healthcosts.net
External chromosome analysis 20-25 cells at UPMC Wellsboro
32-36 Central Ave, Wellsboro, PA · UPMC · · NPI 1427501766
$1,140.00
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.
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What you pay up front if you don't use insurance.
$1,571.00
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.
$96.48 with Aetna vs $509.20 with Multiplan — 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 |
|---|---|---|---|
| Aetna | Medicare | $96.48 | ↓ -92% |
| Highmark BCBS of PA | Medicare | $107.20 | ↓ -91% |
| Highmark Wholecare (prev Gateway) | Medicare | $107.20 | ↓ -91% |
| UPMC Health Plan | Managed Medicare | $109.34 | ↓ -90% |
| Cigna | Medicare | $112.56 | ↓ -90% |
| United Healthcare | Medicare | $114.70 | ↓ -90% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $115.78 | ↓ -90% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $137.80 | ↓ -88% |
| UPMC Work Partners | Workers Comp | $142.92 | ↓ -87% |
| Geisinger | Medicaid/CHIP | $151.58 | ↓ -87% |
| UPMC Health Plan | CHIP | $151.58 | ↓ -87% |
| UPMC Health Plan | Managed Medicaid | $151.58 | ↓ -87% |
| Highmark Wholecare (prev Gateway) | Medicaid | $153.65 | ↓ -87% |
| United Healthcare Community Plan for Families | PA Medicaid | $176.38 | ↓ -85% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $207.80 | ↓ -82% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $230.16 | ↓ -80% |
| UPMC Health Plan | Commercial | $233.70 | ↓ -80% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $234.84 | ↓ -79% |
| Highmark BCBS of PA | Commercial | $271.06 | ↓ -76% |
| Wirerope Works | Commercial | $298.02 | ↓ -74% |
| Geisinger | Commercial | $359.12 | ↓ -68% |
| Aetna | PEBTF Custom Network | $393.21 | ↓ -66% |
| Multiplan | Auto | $418.08 | ↓ -63% |
| Multiplan | PPO (Includes PHCS as a Payer) | $418.08 | ↓ -63% |
| United Healthcare | Commercial | $455.60 | ↓ -60% |
| Aetna | Commercial | $462.57 | ↓ -59% |
| America's Choice | PPO | $482.40 | ↓ -58% |
| InterGroup | PPO | $482.40 | ↓ -58% |
| Multiplan | Worker's Compensation | $509.20 | ↓ -55% |
Visitor-reported prices
Comments
External chromosome analysis 20-25 cells at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $869.40 | $120.55 – $1,304.10 |
| UPMC Muncy | Muncy | $942.60 | $142.92 – $1,256.80 |
| UPMC Northwest | Seneca | $1,124.40 | $131.15 – $1,592.90 |
| UPMC Passavant-McCandless | Pittsburgh | $1,226.40 | $134.39 – $1,737.40 |
| UPMC Presbyterian | Pittsburgh | $919.20 | $137.80 – $1,302.20 |
| UPMC Somerset | Somerset | $1,033.80 | $142.92 – $1,292.25 |
| UPMC St. Margaret | Pittsburgh | $1,082.40 | $124.86 – $1,533.40 |
| UPMC Williamsport | Williamsport | $354.60 | $142.92 – $472.80 |