healthcosts.net
Pr management transitional care moderate w/in 14 days of discharge at UPMC Wellsboro
32-36 Central Ave, Wellsboro, PA · UPMC · · NPI 1427501766
$307.20
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.
$423.00
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.
$57.78 with Aetna vs $304.95 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 | $57.78 | ↓ -81% |
| Highmark BCBS of PA | Medicare | $64.20 | ↓ -79% |
| Highmark Wholecare (prev Gateway) | Medicare | $64.20 | ↓ -79% |
| UPMC Health Plan | Managed Medicare | $65.48 | ↓ -79% |
| Cigna | Medicare | $67.41 | ↓ -78% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $69.34 | ↓ -77% |
| United Healthcare | Medicare | $82.18 | ↓ -73% |
| United Healthcare Community Plan for Families | PA Medicaid | $94.36 | ↓ -69% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $137.84 | ↓ -55% |
| UPMC Health Plan | Commercial | $139.96 | ↓ -54% |
| Highmark BCBS of PA | Commercial | $162.33 | ↓ -47% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $176.55 | ↓ -43% |
| Wirerope Works | Commercial | $178.48 | ↓ -42% |
| Geisinger | Commercial | $215.07 | ↓ -30% |
| UPMC Work Partners | Workers Comp | $224.03 | ↓ -27% |
| Aetna | PEBTF Custom Network | $235.49 | ↓ -23% |
| Multiplan | Auto | $250.38 | ↓ -18% |
| Multiplan | PPO (Includes PHCS as a Payer) | $250.38 | ↓ -18% |
| United Healthcare | Commercial | $272.85 | ↓ -11% |
| Aetna | Commercial | $277.02 | ↓ -10% |
| America's Choice | PPO | $288.90 | ↓ -6% |
| InterGroup | PPO | $288.90 | ↓ -6% |
| Multiplan | Worker's Compensation | $304.95 | ↓ -1% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
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Pr management transitional care moderate w/in 14 days of discharge at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Presbyterian | Pittsburgh | $1,295.40 | $88.46 – $1,835.15 |
| UPMC Somerset | Somerset | $255.00 | $84.78 – $318.75 |
| UPMC Western Psychiatric | Pittsburgh | $1,295.40 | $132.39 – $1,835.15 |
| UPMC Williamsport | Williamsport | $93.00 | $61.67 – $224.03 |