healthcosts.net
Ustekinumab 45 mg/0.5 ml subcutaneous solution at UPMC Wellsboro
32-36 Central Ave, Wellsboro, PA · UPMC · · NPI 1427501766
$57.00
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.
?
What you pay up front if you don't use insurance.
$95.00
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.
$17.10 with Aetna vs $149.40 with United Healthcare Community Plan for Families — 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 |
|---|---|---|---|
| Aetna | Medicare | $17.10 | ↓ -70% |
| Highmark BCBS of PA | Medicare | $19.00 | ↓ -67% |
| Highmark Wholecare (prev Gateway) | Medicare | $19.00 | ↓ -67% |
| UPMC Health Plan | Managed Medicare | $19.38 | ↓ -66% |
| Cigna | Medicare | $19.95 | ↓ -65% |
| United Healthcare | Medicare | $20.33 | ↓ -64% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $20.52 | ↓ -64% |
| UPMC Work Partners | Workers Comp | $35.91 | ↓ -37% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $40.79 | ↓ -28% |
| UPMC Health Plan | Commercial | $41.42 | ↓ -27% |
| Highmark BCBS of PA | Commercial | $48.04 | ↓ -16% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $52.25 | ↓ -8% |
| Wirerope Works | Commercial | $52.82 | ↓ -7% |
| Geisinger | Commercial | $63.65 | ↑ +12% |
| Aetna | PEBTF Custom Network | $69.69 | ↑ +22% |
| Multiplan | Auto | $74.10 | ↑ +30% |
| Multiplan | PPO (Includes PHCS as a Payer) | $74.10 | ↑ +30% |
| United Healthcare | Commercial | $80.75 | ↑ +42% |
| Aetna | Commercial | $81.98 | ↑ +44% |
| America's Choice | PPO | $85.50 | ↑ +50% |
| InterGroup | PPO | $85.50 | ↑ +50% |
| Multiplan | Worker's Compensation | $90.25 | ↑ +58% |
| United Healthcare Community Plan for Families | PA Medicaid | $149.40 | ↑ +162% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Ustekinumab 45 mg/0.5 ml subcutaneous solution at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $746.40 | $138.84 – $1,057.40 |
| UPMC Somerset | Somerset | $16,705.20 | $147.91 – $20,881.50 |
| UPMC Mercy | Pittsburgh | not published | $124.54 – $32,629.58 |
| UPMC Northwest | Seneca | not published | $135.49 – $29,792.22 |
| UPMC St. Margaret | Pittsburgh | not published | $128.99 – $31,210.90 |