healthcosts.net
Graft patch felt ptfe 2x2 at UPMC Wellsboro
32-36 Central Ave, Wellsboro, PA · UPMC · · NPI 1427501766
$5,246.40
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.
$7,230.00
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.
$17.41 with Aetna vs $91.91 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 | $17.41 | ↓ -100% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $18.38 | ↓ -100% |
| Highmark BCBS of PA | Medicare | $19.35 | ↓ -100% |
| Highmark Wholecare (prev Gateway) | Medicaid | $19.35 | ↓ -100% |
| Highmark Wholecare (prev Gateway) | Medicare | $19.35 | ↓ -100% |
| UPMC Health Plan | Managed Medicare | $19.74 | ↓ -100% |
| Cigna | Medicare | $20.32 | ↓ -100% |
| United Healthcare | Medicare | $20.70 | ↓ -100% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $20.90 | ↓ -100% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $31.93 | ↓ -99% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $41.54 | ↓ -99% |
| UPMC Health Plan | Commercial | $42.18 | ↓ -99% |
| Highmark BCBS of PA | Commercial | $48.93 | ↓ -99% |
| Wirerope Works | Commercial | $53.79 | ↓ -99% |
| Geisinger | Commercial | $64.82 | ↓ -99% |
| Aetna | PEBTF Custom Network | $70.98 | ↓ -99% |
| Multiplan | Auto | $75.47 | ↓ -99% |
| Multiplan | PPO (Includes PHCS as a Payer) | $75.47 | ↓ -99% |
| United Healthcare | Commercial | $82.24 | ↓ -98% |
| Aetna | Commercial | $83.50 | ↓ -98% |
| America's Choice | PPO | $87.08 | ↓ -98% |
| InterGroup | PPO | $87.08 | ↓ -98% |
| Multiplan | Worker's Compensation | $91.91 | ↓ -98% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
Visitor-reported prices
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Graft patch felt ptfe 2x2 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $7,958.40 | $24.48 – $1,302.01 |
| UPMC Muncy | Muncy | $4,338.00 | $16.05 – $96.30 |
| UPMC Northwest | Seneca | $2,249.40 | $106.50 – $1,995.27 |
| UPMC Passavant-McCandless | Pittsburgh | $39,576.60 | $22.66 – $2,392.71 |
| UPMC Presbyterian | Pittsburgh | $55,935.00 | $86.16 – $2,665.92 |
| UPMC St. Margaret | Pittsburgh | $4,372.80 | $215.20 – $2,023.27 |
| UPMC Williamsport | Williamsport | $16,977.00 | $80.20 – $360.90 |