healthcosts.net
Hla i low res one antigen equiv ea at UPMC Wellsboro
32-36 Central Ave, Wellsboro, PA · UPMC · · NPI 1427501766
$956.80
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.
$1,319.00
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.
$73.46 with UPMC Work Partners vs $981.35 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 |
|---|---|---|---|
| UPMC Work Partners | Workers Comp | $73.46 | ↓ -92% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $79.40 | ↓ -92% |
| Geisinger | Medicaid/CHIP | $87.34 | ↓ -91% |
| UPMC Health Plan | CHIP | $87.34 | ↓ -91% |
| UPMC Health Plan | Managed Medicaid | $87.34 | ↓ -91% |
| Highmark Wholecare (prev Gateway) | Medicaid | $88.53 | ↓ -91% |
| United Healthcare Community Plan for Families | PA Medicaid | $101.63 | ↓ -89% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $119.74 | ↓ -87% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $135.31 | ↓ -86% |
| Aetna | Medicare | $185.94 | ↓ -81% |
| Highmark BCBS of PA | Medicare | $206.60 | ↓ -78% |
| Highmark Wholecare (prev Gateway) | Medicare | $206.60 | ↓ -78% |
| UPMC Health Plan | Managed Medicare | $210.73 | ↓ -78% |
| Cigna | Medicare | $216.93 | ↓ -77% |
| United Healthcare | Medicare | $221.06 | ↓ -77% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $223.13 | ↓ -77% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $443.57 | ↓ -54% |
| UPMC Health Plan | Commercial | $450.39 | ↓ -53% |
| Highmark BCBS of PA | Commercial | $522.39 | ↓ -45% |
| Wirerope Works | Commercial | $574.35 | ↓ -40% |
| Geisinger | Commercial | $692.11 | ↓ -28% |
| Aetna | PEBTF Custom Network | $757.81 | ↓ -21% |
| Multiplan | Auto | $805.74 | ↓ -16% |
| Multiplan | PPO (Includes PHCS as a Payer) | $805.74 | ↓ -16% |
| United Healthcare | Commercial | $878.05 | ↓ -8% |
| Aetna | Commercial | $891.48 | ↓ -7% |
| America's Choice | PPO | $929.70 | ↓ -3% |
| InterGroup | PPO | $929.70 | ↓ -3% |
| Multiplan | Worker's Compensation | $981.35 | ↑ +3% |
Visitor-reported prices
Comments
Hla i low res one antigen equiv ea at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $1,328.40 | $69.07 – $1,258.00 |
| UPMC Mercy | Pittsburgh | $1,253.40 | $61.96 – $1,185.30 |
| UPMC Muncy | Muncy | $651.00 | $73.46 – $868.00 |
| UPMC Northwest | Seneca | $837.60 | $67.41 – $1,186.60 |
| UPMC Presbyterian | Pittsburgh | $1,253.40 | $73.46 – $1,775.65 |
| UPMC St. Margaret | Pittsburgh | $1,253.40 | $64.18 – $1,175.55 |
| UPMC Williamsport | Williamsport | $791.40 | $73.46 – $1,055.20 |