Bilicheck at WellSpan Evangelical Community Hospital
1 Hospital Drive, Lewisburg, PA · Wellspan · · NPI 1124076039
$24.80
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.
$31.00
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.
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The hospital's undiscounted list price — almost no one pays this.
$4.97 with Highmark_Medicare vs $78.57 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 |
|---|---|---|---|
| Highmark_Medicare | All_Plans | $4.97 | ↓ -80% |
| Blue_Cross_BlueJourney_Medicare | All_Plans | $5.02 | ↓ -80% |
| Aetna_Advantra_Medicare | All_Plans | $5.12 | ↓ -79% |
| Humana_Medicare | All_Plans | $5.12 | ↓ -79% |
| Geisinger_Gold_Medicare | All_Plans | $5.17 | ↓ -79% |
| Amerihealth_Medicare | All_Plans | $5.22 | ↓ -79% |
| PA_Health_&_Wellness_Medicare | All_Plans | $5.42 | ↓ -78% |
| Jefferson_Health_Medicare_Advantage | All_Plans | $5.42 | ↓ -78% |
| Devoted_Medicare | All_Plans | $5.52 | ↓ -78% |
| UPMC_for_Life_Community_HealthChoices | UPMC_for_Life_Complete_Care | $5.52 | ↓ -78% |
| United_Medicare | ISNP_DSNP_Plans | $5.52 | ↓ -78% |
| Highmark_Wholecare_Gateway_Medicaid | All_Plans | $5.77 | ↓ -77% |
| UPMC_Medicaid | All_Plans | $6.33 | ↓ -74% |
| Amerihealth_Caritas_Medicaid | All_Plans | $6.79 | ↓ -73% |
| UPMC | UPMC_For_Kids | $6.96 | ↓ -72% |
| Highmark_Wholecare_Gateway_Medicare | All_Plans | $7.19 | ↓ -71% |
| Health_Partners_Medicaid | All_Plans | $7.19 | ↓ -71% |
| Geisinger_Medicaid | All_Plans | $7.46 | ↓ -70% |
| PA_Health_&_Wellness_Medicaid | All_Plans | $7.48 | ↓ -70% |
| Highmark | Higmark_Healthy_Kids | $7.63 | ↓ -69% |
| United_Medicaid | Community_Plan_For_Kids | $8.79 | ↓ -65% |
| United_Healthcare | All_Plans | $15.06 | ↓ -39% |
| Geisinger | All_Plans | $16.39 | ↓ -34% |
| Performance_Blue | Blue_Cross_High_Performance_Network | $19.27 | ↓ -22% |
| Highmark | All_Other_Plans | $21.41 | ↓ -14% |
| Aetna | All_Plans | $22.13 | ↓ -11% |
| First_Health_Network | All_Plans | $24.34 | ↓ -2% |
| Blue_Cross | Capital_Cares_4_kids | $29.17 | ↑ +18% |
| Blue_Cross | All_Other_Plans | $41.68 | ↑ +68% |
| UPMC | All_Plans | $78.57 | ↑ +217% |
Visitor-reported prices
Comments
Bilicheck at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $25.20 | $4.97 – $35.70 |
| UPMC Community Osteopathic | Harrisburg | $25.20 | $4.97 – $42.95 |
| UPMC Hanover | Hanover | $25.20 | $4.97 – $8.03 |
| UPMC Lititz | Lititz | $25.20 | $4.97 – $8.03 |
| UPMC Memorial | York | $25.20 | $5.19 – $36.32 |
| UPMC Somerset | Somerset | $25.20 | $4.96 – $7.99 |
| UPMC Williamsport | Williamsport | $3.00 | $4.96 – $7.36 |
| WellSpan Chambersburg Hospital | Chambersburg | $24.80 | $5.02 – $22.33 |