Excision benign lesion trunk/arms/legs 1.1 - 2.0 cm 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.
$59.40 with UPMC Health Plan vs $872.96 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 |
|---|---|---|---|
| UPMC Health Plan | Managed Medicaid | $59.40 | ↓ -83% |
| UPMC Health Plan | CHIP | $59.40 | ↓ -83% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $59.40 | ↓ -83% |
| Geisinger | Medicaid/CHIP | $59.40 | ↓ -83% |
| Highmark Wholecare (prev Gateway) | Medicaid | $60.21 | ↓ -83% |
| Aetna | Medicare | $60.48 | ↓ -83% |
| Highmark Wholecare (prev Gateway) | Medicare | $67.20 | ↓ -81% |
| Highmark BCBS of PA | Medicare | $67.20 | ↓ -81% |
| UPMC Health Plan | Managed Medicare | $68.54 | ↓ -80% |
| Cigna | Medicare | $70.56 | ↓ -80% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $72.58 | ↓ -79% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $81.43 | ↓ -76% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $92.03 | ↓ -73% |
| United Healthcare | Medicare | $92.66 | ↓ -73% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $144.28 | ↓ -58% |
| UPMC Health Plan | Commercial | $146.50 | ↓ -58% |
| Highmark BCBS of PA | Commercial | $169.92 | ↓ -51% |
| Wirerope Works | Commercial | $186.82 | ↓ -46% |
| Geisinger | Commercial | $225.12 | ↓ -35% |
| UPMC Work Partners | Workers Comp | $230.04 | ↓ -34% |
| Aetna | PEBTF Custom Network | $246.49 | ↓ -29% |
| Multiplan | Auto | $262.08 | ↓ -24% |
| Multiplan | PPO (Includes PHCS as a Payer) | $262.08 | ↓ -24% |
| United Healthcare | Commercial | $285.60 | ↓ -18% |
| Aetna | Commercial | $289.97 | ↓ -16% |
| InterGroup | PPO | $302.40 | ↓ -13% |
| America's Choice | PPO | $302.40 | ↓ -13% |
| Multiplan | Worker's Compensation | $319.20 | ↓ -8% |
| United Healthcare Community Plan for Families | PA Medicaid | $872.96 | ↑ +152% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Excision benign lesion trunk/arms/legs 1.1 - 2.0 cm at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $286.80 | $54.00 – $545.04 |
| UPMC Bedford | Everett | $3,417.00 | $56.70 – $5,125.50 |
| UPMC Carlisle | Carlisle | $2,184.60 | $68.58 – $3,094.85 |
| UPMC Cole | Coudersport | $157.80 | $33.54 – $2,325.85 |
| UPMC Community Osteopathic | Harrisburg | $2,184.60 | $68.58 – $3,094.85 |
| UPMC East | Monroeville | $3,009.60 | $59.40 – $4,012.80 |
| UPMC Hamot | Erie | $3,165.00 | $59.40 – $975.61 |
| UPMC Hanover | Hanover | $2,184.60 | $68.58 – $1,075.42 |