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Ghs clsd tx frac distal tibia w/manipulation at UPMC Wellsboro
32-36 Central Ave, Wellsboro, PA · UPMC · · NPI 1427501766
$3,419.20
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.
$4,712.00
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.
$769.32 with Aetna vs $4,060.30 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 | $769.32 | ↓ -78% |
| Highmark BCBS of PA | Medicare | $854.80 | ↓ -75% |
| Highmark Wholecare (prev Gateway) | Medicare | $854.80 | ↓ -75% |
| UPMC Health Plan | Managed Medicare | $871.90 | ↓ -74% |
| Cigna | Medicare | $897.54 | ↓ -74% |
| United Healthcare | Medicare | $914.64 | ↓ -73% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $923.18 | ↓ -73% |
| United Healthcare Community Plan for Families | PA Medicaid | $993.28 | ↓ -71% |
| UPMC Work Partners | Workers Comp | $1,243.08 | ↓ -64% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $1,835.26 | ↓ -46% |
| UPMC Health Plan | Commercial | $1,863.46 | ↓ -46% |
| Highmark BCBS of PA | Commercial | $2,161.36 | ↓ -37% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $2,350.70 | ↓ -31% |
| Wirerope Works | Commercial | $2,376.34 | ↓ -31% |
| Geisinger | Commercial | $2,863.58 | ↓ -16% |
| Aetna | PEBTF Custom Network | $3,135.41 | ↓ -8% |
| Multiplan | Auto | $3,333.72 | ↓ -3% |
| Multiplan | PPO (Includes PHCS as a Payer) | $3,333.72 | ↓ -3% |
| United Healthcare | Commercial | $3,632.90 | ↑ +6% |
| Aetna | Commercial | $3,688.46 | ↑ +8% |
| America's Choice | PPO | $3,846.60 | ↑ +13% |
| InterGroup | PPO | $3,846.60 | ↑ +13% |
| Multiplan | Worker's Compensation | $4,060.30 | ↑ +19% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
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Ghs clsd tx frac distal tibia w/manipulation at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $3,607.80 | $736.75 – $5,111.05 |
| UPMC Mercy | Pittsburgh | $1,810.80 | $596.00 – $2,716.20 |
| UPMC Muncy | Muncy | $2,827.20 | $706.80 – $3,769.60 |
| UPMC Northwest | Seneca | $2,186.40 | $1,085.30 – $3,097.40 |
| UPMC Presbyterian | Pittsburgh | $4,185.00 | $736.75 – $5,928.75 |
| UPMC Somerset | Somerset | $2,319.00 | $722.42 – $2,898.75 |
| UPMC St. Margaret | Pittsburgh | $2,418.00 | $736.75 – $3,425.50 |
| UPMC Williamsport | Williamsport | $2,827.20 | $993.28 – $3,769.60 |