Abd/low ext cath 2nd at WellSpan Evangelical Community Hospital
1 Hospital Drive, Lewisburg, PA · Wellspan · · NPI 1124076039
$3,828.60
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.
$4,785.75
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.
$279.50 with UPMC_Medicaid vs $6,427.97 with UPMC — 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 |
|---|---|---|---|
| UPMC_Medicaid | All_Plans | $279.50 | ↓ -93% |
| Amerihealth_Caritas_Medicaid | All_Plans | $299.83 | ↓ -92% |
| UPMC | UPMC_For_Kids | $307.45 | ↓ -92% |
| Highmark_Wholecare_Gateway_Medicare | All_Plans | $317.61 | ↓ -92% |
| Health_Partners_Medicaid | All_Plans | $317.61 | ↓ -92% |
| Geisinger_Medicaid | All_Plans | $329.68 | ↓ -91% |
| PA_Health_&_Wellness_Medicaid | All_Plans | $330.32 | ↓ -91% |
| United_Healthcare | All_Plans | $4,646.96 | ↑ +21% |
| UPMC | All_Plans | $6,427.97 | ↑ +68% |
Visitor-reported prices
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Abd/low ext cath 2nd at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $2,401.80 | $748.03 – $3,514.34 |
| UPMC Carlisle | Carlisle | $4,321.20 | $782.82 – $9,539.00 |
| UPMC Community Osteopathic | Harrisburg | $4,321.20 | $792.10 – $6,121.70 |
| UPMC East | Monroeville | $4,642.20 | $795.09 – $6,189.60 |
| UPMC Hamot | Erie | $4,738.80 | $795.09 – $4,363.17 |
| UPMC Northwest | Seneca | $6,644.40 | $756.89 – $2,877.12 |
| UPMC Hanover | Hanover | $4,321.20 | $792.10 – $3,514.34 |
| UPMC Jameson | New Castle | $1,581.00 | $268.17 – $3,514.34 |