healthcosts.net
New Patient Office Visit (level 4) at UPMC Wellsboro
32-36 Central Ave, Wellsboro, PA · UPMC · · NPI 1427501766
$421.20
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.
$702.00
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.
$21.96 with Aetna vs $193.76 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 | $21.96 | ↓ -95% |
| Highmark BCBS of PA | Medicare | $24.40 | ↓ -94% |
| Highmark Wholecare (prev Gateway) | Medicare | $24.40 | ↓ -94% |
| UPMC Health Plan | Managed Medicare | $24.89 | ↓ -94% |
| Cigna | Medicare | $25.62 | ↓ -94% |
| United Healthcare | Medicare | $26.11 | ↓ -94% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $26.35 | ↓ -94% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $52.39 | ↓ -88% |
| UPMC Health Plan | Commercial | $53.19 | ↓ -87% |
| Highmark BCBS of PA | Commercial | $61.70 | ↓ -85% |
| Wirerope Works | Commercial | $67.83 | ↓ -84% |
| Geisinger | Commercial | $81.74 | ↓ -81% |
| Aetna | PEBTF Custom Network | $89.50 | ↓ -79% |
| Multiplan | Auto | $95.16 | ↓ -77% |
| Multiplan | PPO (Includes PHCS as a Payer) | $95.16 | ↓ -77% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $99.41 | ↓ -76% |
| Geisinger | Medicaid/CHIP | $99.41 | ↓ -76% |
| UPMC Health Plan | CHIP | $99.41 | ↓ -76% |
| UPMC Health Plan | Managed Medicaid | $99.41 | ↓ -76% |
| Highmark Wholecare (prev Gateway) | Medicaid | $100.76 | ↓ -76% |
| United Healthcare | Commercial | $103.70 | ↓ -75% |
| Aetna | Commercial | $105.29 | ↓ -75% |
| America's Choice | PPO | $109.80 | ↓ -74% |
| InterGroup | PPO | $109.80 | ↓ -74% |
| United Healthcare Community Plan for Families | PA Medicaid | $115.67 | ↓ -73% |
| Multiplan | Worker's Compensation | $115.90 | ↓ -72% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $136.28 | ↓ -68% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $154.01 | ↓ -63% |
| UPMC Work Partners | Workers Comp | $193.76 | ↓ -54% |
Visitor-reported prices
Comments
New Patient Office Visit (level 4) at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $303.00 | $99.41 – $429.25 |
| UPMC East | Monroeville | $425.40 | $36.08 – $567.20 |
| UPMC Hamot | Erie | $297.00 | $74.25 – $419.02 |
| UPMC Altoona | Altoona | $274.20 | $20.00 – $365.60 |
| UPMC Bedford | Everett | $287.40 | $36.08 – $431.10 |
| UPMC Cole | Coudersport | $420.00 | $61.30 – $300.00 |
| UPMC Community Osteopathic | Harrisburg | $610.80 | $42.00 – $658.70 |
| UPMC Hanover | Hanover | $126.00 | $39.90 – $205.92 |