Off/op consltj new/est hi 55 at UPMC Wellsboro
32-36 Central Ave, Wellsboro, PA · UPMC · · NPI 1427501766
$333.00
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.
?
What you pay up front if you don't use insurance.
$555.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$99.90 with Aetna vs $527.25 with Multiplan — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $99.90 | ↓ -70% |
| Highmark Wholecare (prev Gateway) | Medicare | $111.00 | ↓ -67% |
| Highmark BCBS of PA | Medicare | $111.00 | ↓ -67% |
| UPMC Health Plan | Managed Medicare | $113.22 | ↓ -66% |
| Cigna | Medicare | $116.55 | ↓ -65% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $119.88 | ↓ -64% |
| United Healthcare Community Plan for Families | PA Medicaid | $181.72 | ↓ -45% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $238.32 | ↓ -28% |
| UPMC Health Plan | Commercial | $241.98 | ↓ -27% |
| Highmark BCBS of PA | Commercial | $280.66 | ↓ -16% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $305.25 | ↓ -8% |
| Wirerope Works | Commercial | $308.58 | ↓ -7% |
| UPMC Work Partners | Workers Comp | $348.71 | ↑ +5% |
| Geisinger | Commercial | $371.85 | ↑ +12% |
| Aetna | PEBTF Custom Network | $407.15 | ↑ +22% |
| Multiplan | Auto | $432.90 | ↑ +30% |
| Multiplan | PPO (Includes PHCS as a Payer) | $432.90 | ↑ +30% |
| United Healthcare | Commercial | $471.75 | ↑ +42% |
| Aetna | Commercial | $478.96 | ↑ +44% |
| America's Choice | PPO | $499.50 | ↑ +50% |
| InterGroup | PPO | $499.50 | ↑ +50% |
| Multiplan | Worker's Compensation | $527.25 | ↑ +58% |
Visitor-reported prices
Comments
Off/op consltj new/est hi 55 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Cole | Coudersport | $655.20 | $168.00 – $488.80 |
| UPMC Community Osteopathic | Harrisburg | $659.40 | $108.80 – $753.18 |
| UPMC Magee | Pittsburgh | $1,018.80 | $142.11 – $406.72 |
| UPMC Presbyterian | Pittsburgh | $3,681.60 | $142.11 – $448.53 |
| UPMC Somerset | Somerset | $659.40 | $26.11 – $348.71 |