Injection, caplacizumab-yhdp at UPMC Wellsboro
32-36 Central Ave, Wellsboro, PA · UPMC · · NPI 1427501766
$2,329.60
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.
?
What you pay up front if you don't use insurance.
$2,912.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$524.16 with Aetna vs $2,766.40 with Multiplan — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $524.16 | ↓ -78% |
| Highmark Wholecare (prev Gateway) | Medicare | $582.40 | ↓ -75% |
| Highmark BCBS of PA | Medicare | $582.40 | ↓ -75% |
| UPMC Health Plan | Managed Medicare | $594.05 | ↓ -74% |
| Cigna | Medicare | $611.52 | ↓ -74% |
| United Healthcare | Medicare | $623.17 | ↓ -73% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $628.99 | ↓ -73% |
| UPMC Work Partners | Workers Comp | $1,100.74 | ↓ -53% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $1,250.41 | ↓ -46% |
| UPMC Health Plan | Commercial | $1,269.63 | ↓ -46% |
| Highmark BCBS of PA | Commercial | $1,472.60 | ↓ -37% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $1,601.60 | ↓ -31% |
| Wirerope Works | Commercial | $1,619.07 | ↓ -31% |
| Geisinger | Commercial | $1,951.04 | ↓ -16% |
| Aetna | PEBTF Custom Network | $2,136.24 | ↓ -8% |
| Multiplan | PPO (Includes PHCS as a Payer) | $2,271.36 | ↓ -3% |
| Multiplan | Auto | $2,271.36 | ↓ -3% |
| United Healthcare | Commercial | $2,475.20 | ↑ +6% |
| Aetna | Commercial | $2,513.06 | ↑ +8% |
| InterGroup | PPO | $2,620.80 | ↑ +13% |
| America's Choice | PPO | $2,620.80 | ↑ +13% |
| Multiplan | Worker's Compensation | $2,766.40 | ↑ +19% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Injection, caplacizumab-yhdp at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $18,673.20 | $382.65 – $24,897.60 |
| UPMC Bedford | Everett | $19,956.00 | $1,061.15 – $29,934.00 |
| UPMC East | Monroeville | $19,956.00 | $321.84 – $2,152.80 |
| UPMC Hamot | Erie | $20,647.20 | $382.65 – $2,023.77 |
| UPMC Northwest | Seneca | $19,956.00 | $993.13 – $993.13 |
| UPMC Horizon-Greenville | Greenville | $19,956.00 | $975.22 – $975.22 |
| UPMC Jameson | New Castle | $19,956.00 | $389.40 – $794.83 |
| UPMC Magee | Pittsburgh | $18,826.20 | $386.30 – $808.36 |