healthcosts.net
Hemodialysis one evaluation at UPMC Wellsboro
32-36 Central Ave, Wellsboro, PA · UPMC · · NPI 1427501766
$2,340.80
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.
$3,226.00
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.
$211.20 with United Healthcare Community Plan for Families vs $1,627.35 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 |
|---|---|---|---|
| United Healthcare Community Plan for Families | PA Medicaid | $211.20 | ↓ -91% |
| UPMC Work Partners | Workers Comp | $272.47 | ↓ -88% |
| Aetna | Medicare | $308.34 | ↓ -87% |
| Highmark BCBS of PA | Medicare | $342.60 | ↓ -85% |
| Highmark Wholecare (prev Gateway) | Medicare | $342.60 | ↓ -85% |
| UPMC Health Plan | Managed Medicare | $349.45 | ↓ -85% |
| Cigna | Medicare | $359.73 | ↓ -85% |
| United Healthcare | Medicare | $366.58 | ↓ -84% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $370.01 | ↓ -84% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $735.56 | ↓ -69% |
| UPMC Health Plan | Commercial | $746.87 | ↓ -68% |
| Highmark BCBS of PA | Commercial | $866.26 | ↓ -63% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $942.15 | ↓ -60% |
| Wirerope Works | Commercial | $952.43 | ↓ -59% |
| Geisinger | Commercial | $1,147.71 | ↓ -51% |
| Aetna | PEBTF Custom Network | $1,256.66 | ↓ -46% |
| Multiplan | Auto | $1,336.14 | ↓ -43% |
| Multiplan | PPO (Includes PHCS as a Payer) | $1,336.14 | ↓ -43% |
| United Healthcare | Commercial | $1,456.05 | ↓ -38% |
| Aetna | Commercial | $1,478.32 | ↓ -37% |
| America's Choice | PPO | $1,541.70 | ↓ -34% |
| InterGroup | PPO | $1,541.70 | ↓ -34% |
| Multiplan | Worker's Compensation | $1,627.35 | ↓ -30% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
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Hemodialysis one evaluation at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $1,025.40 | $283.77 – $1,538.10 |
| UPMC Northwest | Seneca | $1,223.40 | $279.71 – $1,733.15 |
| UPMC Passavant-McCandless | Pittsburgh | $1,389.00 | $286.45 – $1,751.00 |
| UPMC Presbyterian | Pittsburgh | $5,708.40 | $198.00 – $7,628.75 |
| UPMC Somerset | Somerset | $1,081.80 | $189.75 – $1,352.25 |
| UPMC St. Margaret | Pittsburgh | $2,982.00 | $162.04 – $720.40 |
| UPMC Williamsport | Williamsport | $1,935.60 | $211.20 – $2,580.80 |