healthcosts.net
Fomepizole 1 gram/ml intravenous solution at UPMC Wellsboro
32-36 Central Ave, Wellsboro, PA · UPMC · · NPI 1427501766
$5,244.60
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.
$8,741.00
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.
$6.28 with United Healthcare Community Plan for Families vs $82.65 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 |
|---|---|---|---|
| United Healthcare Community Plan for Families | PA Medicaid | $6.28 | ↓ -100% |
| Aetna | Medicare | $15.66 | ↓ -100% |
| Highmark BCBS of PA | Medicare | $17.40 | ↓ -100% |
| Highmark Wholecare (prev Gateway) | Medicare | $17.40 | ↓ -100% |
| UPMC Health Plan | Managed Medicare | $17.75 | ↓ -100% |
| Cigna | Medicare | $18.27 | ↓ -100% |
| United Healthcare | Medicare | $18.62 | ↓ -100% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $18.79 | ↓ -100% |
| UPMC Work Partners | Workers Comp | $32.89 | ↓ -99% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $37.36 | ↓ -99% |
| UPMC Health Plan | Commercial | $37.93 | ↓ -99% |
| Highmark BCBS of PA | Commercial | $44.00 | ↓ -99% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $47.85 | ↓ -99% |
| Wirerope Works | Commercial | $48.37 | ↓ -99% |
| Geisinger | Commercial | $58.29 | ↓ -99% |
| Aetna | PEBTF Custom Network | $63.82 | ↓ -99% |
| Multiplan | Auto | $67.86 | ↓ -99% |
| Multiplan | PPO (Includes PHCS as a Payer) | $67.86 | ↓ -99% |
| United Healthcare | Commercial | $73.95 | ↓ -99% |
| Aetna | Commercial | $75.08 | ↓ -99% |
| America's Choice | PPO | $78.30 | ↓ -99% |
| InterGroup | PPO | $78.30 | ↓ -99% |
| Multiplan | Worker's Compensation | $82.65 | ↓ -98% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Fomepizole 1 gram/ml intravenous solution at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $6,465.00 | $5.24 – $96.30 |
| UPMC Muncy | Muncy | $5,244.60 | $6.28 – $78.30 |
| UPMC Passavant-McCandless | Pittsburgh | $7,203.60 | $5.84 – $95.20 |
| UPMC Presbyterian | Pittsburgh | $7,431.60 | $6.66 – $105.40 |
| UPMC Somerset | Somerset | $600.00 | $6.22 – $492.75 |
| UPMC St. Margaret | Pittsburgh | $16,285.80 | $5.42 – $231.20 |
| UPMC Williamsport | Williamsport | $5,244.60 | $6.28 – $78.30 |