Sterile needle at UPMC Wellsboro
32-36 Central Ave, Wellsboro, PA · UPMC · · NPI 1427501766
$476.80
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.
$657.00
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.
$0.23 with United Healthcare Community Plan for Families vs $462.65 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 |
|---|---|---|---|
| United Healthcare Community Plan for Families | PA Medicaid | $0.23 | ↓ -100% |
| Aetna | Medicare | $87.66 | ↓ -82% |
| Highmark BCBS of PA | Medicare | $97.40 | ↓ -80% |
| Highmark Wholecare (prev Gateway) | Medicare | $97.40 | ↓ -80% |
| UPMC Health Plan | Managed Medicare | $99.35 | ↓ -79% |
| Cigna | Medicare | $102.27 | ↓ -79% |
| United Healthcare | Medicare | $104.22 | ↓ -78% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $105.19 | ↓ -78% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $209.12 | ↓ -56% |
| UPMC Health Plan | Commercial | $212.33 | ↓ -55% |
| Highmark BCBS of PA | Commercial | $246.28 | ↓ -48% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $267.85 | ↓ -44% |
| Wirerope Works | Commercial | $270.77 | ↓ -43% |
| Geisinger | Commercial | $326.29 | ↓ -32% |
| Aetna | PEBTF Custom Network | $357.26 | ↓ -25% |
| Multiplan | Auto | $379.86 | ↓ -20% |
| Multiplan | PPO (Includes PHCS as a Payer) | $379.86 | ↓ -20% |
| United Healthcare | Commercial | $413.95 | ↓ -13% |
| Aetna | Commercial | $420.28 | ↓ -12% |
| InterGroup | PPO | $438.30 | ↓ -8% |
| America's Choice | PPO | $438.30 | ↓ -8% |
| Multiplan | Worker's Compensation | $462.65 | ↓ -3% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
Visitor-reported prices
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Sterile needle at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC East | Monroeville | $367.80 | $0.15 – $490.40 |
| UPMC Hamot | Erie | $259.20 | $0.15 – $0.15 |
| UPMC Northwest | Seneca | $256.80 | $548.02 – $548.02 |
| UPMC Jameson | New Castle | $192.00 | $0.15 – $452.87 |
| UPMC Magee | Pittsburgh | $838.20 | $0.15 – $452.87 |
| UPMC McKeesport | Mckeesport | $34.80 | $0.15 – $452.87 |
| UPMC Mercy | Pittsburgh | $291.00 | $0.15 – $357.61 |
| UPMC Muncy | Muncy | $394.20 | $0.23 – $0.23 |