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Mayo factor v at UPMC Wellsboro
32-36 Central Ave, Wellsboro, PA · UPMC · · NPI 1427501766
$408.80
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.
$564.00
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.
$5.00 with AmeriHealth Caritas vs $485.45 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 | $5.00 | ↓ -99% |
| Geisinger | Medicaid/CHIP | $5.50 | ↓ -99% |
| UPMC Health Plan | CHIP | $5.50 | ↓ -99% |
| UPMC Health Plan | Managed Medicaid | $5.50 | ↓ -99% |
| Highmark Wholecare (prev Gateway) | Medicaid | $5.58 | ↓ -99% |
| United Healthcare Community Plan for Families | PA Medicaid | $6.40 | ↓ -98% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $7.54 | ↓ -98% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $8.52 | ↓ -98% |
| UPMC Work Partners | Workers Comp | $17.44 | ↓ -96% |
| Aetna | Medicare | $91.98 | ↓ -78% |
| Highmark BCBS of PA | Medicare | $102.20 | ↓ -75% |
| Highmark Wholecare (prev Gateway) | Medicare | $102.20 | ↓ -75% |
| UPMC Health Plan | Managed Medicare | $104.24 | ↓ -75% |
| Cigna | Medicare | $107.31 | ↓ -74% |
| United Healthcare | Medicare | $109.35 | ↓ -73% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $110.38 | ↓ -73% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $219.42 | ↓ -46% |
| UPMC Health Plan | Commercial | $222.80 | ↓ -45% |
| Highmark BCBS of PA | Commercial | $258.41 | ↓ -37% |
| Wirerope Works | Commercial | $284.12 | ↓ -30% |
| Geisinger | Commercial | $342.37 | ↓ -16% |
| Aetna | PEBTF Custom Network | $374.87 | ↓ -8% |
| Multiplan | Auto | $398.58 | ↓ -3% |
| Multiplan | PPO (Includes PHCS as a Payer) | $398.58 | ↓ -3% |
| United Healthcare | Commercial | $434.35 | ↑ +6% |
| Aetna | Commercial | $440.99 | ↑ +8% |
| America's Choice | PPO | $459.90 | ↑ +13% |
| InterGroup | PPO | $459.90 | ↑ +13% |
| Multiplan | Worker's Compensation | $485.45 | ↑ +19% |
Visitor-reported prices
Comments
Mayo factor v at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $213.00 | $5.50 – $301.75 |
| UPMC Mercy | Pittsburgh | $150.60 | $5.50 – $225.90 |
| UPMC Muncy | Muncy | $338.40 | $5.50 – $451.20 |
| UPMC Somerset | Somerset | $90.60 | $5.50 – $113.25 |
| UPMC St. Margaret | Pittsburgh | $138.00 | $5.50 – $195.50 |