Init pm e/m new pat 65+ yrs at UPMC Wellsboro
32-36 Central Ave, Wellsboro, PA · UPMC · · NPI 1427501766
$216.00
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.
$360.00
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.
$25.60 with United Healthcare Community Plan for Families vs $342.00 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 | $25.60 | ↓ -88% |
| Aetna | Medicare | $64.80 | ↓ -70% |
| Highmark Wholecare (prev Gateway) | Medicare | $72.00 | ↓ -67% |
| Highmark BCBS of PA | Medicare | $72.00 | ↓ -67% |
| UPMC Health Plan | Managed Medicare | $73.44 | ↓ -66% |
| Cigna | Medicare | $75.60 | ↓ -65% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $77.76 | ↓ -64% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $154.58 | ↓ -28% |
| UPMC Health Plan | Commercial | $156.96 | ↓ -27% |
| Highmark BCBS of PA | Commercial | $182.05 | ↓ -16% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $198.00 | ↓ -8% |
| Wirerope Works | Commercial | $200.16 | ↓ -7% |
| Geisinger | Commercial | $241.20 | ↑ +12% |
| Aetna | PEBTF Custom Network | $264.10 | ↑ +22% |
| Multiplan | PPO (Includes PHCS as a Payer) | $280.80 | ↑ +30% |
| Multiplan | Auto | $280.80 | ↑ +30% |
| United Healthcare | Commercial | $306.00 | ↑ +42% |
| Aetna | Commercial | $310.68 | ↑ +44% |
| America's Choice | PPO | $324.00 | ↑ +50% |
| InterGroup | PPO | $324.00 | ↑ +50% |
| Multiplan | Worker's Compensation | $342.00 | ↑ +58% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
Visitor-reported prices
Comments
Init pm e/m new pat 65+ yrs at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $332.40 | $44.87 – $443.20 |
| UPMC Cole | Coudersport | $192.60 | $88.98 – $256.80 |
| UPMC Community Osteopathic | Harrisburg | $154.80 | $26.20 – $240.09 |
| UPMC Somerset | Somerset | $154.80 | $23.00 – $76.54 |