healthcosts.net
Irrigation vagina and/or appl medicament tx disease at UPMC Wellsboro
32-36 Central Ave, Wellsboro, PA · UPMC · · NPI 1427501766
$891.20
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.
$1,229.00
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.
$13.86 with Aetna vs $238.40 with United Healthcare — 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 | $13.86 | ↓ -98% |
| Highmark BCBS of PA | Medicare | $15.40 | ↓ -98% |
| Highmark Wholecare (prev Gateway) | Medicare | $15.40 | ↓ -98% |
| UPMC Health Plan | Managed Medicare | $15.71 | ↓ -98% |
| Cigna | Medicare | $16.17 | ↓ -98% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $16.63 | ↓ -98% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $29.75 | ↓ -97% |
| Geisinger | Medicaid/CHIP | $29.75 | ↓ -97% |
| UPMC Health Plan | CHIP | $29.75 | ↓ -97% |
| UPMC Health Plan | Managed Medicaid | $29.75 | ↓ -97% |
| Highmark Wholecare (prev Gateway) | Medicaid | $30.16 | ↓ -97% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $33.06 | ↓ -96% |
| UPMC Health Plan | Commercial | $33.57 | ↓ -96% |
| United Healthcare Community Plan for Families | PA Medicaid | $34.62 | ↓ -96% |
| Highmark BCBS of PA | Commercial | $38.94 | ↓ -96% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $40.79 | ↓ -95% |
| Wirerope Works | Commercial | $42.81 | ↓ -95% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $46.10 | ↓ -95% |
| Geisinger | Commercial | $51.59 | ↓ -94% |
| Aetna | PEBTF Custom Network | $56.49 | ↓ -94% |
| Multiplan | Auto | $60.06 | ↓ -93% |
| Multiplan | PPO (Includes PHCS as a Payer) | $60.06 | ↓ -93% |
| United Healthcare | Commercial | $65.45 | ↓ -93% |
| Aetna | Commercial | $66.45 | ↓ -93% |
| America's Choice | PPO | $69.30 | ↓ -92% |
| InterGroup | PPO | $69.30 | ↓ -92% |
| Multiplan | Worker's Compensation | $73.15 | ↓ -92% |
| UPMC Work Partners | Workers Comp | $106.61 | ↓ -88% |
| United Healthcare | Medicare | $238.40 | ↓ -73% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |