Administration vaccine rsv monoclonal ab seasonal dose im at WellSpan Evangelical Community Hospital

1 Hospital Drive, Lewisburg, PA · Wellspan · · NPI 1124076039

Source: hospital's published price file ↗ · Published Jan 1, 2026 · Ingested Sep 17, 2026

$49.40

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.

$61.75

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.

$13.97 with UPMC_Medicaid vs $87.72 with First_Health_Network — 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
UPMC_Medicaid All_Plans $13.97 ↓ -72%
Amerihealth_Caritas_Medicaid All_Plans $14.99 ↓ -70%
Health_Partners_Medicaid All_Plans $15.88 ↓ -68%
Highmark_Wholecare_Gateway_Medicare All_Plans $15.88 ↓ -68%
Blue_Cross Capital_Cares_4_kids $16.01 ↓ -68%
Geisinger_Medicaid All_Plans $16.48 ↓ -67%
Highmark_Medicare All_Plans $17.91 ↓ -64%
Blue_Cross_BlueJourney_Medicare All_Plans $18.09 ↓ -63%
Humana_Medicare All_Plans $18.45 ↓ -63%
Aetna_Advantra_Medicare All_Plans $18.45 ↓ -63%
Geisinger_Gold_Medicare All_Plans $18.63 ↓ -62%
Amerihealth_Medicare All_Plans $18.81 ↓ -62%
PA_Health_&_Wellness_Medicare All_Plans $19.54 ↓ -60%
Jefferson_Health_Medicare_Advantage All_Plans $19.54 ↓ -60%
Devoted_Medicare All_Plans $19.90 ↓ -60%
UPMC_for_Life_Community_HealthChoices UPMC_for_Life_Complete_Care $19.90 ↓ -60%
United_Medicare ISNP_DSNP_Plans $19.90 ↓ -60%
Highmark_Wholecare_Gateway_Medicaid All_Plans $20.80 ↓ -58%
Blue_Cross All_Other_Plans $22.87 ↓ -54%
Highmark Higmark_Healthy_Kids $27.50 ↓ -44%
Geisinger All_Plans $59.06 ↑ +20%
United_Healthcare All_Plans $59.96 ↑ +21%
United_Medicaid Community_Plan_For_Kids $68.47 ↑ +39%
Performance_Blue Blue_Cross_High_Performance_Network $69.45 ↑ +41%
Highmark All_Other_Plans $77.16 ↑ +56%
Aetna All_Plans $79.74 ↑ +61%
First_Health_Network All_Plans $87.72 ↑ +78%

Visitor-reported prices

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Administration vaccine rsv monoclonal ab seasonal dose im at other Pennsylvania hospitals

Hospital City Cash price Negotiated range
UPMC Wellsboro Wellsboro $25.20 $17.52 – $17.52
UPMC Williamsport Williamsport $24.00 $17.52 – $19.35
WellSpan Chambersburg Hospital Chambersburg $283.20 $15.88 – $254.88
WellSpan Ephrata Community Hospital Ephrata $190.40 $15.88 – $43.18
Uniontown Hospital Uniontown $91.00 $13.64 – $47.48
WellSpan Good Samaritan Hospital Lebanon $196.00 $15.88 – $43.18
WellSpan Gettysburg Hospital Gettysburg $113.60 $15.88 – $43.18

All Pennsylvania hospitals for this procedure →