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Mayo analysis gene smn1 dosage/deletion at UPMC Wellsboro
32-36 Central Ave, Wellsboro, PA · UPMC · · NPI 1427501766
$2,514.40
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.
$3,143.00
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.
$109.60 with AmeriHealth Caritas vs $1,090.60 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 |
|---|---|---|---|
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $109.60 | ↓ -96% |
| Geisinger | Medicaid/CHIP | $120.56 | ↓ -95% |
| UPMC Health Plan | CHIP | $120.56 | ↓ -95% |
| UPMC Health Plan | Managed Medicaid | $120.56 | ↓ -95% |
| Highmark Wholecare (prev Gateway) | Medicaid | $122.20 | ↓ -95% |
| UPMC Work Partners | Workers Comp | $135.40 | ↓ -95% |
| United Healthcare Community Plan for Families | PA Medicaid | $140.29 | ↓ -94% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $165.28 | ↓ -93% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $186.78 | ↓ -93% |
| Aetna | Medicare | $206.64 | ↓ -92% |
| Highmark BCBS of PA | Medicare | $229.60 | ↓ -91% |
| Highmark Wholecare (prev Gateway) | Medicare | $229.60 | ↓ -91% |
| UPMC Health Plan | Managed Medicare | $234.19 | ↓ -91% |
| Cigna | Medicare | $241.08 | ↓ -90% |
| United Healthcare | Medicare | $245.67 | ↓ -90% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $247.97 | ↓ -90% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $492.95 | ↓ -80% |
| UPMC Health Plan | Commercial | $500.53 | ↓ -80% |
| Highmark BCBS of PA | Commercial | $580.54 | ↓ -77% |
| Wirerope Works | Commercial | $638.29 | ↓ -75% |
| Geisinger | Commercial | $769.16 | ↓ -69% |
| Aetna | PEBTF Custom Network | $842.17 | ↓ -67% |
| Multiplan | Auto | $895.44 | ↓ -64% |
| Multiplan | PPO (Includes PHCS as a Payer) | $895.44 | ↓ -64% |
| United Healthcare | Commercial | $975.80 | ↓ -61% |
| Aetna | Commercial | $990.72 | ↓ -61% |
| America's Choice | PPO | $1,033.20 | ↓ -59% |
| InterGroup | PPO | $1,033.20 | ↓ -59% |
| Multiplan | Worker's Compensation | $1,090.60 | ↓ -57% |
Visitor-reported prices
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Mayo analysis gene smn1 dosage/deletion at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $1,261.80 | $84.46 – $487.90 |
| UPMC Mercy | Pittsburgh | $730.20 | $83.66 – $556.20 |
| UPMC Muncy | Muncy | $1,135.80 | $120.56 – $918.40 |
| UPMC Northwest | Seneca | $2,547.60 | $120.56 – $525.30 |
| UPMC Presbyterian | Pittsburgh | $2,547.60 | $84.46 – $525.30 |
| UPMC Somerset | Somerset | $792.60 | $82.82 – $990.75 |
| UPMC St. Margaret | Pittsburgh | $2,547.60 | $84.46 – $1,034.45 |
| UPMC Williamsport | Williamsport | $1,192.80 | $120.56 – $964.00 |