2,513.40 | $72.05 – $3,560.65 |
| UPMC Williamsport | Williamsport | $490.80 | $72.05 – $674.56 |