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Infectious agent nucleic acid quantification hiv-1 at UPMC Wellsboro
32-36 Central Ave, Wellsboro, PA · UPMC · · NPI 1427501766
$1,288.80
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.
$1,777.00
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.
$84.10 with UPMC Work Partners vs $1,457.30 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 | $84.10 | ↓ -93% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $116.09 | ↓ -91% |
| Geisinger | Medicaid/CHIP | $127.70 | ↓ -90% |
| UPMC Health Plan | CHIP | $127.70 | ↓ -90% |
| UPMC Health Plan | Managed Medicaid | $127.70 | ↓ -90% |
| Highmark Wholecare (prev Gateway) | Medicaid | $129.44 | ↓ -90% |
| United Healthcare Community Plan for Families | PA Medicaid | $148.60 | ↓ -88% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $175.06 | ↓ -86% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $197.84 | ↓ -85% |
| Aetna | Medicare | $276.12 | ↓ -79% |
| Highmark BCBS of PA | Medicare | $306.80 | ↓ -76% |
| Highmark Wholecare (prev Gateway) | Medicare | $306.80 | ↓ -76% |
| UPMC Health Plan | Managed Medicare | $312.94 | ↓ -76% |
| Cigna | Medicare | $322.14 | ↓ -75% |
| United Healthcare | Medicare | $328.28 | ↓ -75% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $331.34 | ↓ -74% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $658.70 | ↓ -49% |
| UPMC Health Plan | Commercial | $668.82 | ↓ -48% |
| Highmark BCBS of PA | Commercial | $775.74 | ↓ -40% |
| Wirerope Works | Commercial | $852.90 | ↓ -34% |
| Geisinger | Commercial | $1,027.78 | ↓ -20% |
| Aetna | PEBTF Custom Network | $1,125.34 | ↓ -13% |
| Multiplan | Auto | $1,196.52 | ↓ -7% |
| Multiplan | PPO (Includes PHCS as a Payer) | $1,196.52 | ↓ -7% |
| United Healthcare | Commercial | $1,303.90 | ↑ +1% |
| Aetna | Commercial | $1,323.84 | ↑ +3% |
| America's Choice | PPO | $1,380.60 | ↑ +7% |
| InterGroup | PPO | $1,380.60 | ↑ +7% |
| Multiplan | Worker's Compensation | $1,457.30 | ↑ +13% |
Visitor-reported prices
Comments
Infectious agent nucleic acid quantification hiv-1 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $882.60 | $70.94 – $1,323.90 |
| UPMC Muncy | Muncy | $1,066.20 | $84.10 – $1,421.60 |
| UPMC Northwest | Seneca | $754.20 | $77.18 – $1,068.45 |
| UPMC Passavant-McCandless | Pittsburgh | $606.00 | $79.08 – $858.50 |
| UPMC Presbyterian | Pittsburgh | $739.20 | $84.10 – $1,047.20 |
| UPMC Somerset | Somerset | $474.60 | $84.10 – $593.25 |
| UPMC St. Margaret | Pittsburgh | $1,473.60 | $73.48 – $2,087.60 |
| UPMC Williamsport | Williamsport | $1,066.20 | $84.10 – $1,421.60 |