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Theophylline therapeutic drug level at UPMC Wellsboro

32-36 Central Ave, Wellsboro, PA · UPMC · · NPI 1427501766

Source: hospital's published price file ↗ · Published Mar 6, 2026 · Ingested Aug 13, 2026

$198.40

Cash price

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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.

Full explanation →

What you pay up front if you don't use insurance.

$273.00

Gross charge

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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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$11.00 with AmeriHealth Caritas vs $235.60 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 →

Payer
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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
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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 $11.00 ↓ -94%
Geisinger Medicaid/CHIP $12.10 ↓ -94%
UPMC Health Plan CHIP $12.10 ↓ -94%
UPMC Health Plan Managed Medicaid $12.10 ↓ -94%
Highmark Wholecare (prev Gateway) Medicaid $12.27 ↓ -94%
UPMC Work Partners Workers Comp $13.97 ↓ -93%
United Healthcare Community Plan for Families PA Medicaid $14.08 ↓ -93%
Health Partners Plans (Jefferson Health Plan) Medicaid/CHIP $16.59 ↓ -92%
PA Health & Wellness Community Health Choices/PA Medicaid HMO $18.75 ↓ -91%
Aetna Medicare $44.64 ↓ -78%
Highmark BCBS of PA Medicare $49.60 ↓ -75%
Highmark Wholecare (prev Gateway) Medicare $49.60 ↓ -75%
UPMC Health Plan Managed Medicare $50.59 ↓ -75%
Cigna Medicare $52.08 ↓ -74%
United Healthcare Medicare $53.07 ↓ -73%
PA Health & Wellness Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) $53.57 ↓ -73%
Highmark BCBS of PA Commercial - Social Mission Indemnity $106.49 ↓ -46%
UPMC Health Plan Commercial $108.13 ↓ -45%
Highmark BCBS of PA Commercial $125.41 ↓ -37%
Wirerope Works Commercial $137.89 ↓ -30%
Geisinger Commercial $166.16 ↓ -16%
Aetna PEBTF Custom Network $181.93 ↓ -8%
Multiplan Auto $193.44 ↓ -3%
Multiplan PPO (Includes PHCS as a Payer) $193.44 ↓ -3%
United Healthcare Commercial $210.80 ↑ +6%
Aetna Commercial $214.02 ↑ +8%
America's Choice PPO $223.20 ↑ +13%
InterGroup PPO $223.20 ↑ +13%
Multiplan Worker's Compensation $235.60 ↑ +19%

Visitor-reported prices

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Theophylline therapeutic drug level at other Pennsylvania hospitals

Hospital City Cash price Negotiated range
UPMC Passavant-McCandless Pittsburgh $264.60 $12.10 – $374.85
UPMC Mercy Pittsburgh $201.00 $11.79 – $301.50
UPMC Muncy Muncy $163.80 $12.10 – $218.40
UPMC Northwest Seneca $81.00 $12.10 – $114.75
UPMC Presbyterian Pittsburgh $542.40 $11.00 – $768.40
UPMC Somerset Somerset $101.40 $11.00 – $126.75
UPMC St. Margaret Pittsburgh $181.20 $12.10 – $256.70
UPMC Williamsport Williamsport $163.80 $12.10 – $218.40

All Pennsylvania hospitals for this procedure →