Gastro/jejuno tube, std at UPMC Wellsboro
32-36 Central Ave, Wellsboro, PA · UPMC · · NPI 1427501766
$1,074.40
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.
?
What you pay up front if you don't use insurance.
$1,343.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$29.88 with Aetna vs $157.70 with Multiplan — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $29.88 | ↓ -97% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $31.54 | ↓ -97% |
| Highmark BCBS of PA | Medicare | $33.20 | ↓ -97% |
| Highmark Wholecare (prev Gateway) | Medicare | $33.20 | ↓ -97% |
| Highmark Wholecare (prev Gateway) | Medicaid | $33.20 | ↓ -97% |
| UPMC Health Plan | Managed Medicare | $33.86 | ↓ -97% |
| Cigna | Medicare | $34.86 | ↓ -97% |
| United Healthcare | Medicare | $35.52 | ↓ -97% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $35.86 | ↓ -97% |
| United Healthcare Community Plan for Families | PA Medicaid | $39.14 | ↓ -96% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $54.78 | ↓ -95% |
| UPMC Work Partners | Workers Comp | $62.02 | ↓ -94% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $71.28 | ↓ -93% |
| UPMC Health Plan | Commercial | $72.38 | ↓ -93% |
| Highmark BCBS of PA | Commercial | $83.95 | ↓ -92% |
| Wirerope Works | Commercial | $92.30 | ↓ -91% |
| Geisinger | Commercial | $111.22 | ↓ -90% |
| Aetna | PEBTF Custom Network | $121.78 | ↓ -89% |
| Multiplan | PPO (Includes PHCS as a Payer) | $129.48 | ↓ -88% |
| Multiplan | Auto | $129.48 | ↓ -88% |
| United Healthcare | Commercial | $141.10 | ↓ -87% |
| Aetna | Commercial | $143.26 | ↓ -87% |
| InterGroup | PPO | $149.40 | ↓ -86% |
| America's Choice | PPO | $149.40 | ↓ -86% |
| Multiplan | Worker's Compensation | $157.70 | ↓ -85% |
Visitor-reported prices
Comments
Gastro/jejuno tube, std at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $790.80 | $11.00 – $184.30 |
| UPMC East | Monroeville | $1,269.60 | $23.75 – $426.93 |
| UPMC Hamot | Erie | $1,338.60 | $62.02 – $63.94 |
| UPMC Northwest | Seneca | $526.20 | $62.02 – $223.01 |
| UPMC Horizon-Greenville | Greenville | $311.40 | $62.02 – $184.30 |
| UPMC Jameson | New Castle | $330.00 | $24.38 – $184.30 |
| UPMC Magee | Pittsburgh | $1,272.60 | $26.82 – $184.30 |
| UPMC McKeesport | Mckeesport | $294.60 | $26.82 – $184.30 |