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G-esoph reflx tst w/electrod at UPMC Wellsboro
32-36 Central Ave, Wellsboro, PA · UPMC · · NPI 1427501766
$5,380.80
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.
$7,415.00
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.
$365.89 with United Healthcare Community Plan for Families vs $6,389.70 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 | $365.89 | ↓ -93% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $386.17 | ↓ -93% |
| Geisinger | Medicaid/CHIP | $386.17 | ↓ -93% |
| UPMC Health Plan | CHIP | $386.17 | ↓ -93% |
| UPMC Health Plan | Managed Medicaid | $386.17 | ↓ -93% |
| Highmark Wholecare (prev Gateway) | Medicaid | $391.43 | ↓ -93% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $529.40 | ↓ -90% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $598.28 | ↓ -89% |
| UPMC Work Partners | Workers Comp | $802.67 | ↓ -85% |
| Aetna | Medicare | $1,210.68 | ↓ -78% |
| Highmark BCBS of PA | Medicare | $1,345.20 | ↓ -75% |
| Highmark Wholecare (prev Gateway) | Medicare | $1,345.20 | ↓ -75% |
| UPMC Health Plan | Managed Medicare | $1,372.10 | ↓ -75% |
| Cigna | Medicare | $1,412.46 | ↓ -74% |
| United Healthcare | Medicare | $1,439.36 | ↓ -73% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $1,452.82 | ↓ -73% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $2,888.14 | ↓ -46% |
| UPMC Health Plan | Commercial | $2,932.54 | ↓ -45% |
| Highmark BCBS of PA | Commercial | $3,401.34 | ↓ -37% |
| Wirerope Works | Commercial | $3,739.66 | ↓ -30% |
| Geisinger | Commercial | $4,506.42 | ↓ -16% |
| Aetna | PEBTF Custom Network | $4,934.19 | ↓ -8% |
| Multiplan | Auto | $5,246.28 | ↓ -3% |
| Multiplan | PPO (Includes PHCS as a Payer) | $5,246.28 | ↓ -3% |
| United Healthcare | Commercial | $5,717.10 | ↑ +6% |
| Aetna | Commercial | $5,804.54 | ↑ +8% |
| America's Choice | PPO | $6,053.40 | ↑ +13% |
| InterGroup | PPO | $6,053.40 | ↑ +13% |
| Multiplan | Worker's Compensation | $6,389.70 | ↑ +19% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
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G-esoph reflx tst w/electrod at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $1,306.80 | $278.95 – $1,960.20 |
| UPMC Passavant-McCandless | Pittsburgh | $1,645.20 | $281.61 – $2,330.70 |
| UPMC Presbyterian | Pittsburgh | $1,296.60 | $281.61 – $1,836.85 |
| UPMC Somerset | Somerset | $1,109.40 | $276.13 – $1,386.75 |
| UPMC Williamsport | Williamsport | $4,449.00 | $365.89 – $5,932.00 |