healthcosts.net
Mopath procedure level 7 at UPMC Wellsboro
32-36 Central Ave, Wellsboro, PA · UPMC · · NPI 1427501766
$8,366.40
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.
$10,458.00
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.
$23.58 with Aetna vs $279.57 with UPMC Work Partners — 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 | $23.58 | ↓ -100% |
| Highmark BCBS of PA | Medicare | $26.20 | ↓ -100% |
| Highmark Wholecare (prev Gateway) | Medicare | $26.20 | ↓ -100% |
| UPMC Health Plan | Managed Medicare | $26.72 | ↓ -100% |
| Cigna | Medicare | $27.51 | ↓ -100% |
| United Healthcare | Medicare | $28.03 | ↓ -100% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $28.30 | ↓ -100% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $56.25 | ↓ -99% |
| UPMC Health Plan | Commercial | $57.12 | ↓ -99% |
| Highmark BCBS of PA | Commercial | $66.25 | ↓ -99% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $72.05 | ↓ -99% |
| Wirerope Works | Commercial | $72.84 | ↓ -99% |
| Geisinger | Commercial | $87.77 | ↓ -99% |
| Aetna | PEBTF Custom Network | $96.10 | ↓ -99% |
| Multiplan | Auto | $102.18 | ↓ -99% |
| Multiplan | PPO (Includes PHCS as a Payer) | $102.18 | ↓ -99% |
| United Healthcare | Commercial | $111.35 | ↓ -99% |
| Aetna | Commercial | $113.05 | ↓ -99% |
| America's Choice | PPO | $117.90 | ↓ -99% |
| InterGroup | PPO | $117.90 | ↓ -99% |
| Multiplan | Worker's Compensation | $124.45 | ↓ -99% |
| United Healthcare Community Plan for Families | PA Medicaid | $220.88 | ↓ -97% |
| UPMC Work Partners | Workers Comp | $279.57 | ↓ -97% |
Visitor-reported prices
Comments
Mopath procedure level 7 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $15,543.60 | $56.10 – $1,080.08 |
| UPMC Mercy | Pittsburgh | $8,476.80 | $46.03 – $1,069.89 |
| UPMC Muncy | Muncy | $6,588.60 | $23.40 – $279.57 |
| UPMC Northwest | Seneca | $8,476.80 | $66.00 – $305.51 |
| UPMC Presbyterian | Pittsburgh | $8,476.80 | $29.70 – $1,080.08 |
| UPMC St. Margaret | Pittsburgh | $8,476.80 | $41.58 – $1,080.08 |
| UPMC Williamsport | Williamsport | $8,008.80 | $60.48 – $305.48 |