Biopsy skin incisional single lesion at WellSpan Evangelical Community Hospital
1 Hospital Drive, Lewisburg, PA · Wellspan · · NPI 1124076039
$1,510.20
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.
$1,887.75
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.
$54.13 with UPMC_Medicaid vs $3,889.00 with Blue_Cross — 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 | $54.13 | ↓ -96% |
| Amerihealth_Caritas_Medicaid | All_Plans | $58.07 | ↓ -96% |
| UPMC | UPMC_For_Kids | $59.54 | ↓ -96% |
| Health_Partners_Medicaid | All_Plans | $61.51 | ↓ -96% |
| Highmark_Wholecare_Gateway_Medicare | All_Plans | $61.51 | ↓ -96% |
| Geisinger_Medicaid | All_Plans | $63.85 | ↓ -96% |
| PA_Health_&_Wellness_Medicaid | All_Plans | $63.97 | ↓ -96% |
| Geisinger_Gold_Medicare | All_Plans | $588.88 | ↓ -61% |
| Humana_Medicare | All_Plans | $588.88 | ↓ -61% |
| Geisinger | All_Plans | $588.88 | ↓ -61% |
| Aetna_Advantra_Medicare | All_Plans | $588.88 | ↓ -61% |
| Amerihealth_Medicare | All_Plans | $588.88 | ↓ -61% |
| Blue_Cross_BlueJourney_Medicare | All_Plans | $588.88 | ↓ -61% |
| Devoted_Medicare | All_Plans | $588.88 | ↓ -61% |
| First_Health_Network | All_Plans | $588.88 | ↓ -61% |
| Highmark_Wholecare_Gateway_Medicaid | All_Plans | $588.88 | ↓ -61% |
| Jefferson_Health_Medicare_Advantage | All_Plans | $588.88 | ↓ -61% |
| PA_Health_&_Wellness_Medicare | All_Plans | $588.88 | ↓ -61% |
| UPMC_for_Life_Community_HealthChoices | UPMC_for_Life_Complete_Care | $588.88 | ↓ -61% |
| United_Medicaid | Community_Plan_For_Kids | $588.88 | ↓ -61% |
| United_Medicare | ISNP_DSNP_Plans | $588.88 | ↓ -61% |
| Aetna | All_Plans | $588.88 | ↓ -61% |
| Highmark | Higmark_Healthy_Kids | $591.20 | ↓ -61% |
| Highmark | All_Other_Plans | $591.20 | ↓ -61% |
| Performance_Blue | Blue_Cross_High_Performance_Network | $591.20 | ↓ -61% |
| Highmark_Medicare | All_Plans | $591.20 | ↓ -61% |
| UPMC | All_Plans | $1,559.57 | ↑ +3% |
| United_Healthcare | All_Plans | $1,833.01 | ↑ +21% |
| Blue_Cross | Capital_Cares_4_kids | $2,722.30 | ↑ +80% |
| Blue_Cross | All_Other_Plans | $3,889.00 | ↑ +158% |
Visitor-reported prices
Comments
Biopsy skin incisional single lesion at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $613.80 | $49.21 – $818.40 |
| UPMC Bedford | Everett | $588.60 | $51.67 – $882.90 |
| UPMC Carlisle | Carlisle | $1,227.00 | $62.50 – $1,738.25 |
| UPMC Cole | Coudersport | $87.60 | $40.47 – $2,325.85 |
| UPMC East | Monroeville | $823.80 | $54.13 – $1,098.40 |
| UPMC Hamot | Erie | $857.40 | $54.13 – $848.80 |
| UPMC Hanover | Hanover | $1,227.00 | $62.50 – $1,016.56 |
| UPMC Jameson | New Castle | $394.80 | $54.13 – $892.40 |