Clsd/shoulder dislo/manip/no anest 23650 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

$1,197.80

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.

Full explanation →

What you pay up front if you don't use insurance.

$1,497.25

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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$108.90 with UPMC_Medicaid vs $3,167.79 with UPMC — 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 →

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 $108.90 ↓ -91%
Amerihealth_Caritas_Medicaid All_Plans $116.82 ↓ -90%
UPMC UPMC_For_Kids $119.79 ↓ -90%
Health_Partners_Medicaid All_Plans $123.75 ↓ -90%
Highmark_Wholecare_Gateway_Medicare All_Plans $123.75 ↓ -90%
Geisinger_Medicaid All_Plans $128.45 ↓ -89%
PA_Health_&_Wellness_Medicaid All_Plans $128.70 ↓ -89%
Geisinger_Gold_Medicare All_Plans $230.77 ↓ -81%
Humana_Medicare All_Plans $230.77 ↓ -81%
Geisinger All_Plans $230.77 ↓ -81%
Aetna_Advantra_Medicare All_Plans $230.77 ↓ -81%
Amerihealth_Medicare All_Plans $230.77 ↓ -81%
Blue_Cross_BlueJourney_Medicare All_Plans $230.77 ↓ -81%
Devoted_Medicare All_Plans $230.77 ↓ -81%
First_Health_Network All_Plans $230.77 ↓ -81%
Highmark_Wholecare_Gateway_Medicaid All_Plans $230.77 ↓ -81%
Jefferson_Health_Medicare_Advantage All_Plans $230.77 ↓ -81%
PA_Health_&_Wellness_Medicare All_Plans $230.77 ↓ -81%
UPMC_for_Life_Community_HealthChoices UPMC_for_Life_Complete_Care $230.77 ↓ -81%
United_Medicaid Community_Plan_For_Kids $230.77 ↓ -81%
United_Medicare ISNP_DSNP_Plans $230.77 ↓ -81%
Aetna All_Plans $230.77 ↓ -81%
Highmark Higmark_Healthy_Kids $231.68 ↓ -81%
Highmark All_Other_Plans $231.68 ↓ -81%
Highmark_Medicare All_Plans $231.68 ↓ -81%
Performance_Blue Blue_Cross_High_Performance_Network $231.68 ↓ -81%
Blue_Cross Capital_Cares_4_kids $1,369.20 ↑ +14%
United_Healthcare All_Plans $1,453.83 ↑ +21%
Blue_Cross All_Other_Plans $1,956.00 ↑ +63%
UPMC All_Plans $3,167.79 ↑ +164%

Visitor-reported prices

visitor-reported
Report what you paid sign in to post

Comments

Add a comment sign in to post

Clsd/shoulder dislo/manip/no anest 23650 at other Pennsylvania hospitals

Hospital City Cash price Negotiated range
UPMC Altoona Altoona $2,425.80 $99.00 – $3,234.40
UPMC Bedford Everett $1,214.40 $82.51 – $1,821.60
UPMC Carlisle Carlisle $856.20 $125.73 – $1,212.95
UPMC Cole Coudersport $1,266.00 $68.75 – $771.51
UPMC Community Osteopathic Harrisburg $856.20 $125.73 – $1,731.91
UPMC East Monroeville $2,281.20 $108.90 – $3,041.60
UPMC Hamot Erie $2,337.60 $108.90 – $557.45
UPMC Northwest Seneca $1,632.60 $108.90 – $516.86

All Pennsylvania hospitals for this procedure →