healthcosts.net
Ultrasound breast unilateral limited (both sides) at UPMC Wellsboro
32-36 Central Ave, Wellsboro, PA · UPMC · · NPI 1427501766
$630.40
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.
?
What you pay up front if you don't use insurance.
$868.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$52.40 with United Healthcare Community Plan for Families vs $748.60 with Multiplan — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $52.40 | ↓ -92% |
| UPMC Work Partners | Workers Comp | $116.07 | ↓ -82% |
| Aetna | Medicare | $141.84 | ↓ -78% |
| Highmark BCBS of PA | Medicare | $157.60 | ↓ -75% |
| Highmark Wholecare (prev Gateway) | Medicare | $157.60 | ↓ -75% |
| UPMC Health Plan | Managed Medicare | $160.75 | ↓ -75% |
| Cigna | Medicare | $165.48 | ↓ -74% |
| United Healthcare | Medicare | $168.63 | ↓ -73% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $170.21 | ↓ -73% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $338.37 | ↓ -46% |
| UPMC Health Plan | Commercial | $343.57 | ↓ -45% |
| Highmark BCBS of PA | Commercial | $398.49 | ↓ -37% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $433.40 | ↓ -31% |
| Wirerope Works | Commercial | $438.13 | ↓ -30% |
| Geisinger | Commercial | $527.96 | ↓ -16% |
| Aetna | PEBTF Custom Network | $578.08 | ↓ -8% |
| Multiplan | Auto | $614.64 | ↓ -3% |
| Multiplan | PPO (Includes PHCS as a Payer) | $614.64 | ↓ -3% |
| United Healthcare | Commercial | $669.80 | ↑ +6% |
| Aetna | Commercial | $680.04 | ↑ +8% |
| America's Choice | PPO | $709.20 | ↑ +13% |
| InterGroup | PPO | $709.20 | ↑ +13% |
| Multiplan | Worker's Compensation | $748.60 | ↑ +19% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Ultrasound breast unilateral limited (both sides) at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $894.00 | $34.92 – $1,266.50 |
| UPMC Mercy | Pittsburgh | $370.80 | $34.59 – $556.20 |
| UPMC Muncy | Muncy | $479.40 | $52.40 – $639.20 |
| UPMC Northwest | Seneca | $400.20 | $54.53 – $566.95 |
| UPMC Presbyterian | Pittsburgh | $1,187.40 | $34.92 – $1,682.15 |
| UPMC Somerset | Somerset | $372.60 | $34.24 – $116.07 |
| UPMC St. Margaret | Pittsburgh | $1,078.80 | $34.92 – $1,528.30 |
| UPMC Williamsport | Williamsport | $479.40 | $52.40 – $639.20 |