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Graft nerve adv 3-4x70mm at UPMC Wellsboro
32-36 Central Ave, Wellsboro, PA · UPMC · · NPI 1427501766
$25,992.80
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.
$35,822.00
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.
$183.42 with Aetna vs $968.05 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 | $183.42 | ↓ -99% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $193.61 | ↓ -99% |
| Highmark BCBS of PA | Medicare | $203.80 | ↓ -99% |
| Highmark Wholecare (prev Gateway) | Medicaid | $203.80 | ↓ -99% |
| Highmark Wholecare (prev Gateway) | Medicare | $203.80 | ↓ -99% |
| UPMC Health Plan | Managed Medicare | $207.88 | ↓ -99% |
| Cigna | Medicare | $213.99 | ↓ -99% |
| United Healthcare | Medicare | $218.07 | ↓ -99% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $220.10 | ↓ -99% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $336.27 | ↓ -99% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $437.56 | ↓ -98% |
| UPMC Health Plan | Commercial | $444.28 | ↓ -98% |
| Highmark BCBS of PA | Commercial | $515.31 | ↓ -98% |
| Wirerope Works | Commercial | $566.56 | ↓ -98% |
| Geisinger | Commercial | $682.73 | ↓ -97% |
| Aetna | PEBTF Custom Network | $747.54 | ↓ -97% |
| Multiplan | Auto | $794.82 | ↓ -97% |
| Multiplan | PPO (Includes PHCS as a Payer) | $794.82 | ↓ -97% |
| United Healthcare | Commercial | $866.15 | ↓ -97% |
| Aetna | Commercial | $879.40 | ↓ -97% |
| America's Choice | PPO | $917.10 | ↓ -96% |
| InterGroup | PPO | $917.10 | ↓ -96% |
| Multiplan | Worker's Compensation | $968.05 | ↓ -96% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
Visitor-reported prices
Comments
Graft nerve adv 3-4x70mm at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $30,375.00 | $320.64 – $3,625.20 |
| UPMC Muncy | Muncy | $21,493.20 | $145.05 – $870.30 |
| UPMC Northwest | Seneca | $5,283.60 | $1,222.00 – $5,555.44 |
| UPMC Passavant-McCandless | Pittsburgh | $23,563.20 | $6.60 – $6,662.02 |
| UPMC Presbyterian | Pittsburgh | $45,505.20 | $151.44 – $7,422.72 |
| UPMC St. Margaret | Pittsburgh | $25,226.40 | $201.00 – $5,633.41 |
| UPMC Williamsport | Williamsport | $28,969.20 | $160.00 – $720.00 |