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Gadoxetate 0.25 mmol/ml (181.43 mg/ml) intravenous solution at UPMC Wellsboro

32-36 Central Ave, Wellsboro, PA · UPMC · · NPI 1427501766

Source: hospital's published price file ↗ · Published Mar 6, 2026 · Ingested Aug 13, 2026

$22.20

Cash price

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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.

$37.00

Gross charge

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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.

$6.66 with Aetna vs $35.15 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.

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Payer
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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
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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 $6.66 ↓ -70%
Highmark BCBS of PA Medicare $7.40 ↓ -67%
Highmark Wholecare (prev Gateway) Medicare $7.40 ↓ -67%
UPMC Health Plan Managed Medicare $7.55 ↓ -66%
Cigna Medicare $7.77 ↓ -65%
United Healthcare Medicare $7.92 ↓ -64%
PA Health & Wellness Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) $7.99 ↓ -64%
UPMC Work Partners Workers Comp $13.99 ↓ -37%
Geisinger CHIP $14.73 ↓ -34%
Geisinger Medicaid/CHIP $14.73 ↓ -34%
Highmark Wholecare (prev Gateway) Medicaid $14.73 ↓ -34%
PA Health & Wellness Community Health Choices/PA Medicaid HMO $14.73 ↓ -34%
Highmark BCBS of PA Commercial - Social Mission Indemnity $15.89 ↓ -28%
UPMC Health Plan Commercial $16.13 ↓ -27%
UPMC Health Plan CHIP $16.20 ↓ -27%
UPMC Health Plan Managed Medicaid $16.20 ↓ -27%
Highmark BCBS of PA Commercial $18.71 ↓ -16%
Wirerope Works Commercial $20.57 ↓ -7%
Geisinger Commercial $24.79 ↑ +12%
Aetna PEBTF Custom Network $27.14 ↑ +22%
Multiplan Auto $28.86 ↑ +30%
Multiplan PPO (Includes PHCS as a Payer) $28.86 ↑ +30%
United Healthcare Commercial $31.45 ↑ +42%
Aetna Commercial $31.93 ↑ +44%
America's Choice PPO $33.30 ↑ +50%
InterGroup PPO $33.30 ↑ +50%
Multiplan Worker's Compensation $35.15 ↑ +58%

Visitor-reported prices

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Gadoxetate 0.25 mmol/ml (181.43 mg/ml) intravenous solution at other Pennsylvania hospitals

Hospital City Cash price Negotiated range
UPMC Mercy Pittsburgh $62.40 $9.30 – $93.60
UPMC Muncy Muncy $22.20 $5.55 – $29.60
UPMC Northwest Seneca $108.60 $9.30 – $153.85
UPMC Passavant-McCandless Pittsburgh $66.00 $9.30 – $93.50
UPMC Presbyterian Pittsburgh $90.60 $9.30 – $128.35
UPMC Somerset Somerset $8.40 $5.01 – $17.11
UPMC St. Margaret Pittsburgh $25.80 $9.30 – $36.55
UPMC Williamsport Williamsport $22.20 $9.99 – $29.60

All Pennsylvania hospitals for this procedure →