healthcosts.net
Inj. herceptin hylecta, 10mg at UPMC Wellsboro
32-36 Central Ave, Wellsboro, PA · UPMC · · NPI 1427501766
$37.20
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.
$62.00
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.
$11.16 with Aetna vs $67.58 with UPMC Health Plan — 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 | $11.16 | ↓ -70% |
| Highmark BCBS of PA | Medicare | $12.40 | ↓ -67% |
| Highmark Wholecare (prev Gateway) | Medicare | $12.40 | ↓ -67% |
| UPMC Health Plan | Managed Medicare | $12.65 | ↓ -66% |
| Cigna | Medicare | $13.02 | ↓ -65% |
| United Healthcare | Medicare | $13.27 | ↓ -64% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $13.39 | ↓ -64% |
| UPMC Work Partners | Workers Comp | $23.44 | ↓ -37% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $26.62 | ↓ -28% |
| UPMC Health Plan | Commercial | $27.03 | ↓ -27% |
| Highmark BCBS of PA | Commercial | $31.35 | ↓ -16% |
| Wirerope Works | Commercial | $34.47 | ↓ -7% |
| Geisinger | Commercial | $41.54 | ↑ +12% |
| Aetna | PEBTF Custom Network | $45.48 | ↑ +22% |
| Multiplan | Auto | $48.36 | ↑ +30% |
| Multiplan | PPO (Includes PHCS as a Payer) | $48.36 | ↑ +30% |
| United Healthcare | Commercial | $52.70 | ↑ +42% |
| Aetna | Commercial | $53.51 | ↑ +44% |
| America's Choice | PPO | $55.80 | ↑ +50% |
| InterGroup | PPO | $55.80 | ↑ +50% |
| Multiplan | Worker's Compensation | $58.90 | ↑ +58% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $61.44 | ↑ +65% |
| Geisinger | CHIP | $61.44 | ↑ +65% |
| Geisinger | Medicaid/CHIP | $61.44 | ↑ +65% |
| Highmark Wholecare (prev Gateway) | Medicaid | $61.44 | ↑ +65% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $61.44 | ↑ +65% |
| United Healthcare Community Plan for Families | PA Medicaid | $61.44 | ↑ +65% |
| UPMC Health Plan | CHIP | $67.58 | ↑ +82% |
| UPMC Health Plan | Managed Medicaid | $67.58 | ↑ +82% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
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Inj. herceptin hylecta, 10mg at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Northwest | Seneca | $189.60 | $38.79 – $268.60 |
| UPMC Somerset | Somerset | $561.00 | $49.22 – $701.25 |
| UPMC Williamsport | Williamsport | $413.40 | $61.44 – $620.10 |