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Graft xenmtrx sft rect 15x20cm at UPMC Wellsboro
32-36 Central Ave, Wellsboro, PA · UPMC · · NPI 1427501766
$4,445.60
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.
$6,127.00
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.
$15.16 with Aetna vs $80.04 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 | $15.16 | ↓ -100% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $16.01 | ↓ -100% |
| Highmark BCBS of PA | Medicare | $16.85 | ↓ -100% |
| Highmark Wholecare (prev Gateway) | Medicaid | $16.85 | ↓ -100% |
| Highmark Wholecare (prev Gateway) | Medicare | $16.85 | ↓ -100% |
| UPMC Health Plan | Managed Medicare | $17.19 | ↓ -100% |
| Cigna | Medicare | $17.69 | ↓ -100% |
| United Healthcare | Medicare | $18.03 | ↓ -100% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $18.20 | ↓ -100% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $27.80 | ↓ -99% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $36.18 | ↓ -99% |
| UPMC Health Plan | Commercial | $36.73 | ↓ -99% |
| Highmark BCBS of PA | Commercial | $42.61 | ↓ -99% |
| Wirerope Works | Commercial | $46.84 | ↓ -99% |
| Geisinger | Commercial | $56.45 | ↓ -99% |
| Aetna | PEBTF Custom Network | $61.81 | ↓ -99% |
| Multiplan | Auto | $65.72 | ↓ -99% |
| Multiplan | PPO (Includes PHCS as a Payer) | $65.72 | ↓ -99% |
| United Healthcare | Commercial | $71.61 | ↓ -98% |
| Aetna | Commercial | $72.71 | ↓ -98% |
| America's Choice | PPO | $75.83 | ↓ -98% |
| InterGroup | PPO | $75.83 | ↓ -98% |
| Multiplan | Worker's Compensation | $80.04 | ↓ -98% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
Visitor-reported prices
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Graft xenmtrx sft rect 15x20cm at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $63,334.20 | $49.68 – $2,226.00 |
| UPMC Muncy | Muncy | $2,647.80 | $11.40 – $68.40 |
| UPMC Northwest | Seneca | $3,613.80 | $19.25 – $1,566.12 |
| UPMC Passavant-McCandless | Pittsburgh | $63,333.60 | $21.34 – $1,878.07 |
| UPMC Presbyterian | Pittsburgh | $118,942.80 | $8.76 – $2,092.52 |
| UPMC St. Margaret | Pittsburgh | $27,260.40 | $39.80 – $1,588.10 |
| UPMC Williamsport | Williamsport | $25,379.40 | $15.20 – $68.40 |