healthcosts.net
Graft impl ult thck 6x12cm -cost per sq cm at UPMC Wellsboro
32-36 Central Ave, Wellsboro, PA · UPMC · · NPI 1427501766
$15,834.40
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.
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What you pay up front if you don't use insurance.
$21,822.00
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.
$1,839.06 with Aetna vs $9,706.15 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.
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 | $1,839.06 | ↓ -88% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $1,941.23 | ↓ -88% |
| Highmark BCBS of PA | Medicare | $2,043.40 | ↓ -87% |
| Highmark Wholecare (prev Gateway) | Medicaid | $2,043.40 | ↓ -87% |
| Highmark Wholecare (prev Gateway) | Medicare | $2,043.40 | ↓ -87% |
| UPMC Health Plan | Managed Medicare | $2,084.27 | ↓ -87% |
| Cigna | Medicare | $2,145.57 | ↓ -86% |
| United Healthcare | Medicare | $2,186.44 | ↓ -86% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $2,206.87 | ↓ -86% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $3,371.61 | ↓ -79% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $4,387.18 | ↓ -72% |
| UPMC Health Plan | Commercial | $4,454.61 | ↓ -72% |
| Highmark BCBS of PA | Commercial | $5,166.74 | ↓ -67% |
| Wirerope Works | Commercial | $5,680.65 | ↓ -64% |
| Geisinger | Commercial | $6,845.39 | ↓ -57% |
| Aetna | PEBTF Custom Network | $7,495.19 | ↓ -53% |
| Multiplan | Auto | $7,969.26 | ↓ -50% |
| Multiplan | PPO (Includes PHCS as a Payer) | $7,969.26 | ↓ -50% |
| United Healthcare | Commercial | $8,684.45 | ↓ -45% |
| Aetna | Commercial | $8,817.27 | ↓ -44% |
| America's Choice | PPO | $9,195.30 | ↓ -42% |
| InterGroup | PPO | $9,195.30 | ↓ -42% |
| Multiplan | Worker's Compensation | $9,706.15 | ↓ -39% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
Visitor-reported prices
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Graft impl ult thck 6x12cm -cost per sq cm at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $27,538.20 | $56.47 – $601.20 |
| UPMC Muncy | Muncy | $13,093.20 | $1,689.60 – $10,137.60 |
| UPMC Passavant-McCandless | Pittsburgh | $28,358.40 | $60.78 – $1,751.00 |
| UPMC Presbyterian | Pittsburgh | $37,447.20 | $60.78 – $754.80 |
| UPMC Williamsport | Williamsport | $28,077.00 | $2,995.60 – $13,480.20 |