healthcosts.net
Pegloticase 8 mg/ml intravenous solution at UPMC Wellsboro
32-36 Central Ave, Wellsboro, PA · UPMC · · NPI 1427501766
$94,586.40
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.
$157,644.00
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.
$3,547.08 with Aetna vs $18,720.70 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 | $3,547.08 | ↓ -96% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $3,660.83 | ↓ -96% |
| Geisinger | CHIP | $3,660.83 | ↓ -96% |
| Geisinger | Medicaid/CHIP | $3,660.83 | ↓ -96% |
| Highmark Wholecare (prev Gateway) | Medicaid | $3,660.83 | ↓ -96% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $3,660.83 | ↓ -96% |
| United Healthcare Community Plan for Families | PA Medicaid | $3,660.83 | ↓ -96% |
| Highmark BCBS of PA | Medicare | $3,941.20 | ↓ -96% |
| Highmark Wholecare (prev Gateway) | Medicare | $3,941.20 | ↓ -96% |
| UPMC Health Plan | Managed Medicare | $4,020.02 | ↓ -96% |
| UPMC Health Plan | CHIP | $4,026.92 | ↓ -96% |
| UPMC Health Plan | Managed Medicaid | $4,026.92 | ↓ -96% |
| Cigna | Medicare | $4,138.26 | ↓ -96% |
| United Healthcare | Medicare | $4,217.08 | ↓ -96% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $4,256.50 | ↓ -95% |
| UPMC Work Partners | Workers Comp | $7,448.87 | ↓ -92% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $8,461.76 | ↓ -91% |
| UPMC Health Plan | Commercial | $8,591.82 | ↓ -91% |
| Highmark BCBS of PA | Commercial | $9,965.32 | ↓ -89% |
| Wirerope Works | Commercial | $10,956.54 | ↓ -88% |
| Geisinger | Commercial | $13,203.02 | ↓ -86% |
| Aetna | PEBTF Custom Network | $14,456.32 | ↓ -85% |
| Multiplan | Auto | $15,370.68 | ↓ -84% |
| Multiplan | PPO (Includes PHCS as a Payer) | $15,370.68 | ↓ -84% |
| United Healthcare | Commercial | $16,750.10 | ↓ -82% |
| Aetna | Commercial | $17,006.28 | ↓ -82% |
| America's Choice | PPO | $17,735.40 | ↓ -81% |
| InterGroup | PPO | $17,735.40 | ↓ -81% |
| Multiplan | Worker's Compensation | $18,720.70 | ↓ -80% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Pegloticase 8 mg/ml intravenous solution at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $6,349.20 | $417.45 – $9,523.80 |
| UPMC Muncy | Muncy | $94,586.40 | $2,955.90 – $17,735.40 |
| UPMC Somerset | Somerset | $17,178.60 | $413.23 – $10,500.00 |
| UPMC Williamsport | Williamsport | $11,823.60 | $3,660.83 – $17,735.40 |