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Mayo gabapentin bld/srm/plasma therapeutic drug level at UPMC Wellsboro

32-36 Central Ave, Wellsboro, PA · UPMC · · NPI 1427501766

Source: hospital's published price file ↗ · Published Mar 6, 2026 · Ingested Aug 13, 2026

$522.40

Cash price

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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.

Full explanation →

What you pay up front if you don't use insurance.

$720.00

Gross charge

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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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$14.47 with AmeriHealth Caritas vs $620.35 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 →

Payer
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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
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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 $14.47 ↓ -97%
Geisinger Medicaid/CHIP $15.92 ↓ -97%
UPMC Health Plan CHIP $15.92 ↓ -97%
UPMC Health Plan Managed Medicaid $15.92 ↓ -97%
Highmark Wholecare (prev Gateway) Medicaid $16.13 ↓ -97%
United Healthcare Community Plan for Families PA Medicaid $18.52 ↓ -96%
UPMC Work Partners Workers Comp $21.42 ↓ -96%
Health Partners Plans (Jefferson Health Plan) Medicaid/CHIP $21.82 ↓ -96%
PA Health & Wellness Community Health Choices/PA Medicaid HMO $24.66 ↓ -95%
Aetna Medicare $117.54 ↓ -78%
Highmark BCBS of PA Medicare $130.60 ↓ -75%
Highmark Wholecare (prev Gateway) Medicare $130.60 ↓ -75%
UPMC Health Plan Managed Medicare $133.21 ↓ -75%
Cigna Medicare $137.13 ↓ -74%
United Healthcare Medicare $139.74 ↓ -73%
PA Health & Wellness Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) $141.05 ↓ -73%
Highmark BCBS of PA Commercial - Social Mission Indemnity $280.40 ↓ -46%
UPMC Health Plan Commercial $284.71 ↓ -45%
Highmark BCBS of PA Commercial $330.22 ↓ -37%
Wirerope Works Commercial $363.07 ↓ -30%
Geisinger Commercial $437.51 ↓ -16%
Aetna PEBTF Custom Network $479.04 ↓ -8%
Multiplan Auto $509.34 ↓ -3%
Multiplan PPO (Includes PHCS as a Payer) $509.34 ↓ -3%
United Healthcare Commercial $555.05 ↑ +6%
Aetna Commercial $563.54 ↑ +8%
America's Choice PPO $587.70 ↑ +13%
InterGroup PPO $587.70 ↑ +13%
Multiplan Worker's Compensation $620.35 ↑ +19%

Visitor-reported prices

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Mayo gabapentin bld/srm/plasma therapeutic drug level at other Pennsylvania hospitals

Hospital City Cash price Negotiated range
UPMC Passavant-McCandless Pittsburgh $72.00 $13.47 – $102.00
UPMC Mercy Pittsburgh $129.60 $13.35 – $194.40
UPMC Muncy Muncy $432.00 $15.92 – $576.00
UPMC Northwest Seneca $141.00 $15.92 – $199.75
UPMC Presbyterian Pittsburgh $210.00 $13.47 – $297.50
UPMC Somerset Somerset $55.80 $13.21 – $69.75
UPMC St. Margaret Pittsburgh $298.80 $13.47 – $423.30
UPMC Williamsport Williamsport $432.00 $15.92 – $576.00

All Pennsylvania hospitals for this procedure →