healthcosts.net
Strapping of toes 29550 at UPMC Wellsboro
32-36 Central Ave, Wellsboro, PA · UPMC · · NPI 1427501766
$28.20
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.
$38.00
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.
$6.12 with Aetna vs $61.49 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 | $6.12 | ↓ -78% |
| Highmark BCBS of PA | Medicare | $6.80 | ↓ -76% |
| Highmark Wholecare (prev Gateway) | Medicare | $6.80 | ↓ -76% |
| UPMC Health Plan | Managed Medicare | $6.94 | ↓ -75% |
| Cigna | Medicare | $7.14 | ↓ -75% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $7.34 | ↓ -74% |
| United Healthcare | Medicare | $7.54 | ↓ -73% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $14.60 | ↓ -48% |
| UPMC Health Plan | Commercial | $14.82 | ↓ -47% |
| Highmark BCBS of PA | Commercial | $17.19 | ↓ -39% |
| Wirerope Works | Commercial | $18.90 | ↓ -33% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $22.00 | ↓ -22% |
| Geisinger | Medicaid/CHIP | $22.00 | ↓ -22% |
| UPMC Health Plan | CHIP | $22.00 | ↓ -22% |
| UPMC Health Plan | Managed Medicaid | $22.00 | ↓ -22% |
| Highmark Wholecare (prev Gateway) | Medicaid | $22.30 | ↓ -21% |
| Geisinger | Commercial | $22.78 | ↓ -19% |
| Aetna | PEBTF Custom Network | $24.94 | ↓ -12% |
| United Healthcare Community Plan for Families | PA Medicaid | $25.60 | ↓ -9% |
| Multiplan | Auto | $26.52 | ↓ -6% |
| Multiplan | PPO (Includes PHCS as a Payer) | $26.52 | ↓ -6% |
| United Healthcare | Commercial | $28.90 | ↑ +2% |
| Aetna | Commercial | $29.34 | ↑ +4% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $30.16 | ↑ +7% |
| America's Choice | PPO | $30.60 | ↑ +9% |
| InterGroup | PPO | $30.60 | ↑ +9% |
| Multiplan | Worker's Compensation | $32.30 | ↑ +15% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $34.08 | ↑ +21% |
| UPMC Work Partners | Workers Comp | $61.49 | ↑ +118% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
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Strapping of toes 29550 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $720.00 | $22.00 – $1,080.00 |
| UPMC Somerset | Somerset | $204.60 | $22.00 – $255.75 |
| UPMC St. Margaret | Pittsburgh | $742.80 | $22.00 – $1,052.30 |