healthcosts.net
Repair tendon/muscle forearm/wrist prime sngl ea at UPMC Wellsboro
32-36 Central Ave, Wellsboro, PA · UPMC · · NPI 1427501766
$6,096.00
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.
$10,160.00
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.
$399.30 with AmeriHealth Caritas vs $9,652.00 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 |
|---|---|---|---|
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $399.30 | ↓ -93% |
| Geisinger | Medicaid/CHIP | $399.30 | ↓ -93% |
| UPMC Health Plan | CHIP | $399.30 | ↓ -93% |
| UPMC Health Plan | Managed Medicaid | $399.30 | ↓ -93% |
| Highmark Wholecare (prev Gateway) | Medicaid | $404.75 | ↓ -93% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $547.40 | ↓ -91% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $618.62 | ↓ -90% |
| United Healthcare Community Plan for Families | PA Medicaid | $1,086.72 | ↓ -82% |
| UPMC Work Partners | Workers Comp | $1,382.69 | ↓ -77% |
| Aetna | Medicare | $1,828.80 | ↓ -70% |
| Highmark BCBS of PA | Medicare | $2,032.00 | ↓ -67% |
| Highmark Wholecare (prev Gateway) | Medicare | $2,032.00 | ↓ -67% |
| UPMC Health Plan | Managed Medicare | $2,072.64 | ↓ -66% |
| Cigna | Medicare | $2,133.60 | ↓ -65% |
| United Healthcare | Medicare | $2,174.24 | ↓ -64% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $2,194.56 | ↓ -64% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $4,362.70 | ↓ -28% |
| UPMC Health Plan | Commercial | $4,429.76 | ↓ -27% |
| Highmark BCBS of PA | Commercial | $5,137.91 | ↓ -16% |
| Wirerope Works | Commercial | $5,648.96 | ↓ -7% |
| Geisinger | Commercial | $6,807.20 | ↑ +12% |
| Aetna | PEBTF Custom Network | $7,453.38 | ↑ +22% |
| Multiplan | Auto | $7,924.80 | ↑ +30% |
| Multiplan | PPO (Includes PHCS as a Payer) | $7,924.80 | ↑ +30% |
| United Healthcare | Commercial | $8,636.00 | ↑ +42% |
| Aetna | Commercial | $8,768.08 | ↑ +44% |
| America's Choice | PPO | $9,144.00 | ↑ +50% |
| InterGroup | PPO | $9,144.00 | ↑ +50% |
| Multiplan | Worker's Compensation | $9,652.00 | ↑ +58% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Repair tendon/muscle forearm/wrist prime sngl ea at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $5,322.00 | $399.30 – $7,539.50 |
| UPMC Mercy | Pittsburgh | $7,207.20 | $399.30 – $10,810.80 |
| UPMC Presbyterian | Pittsburgh | $7,471.20 | $399.30 – $10,584.20 |
| UPMC Somerset | Somerset | $9,332.40 | $399.30 – $11,665.50 |