healthcosts.net
Ghs ed peritoneal lavage w guidance if performed at UPMC Wellsboro
32-36 Central Ave, Wellsboro, PA · UPMC · · NPI 1427501766
$5,277.60
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.
$8,796.00
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.
$85.38 with AmeriHealth Caritas vs $8,356.20 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 |
|---|---|---|---|
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $85.38 | ↓ -98% |
| Geisinger | Medicaid/CHIP | $85.38 | ↓ -98% |
| UPMC Health Plan | CHIP | $85.38 | ↓ -98% |
| UPMC Health Plan | Managed Medicaid | $85.38 | ↓ -98% |
| Highmark Wholecare (prev Gateway) | Medicaid | $86.55 | ↓ -98% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $117.05 | ↓ -98% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $132.28 | ↓ -97% |
| UPMC Work Partners | Workers Comp | $143.03 | ↓ -97% |
| United Healthcare Community Plan for Families | PA Medicaid | $993.28 | ↓ -81% |
| Aetna | Medicare | $1,583.28 | ↓ -70% |
| Highmark BCBS of PA | Medicare | $1,759.20 | ↓ -67% |
| Highmark Wholecare (prev Gateway) | Medicare | $1,759.20 | ↓ -67% |
| UPMC Health Plan | Managed Medicare | $1,794.38 | ↓ -66% |
| Cigna | Medicare | $1,847.16 | ↓ -65% |
| United Healthcare | Medicare | $1,882.34 | ↓ -64% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $1,899.94 | ↓ -64% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $3,777.00 | ↓ -28% |
| UPMC Health Plan | Commercial | $3,835.06 | ↓ -27% |
| Highmark BCBS of PA | Commercial | $4,448.14 | ↓ -16% |
| Wirerope Works | Commercial | $4,890.58 | ↓ -7% |
| Geisinger | Commercial | $5,893.32 | ↑ +12% |
| Aetna | PEBTF Custom Network | $6,452.75 | ↑ +22% |
| Multiplan | Auto | $6,860.88 | ↑ +30% |
| Multiplan | PPO (Includes PHCS as a Payer) | $6,860.88 | ↑ +30% |
| United Healthcare | Commercial | $7,476.60 | ↑ +42% |
| Aetna | Commercial | $7,590.95 | ↑ +44% |
| America's Choice | PPO | $7,916.40 | ↑ +50% |
| InterGroup | PPO | $7,916.40 | ↑ +50% |
| Multiplan | Worker's Compensation | $8,356.20 | ↑ +58% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Ghs ed peritoneal lavage w guidance if performed at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $3,763.20 | $85.38 – $5,644.80 |
| UPMC Northwest | Seneca | $5,218.20 | $85.38 – $7,392.45 |
| UPMC Somerset | Somerset | $2,660.40 | $85.38 – $3,325.50 |
| UPMC Williamsport | Williamsport | $5,277.60 | $85.38 – $7,036.80 |
| UPMC Presbyterian | Pittsburgh | not published | $85.38 – $983.24 |