Off/op consltj new/est sf 20 at UPMC Wellsboro
32-36 Central Ave, Wellsboro, PA · UPMC · · NPI 1427501766
$120.00
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.
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What you pay up front if you don't use insurance.
$200.00
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.
$36.00 with Aetna vs $190.00 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 | $36.00 | ↓ -70% |
| Highmark Wholecare (prev Gateway) | Medicare | $40.00 | ↓ -67% |
| Highmark BCBS of PA | Medicare | $40.00 | ↓ -67% |
| UPMC Health Plan | Managed Medicare | $40.80 | ↓ -66% |
| Cigna | Medicare | $42.00 | ↓ -65% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $43.20 | ↓ -64% |
| United Healthcare Community Plan for Families | PA Medicaid | $56.19 | ↓ -53% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $85.88 | ↓ -28% |
| UPMC Health Plan | Commercial | $87.20 | ↓ -27% |
| Highmark BCBS of PA | Commercial | $101.14 | ↓ -16% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $110.00 | ↓ -8% |
| Wirerope Works | Commercial | $111.20 | ↓ -7% |
| Geisinger | Commercial | $134.00 | ↑ +12% |
| Aetna | PEBTF Custom Network | $146.72 | ↑ +22% |
| Multiplan | Auto | $156.00 | ↑ +30% |
| Multiplan | PPO (Includes PHCS as a Payer) | $156.00 | ↑ +30% |
| UPMC Work Partners | Workers Comp | $165.35 | ↑ +38% |
| United Healthcare | Commercial | $170.00 | ↑ +42% |
| Aetna | Commercial | $172.60 | ↑ +44% |
| America's Choice | PPO | $180.00 | ↑ +50% |
| InterGroup | PPO | $180.00 | ↑ +50% |
| Multiplan | Worker's Compensation | $190.00 | ↑ +58% |
Visitor-reported prices
Comments
Off/op consltj new/est sf 20 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Cole | Coudersport | $262.80 | $66.25 – $191.20 |
| UPMC Community Osteopathic | Harrisburg | $369.60 | $57.51 – $523.60 |
| UPMC Magee | Pittsburgh | $318.00 | $44.36 – $172.70 |
| UPMC Passavant-McCandless | Pittsburgh | $210.00 | $44.36 – $200.81 |
| UPMC Presbyterian | Pittsburgh | $1,615.80 | $44.36 – $209.80 |
| UPMC Somerset | Somerset | $369.60 | $16.93 – $165.35 |
| UPMC Western Psychiatric | Pittsburgh | $320.40 | $43.47 – $43.47 |