healthcosts.net
Psychotherapy patient individual therapy 60 minutes at UPMC Wellsboro
32-36 Central Ave, Wellsboro, PA · UPMC · · NPI 1427501766
$128.00
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.
$176.00
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.
$28.80 with Aetna vs $166.92 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 | $28.80 | ↓ -78% |
| Highmark BCBS of PA | Medicare | $32.00 | ↓ -75% |
| Highmark Wholecare (prev Gateway) | Medicare | $32.00 | ↓ -75% |
| UPMC Health Plan | Managed Medicare | $32.64 | ↓ -75% |
| Cigna | Medicare | $33.60 | ↓ -74% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $34.56 | ↓ -73% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $57.20 | ↓ -55% |
| Geisinger | Medicaid/CHIP | $57.20 | ↓ -55% |
| UPMC Health Plan | CHIP | $57.20 | ↓ -55% |
| UPMC Health Plan | Managed Medicaid | $57.20 | ↓ -55% |
| Highmark Wholecare (prev Gateway) | Medicaid | $57.98 | ↓ -55% |
| United Healthcare Community Plan for Families | PA Medicaid | $66.56 | ↓ -48% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $68.70 | ↓ -46% |
| UPMC Health Plan | Commercial | $69.76 | ↓ -46% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $78.42 | ↓ -39% |
| Highmark BCBS of PA | Commercial | $80.91 | ↓ -37% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $88.62 | ↓ -31% |
| Wirerope Works | Commercial | $88.96 | ↓ -31% |
| Geisinger | Commercial | $107.20 | ↓ -16% |
| Aetna | PEBTF Custom Network | $117.38 | ↓ -8% |
| Multiplan | Auto | $124.80 | ↓ -3% |
| Multiplan | PPO (Includes PHCS as a Payer) | $124.80 | ↓ -3% |
| United Healthcare | Commercial | $136.00 | ↑ +6% |
| Aetna | Commercial | $138.08 | ↑ +8% |
| America's Choice | PPO | $144.00 | ↑ +13% |
| InterGroup | PPO | $144.00 | ↑ +13% |
| Multiplan | Worker's Compensation | $152.00 | ↑ +19% |
| UPMC Work Partners | Workers Comp | $166.92 | ↑ +30% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Psychotherapy patient individual therapy 60 minutes at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Presbyterian | Pittsburgh | $254.40 | $57.20 – $360.40 |
| UPMC Somerset | Somerset | $302.40 | $57.20 – $378.00 |
| UPMC Western Psychiatric | Pittsburgh | $254.40 | $100.00 – $340.00 |