healthcosts.net
Mopath procedure level 8 at UPMC Wellsboro
32-36 Central Ave, Wellsboro, PA · UPMC · · NPI 1427501766
$2,276.80
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.
$2,846.00
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.
$458.46 with Aetna vs $2,419.65 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 |
|---|---|---|---|
| Aetna | Medicare | $458.46 | ↓ -80% |
| Highmark BCBS of PA | Medicare | $509.40 | ↓ -78% |
| Highmark Wholecare (prev Gateway) | Medicare | $509.40 | ↓ -78% |
| UPMC Health Plan | Managed Medicare | $519.59 | ↓ -77% |
| Cigna | Medicare | $534.87 | ↓ -77% |
| United Healthcare | Medicare | $545.06 | ↓ -76% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $550.15 | ↓ -76% |
| United Healthcare Community Plan for Families | PA Medicaid | $660.76 | ↓ -71% |
| UPMC Work Partners | Workers Comp | $836.39 | ↓ -63% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $1,093.68 | ↓ -52% |
| UPMC Health Plan | Commercial | $1,110.49 | ↓ -51% |
| Highmark BCBS of PA | Commercial | $1,288.02 | ↓ -43% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $1,400.85 | ↓ -38% |
| Wirerope Works | Commercial | $1,416.13 | ↓ -38% |
| Geisinger | Commercial | $1,706.49 | ↓ -25% |
| Aetna | PEBTF Custom Network | $1,868.48 | ↓ -18% |
| Multiplan | Auto | $1,986.66 | ↓ -13% |
| Multiplan | PPO (Includes PHCS as a Payer) | $1,986.66 | ↓ -13% |
| United Healthcare | Commercial | $2,164.95 | ↓ -5% |
| Aetna | Commercial | $2,198.06 | ↓ -3% |
| America's Choice | PPO | $2,292.30 | ↑ +1% |
| InterGroup | PPO | $2,292.30 | ↑ +1% |
| Multiplan | Worker's Compensation | $2,419.65 | ↑ +6% |
Visitor-reported prices
Comments
Mopath procedure level 8 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $3,400.80 | $786.44 – $2,232.10 |
| UPMC Mercy | Pittsburgh | $1,687.80 | $280.95 – $1,897.78 |
| UPMC Muncy | Muncy | $1,792.80 | $448.20 – $2,390.40 |
| UPMC Northwest | Seneca | $1,687.80 | $402.80 – $913.97 |
| UPMC Presbyterian | Pittsburgh | $1,687.80 | $60.48 – $1,915.85 |
| UPMC St. Margaret | Pittsburgh | $1,687.80 | $253.76 – $1,915.85 |
| UPMC Williamsport | Williamsport | $1,672.20 | $377.24 – $913.89 |