healthcosts.net
Heparin assay at UPMC Wellsboro
32-36 Central Ave, Wellsboro, PA · UPMC · · NPI 1427501766
$405.60
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.
$559.00
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.
$6.53 with AmeriHealth Caritas vs $433.20 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 |
|---|---|---|---|
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $6.53 | ↓ -98% |
| Geisinger | Medicaid/CHIP | $7.18 | ↓ -98% |
| UPMC Health Plan | CHIP | $7.18 | ↓ -98% |
| UPMC Health Plan | Managed Medicaid | $7.18 | ↓ -98% |
| Highmark Wholecare (prev Gateway) | Medicaid | $7.28 | ↓ -98% |
| United Healthcare Community Plan for Families | PA Medicaid | $8.36 | ↓ -98% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $9.85 | ↓ -98% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $11.13 | ↓ -97% |
| UPMC Work Partners | Workers Comp | $12.93 | ↓ -97% |
| Aetna | Medicare | $82.08 | ↓ -80% |
| Highmark BCBS of PA | Medicare | $91.20 | ↓ -78% |
| Highmark Wholecare (prev Gateway) | Medicare | $91.20 | ↓ -78% |
| UPMC Health Plan | Managed Medicare | $93.02 | ↓ -77% |
| Cigna | Medicare | $95.76 | ↓ -76% |
| United Healthcare | Medicare | $97.58 | ↓ -76% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $98.50 | ↓ -76% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $195.81 | ↓ -52% |
| UPMC Health Plan | Commercial | $198.82 | ↓ -51% |
| Highmark BCBS of PA | Commercial | $230.60 | ↓ -43% |
| Wirerope Works | Commercial | $253.54 | ↓ -37% |
| Geisinger | Commercial | $305.52 | ↓ -25% |
| Aetna | PEBTF Custom Network | $334.52 | ↓ -18% |
| Multiplan | Auto | $355.68 | ↓ -12% |
| Multiplan | PPO (Includes PHCS as a Payer) | $355.68 | ↓ -12% |
| United Healthcare | Commercial | $387.60 | ↓ -4% |
| Aetna | Commercial | $393.53 | ↓ -3% |
| America's Choice | PPO | $410.40 | ↑ +1% |
| InterGroup | PPO | $410.40 | ↑ +1% |
| Multiplan | Worker's Compensation | $433.20 | ↑ +7% |
Visitor-reported prices
Comments
Heparin assay at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $284.40 | $7.18 – $402.90 |
| UPMC Mercy | Pittsburgh | $178.20 | $7.18 – $267.30 |
| UPMC Muncy | Muncy | $335.40 | $7.18 – $447.20 |
| UPMC Northwest | Seneca | $75.60 | $7.18 – $107.10 |
| UPMC Presbyterian | Pittsburgh | $131.40 | $6.53 – $186.15 |
| UPMC Somerset | Somerset | $66.60 | $7.18 – $83.25 |
| UPMC St. Margaret | Pittsburgh | $1,046.40 | $7.18 – $1,482.40 |
| UPMC Williamsport | Williamsport | $335.40 | $7.18 – $447.20 |