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Incision of metatarsal at UPMC Wellsboro
32-36 Central Ave, Wellsboro, PA · UPMC · · NPI 1427501766
$712.80
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.
$1,188.00
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.
$59.76 with Aetna vs $1,454.08 with United Healthcare Community Plan for Families — 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 | $59.76 | ↓ -92% |
| Highmark BCBS of PA | Medicare | $66.40 | ↓ -91% |
| Highmark Wholecare (prev Gateway) | Medicare | $66.40 | ↓ -91% |
| UPMC Health Plan | Managed Medicare | $67.73 | ↓ -90% |
| Cigna | Medicare | $69.72 | ↓ -90% |
| United Healthcare | Medicare | $71.05 | ↓ -90% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $71.71 | ↓ -90% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $142.56 | ↓ -80% |
| UPMC Health Plan | Commercial | $144.75 | ↓ -80% |
| Highmark BCBS of PA | Commercial | $167.89 | ↓ -76% |
| Wirerope Works | Commercial | $184.59 | ↓ -74% |
| Geisinger | Commercial | $222.44 | ↓ -69% |
| Aetna | PEBTF Custom Network | $243.56 | ↓ -66% |
| Multiplan | Auto | $258.96 | ↓ -64% |
| Multiplan | PPO (Includes PHCS as a Payer) | $258.96 | ↓ -64% |
| United Healthcare | Commercial | $282.20 | ↓ -60% |
| Aetna | Commercial | $286.52 | ↓ -60% |
| America's Choice | PPO | $298.80 | ↓ -58% |
| InterGroup | PPO | $298.80 | ↓ -58% |
| Multiplan | Worker's Compensation | $315.40 | ↓ -56% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $338.25 | ↓ -53% |
| Geisinger | Medicaid/CHIP | $338.25 | ↓ -53% |
| UPMC Health Plan | CHIP | $338.25 | ↓ -53% |
| UPMC Health Plan | Managed Medicaid | $338.25 | ↓ -53% |
| Highmark Wholecare (prev Gateway) | Medicaid | $342.86 | ↓ -52% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $463.71 | ↓ -35% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $524.04 | ↓ -26% |
| UPMC Work Partners | Workers Comp | $1,089.68 | ↑ +53% |
| United Healthcare Community Plan for Families | PA Medicaid | $1,454.08 | ↑ +104% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
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Incision of metatarsal at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | not published | $338.25 – $7,491.76 |