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Graft sft tiss theraskin lg 5.1x7.6cm meshed 39 sq cm-q4121-cost per sq cm at UPMC Wellsboro

32-36 Central Ave, Wellsboro, PA · UPMC · · NPI 1427501766

Source: hospital's published price file ↗ · Published Mar 6, 2026 · Ingested Aug 13, 2026

$7,673.60

Cash price

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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.

Full explanation →

What you pay up front if you don't use insurance.

$10,820.00

Gross charge

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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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$52.75 with Highmark Wholecare (prev Gateway) vs $2,643.85 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 →

Payer
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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
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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 $52.75 ↓ -99%
UPMC Health Plan Managed Medicaid $58.03 ↓ -99%
Aetna Medicare $500.94 ↓ -93%
Health Partners Plans (Jefferson Health Plan) Medicaid/CHIP $528.77 ↓ -93%
Highmark BCBS of PA Medicare $556.60 ↓ -93%
Highmark Wholecare (prev Gateway) Medicare $556.60 ↓ -93%
UPMC Health Plan Managed Medicare $567.73 ↓ -93%
Cigna Medicare $584.43 ↓ -92%
United Healthcare Medicare $595.56 ↓ -92%
PA Health & Wellness Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) $601.13 ↓ -92%
PA Health & Wellness Community Health Choices/PA Medicaid HMO $918.39 ↓ -88%
Highmark BCBS of PA Commercial - Social Mission Indemnity $1,195.02 ↓ -84%
UPMC Health Plan Commercial $1,213.39 ↓ -84%
Highmark BCBS of PA Commercial $1,407.36 ↓ -82%
Wirerope Works Commercial $1,547.35 ↓ -80%
Geisinger Commercial $1,864.61 ↓ -76%
Aetna PEBTF Custom Network $2,041.61 ↓ -73%
Multiplan Auto $2,170.74 ↓ -72%
Multiplan PPO (Includes PHCS as a Payer) $2,170.74 ↓ -72%
United Healthcare Commercial $2,365.55 ↓ -69%
Aetna Commercial $2,401.73 ↓ -69%
America's Choice PPO $2,504.70 ↓ -67%
InterGroup PPO $2,504.70 ↓ -67%
Multiplan Worker's Compensation $2,643.85 ↓ -66%
UPMC Work Partners Workers Comp not published by hospital

Visitor-reported prices

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Graft sft tiss theraskin lg 5.1x7.6cm meshed 39 sq cm-q4121-cost per sq cm at other Pennsylvania hospitals

Hospital City Cash price Negotiated range
UPMC Mercy Pittsburgh $6,241.80 $17.06 – $364.50
UPMC Muncy Muncy $2,568.60 $58.03 – $3,852.90
UPMC Northwest Seneca $5,533.20 $33.31 – $344.25
UPMC Passavant-McCandless Pittsburgh $7,849.80 $17.23 – $344.25
UPMC Presbyterian Pittsburgh $11,093.40 $17.23 – $306.00
UPMC St. Margaret Pittsburgh $6,241.80 $17.23 – $2,876.40
UPMC Williamsport Williamsport $6,183.00 $52.75 – $9,274.50

All Pennsylvania hospitals for this procedure →