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Graft puraplyam antimicrob 1.6-q4196-cost per sq cm at UPMC Wellsboro
32-36 Central Ave, Wellsboro, PA · UPMC · · NPI 1427501766
$3,241.60
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.
$4,468.00
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.
$101.03 with Highmark Wholecare (prev Gateway) vs $1,414.55 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 |
|---|---|---|---|
| Highmark Wholecare (prev Gateway) | Medicaid | $101.03 | ↓ -97% |
| UPMC Health Plan | Managed Medicaid | $111.13 | ↓ -97% |
| Aetna | Medicare | $268.02 | ↓ -92% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $282.91 | ↓ -91% |
| Highmark BCBS of PA | Medicare | $297.80 | ↓ -91% |
| Highmark Wholecare (prev Gateway) | Medicare | $297.80 | ↓ -91% |
| UPMC Health Plan | Managed Medicare | $303.76 | ↓ -91% |
| Cigna | Medicare | $312.69 | ↓ -90% |
| United Healthcare | Medicare | $318.65 | ↓ -90% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $321.62 | ↓ -90% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $491.37 | ↓ -85% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $639.38 | ↓ -80% |
| UPMC Health Plan | Commercial | $649.20 | ↓ -80% |
| Highmark BCBS of PA | Commercial | $752.99 | ↓ -77% |
| Wirerope Works | Commercial | $827.88 | ↓ -74% |
| Geisinger | Commercial | $997.63 | ↓ -69% |
| Aetna | PEBTF Custom Network | $1,092.33 | ↓ -66% |
| Multiplan | Auto | $1,161.42 | ↓ -64% |
| Multiplan | PPO (Includes PHCS as a Payer) | $1,161.42 | ↓ -64% |
| United Healthcare | Commercial | $1,265.65 | ↓ -61% |
| Aetna | Commercial | $1,285.01 | ↓ -60% |
| America's Choice | PPO | $1,340.10 | ↓ -59% |
| InterGroup | PPO | $1,340.10 | ↓ -59% |
| Multiplan | Worker's Compensation | $1,414.55 | ↓ -56% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
Visitor-reported prices
Comments
Graft puraplyam antimicrob 1.6-q4196-cost per sq cm at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $38,730.60 | $36.87 – $493.85 |
| UPMC Williamsport | Williamsport | $1,233.60 | $101.03 – $478.80 |