Diabetes (HbA1c) Test at WellSpan Evangelical Community Hospital
1 Hospital Drive, Lewisburg, PA · Wellspan · · NPI 1124076039
$25.00
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.
$258.25
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.
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The hospital's undiscounted list price — almost no one pays this.
$7.70 with UPMC_Medicaid vs $124.35 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 | $7.70 | ↓ -69% |
| Amerihealth_Caritas_Medicaid | All_Plans | $8.26 | ↓ -67% |
| UPMC | UPMC_For_Kids | $8.47 | ↓ -66% |
| Health_Partners_Medicaid | All_Plans | $8.75 | ↓ -65% |
| Highmark_Wholecare_Gateway_Medicare | All_Plans | $8.75 | ↓ -65% |
| Geisinger_Medicaid | All_Plans | $9.08 | ↓ -64% |
| PA_Health_&_Wellness_Medicaid | All_Plans | $9.10 | ↓ -64% |
| Highmark_Medicare | All_Plans | $9.61 | ↓ -62% |
| Blue_Cross_BlueJourney_Medicare | All_Plans | $9.71 | ↓ -61% |
| Humana_Medicare | All_Plans | $9.90 | ↓ -60% |
| Aetna_Advantra_Medicare | All_Plans | $9.90 | ↓ -60% |
| Geisinger_Gold_Medicare | All_Plans | $10.00 | ↓ -60% |
| Amerihealth_Medicare | All_Plans | $10.10 | ↓ -60% |
| Jefferson_Health_Medicare_Advantage | All_Plans | $10.49 | ↓ -58% |
| PA_Health_&_Wellness_Medicare | All_Plans | $10.49 | ↓ -58% |
| Devoted_Medicare | All_Plans | $10.68 | ↓ -57% |
| UPMC_for_Life_Community_HealthChoices | UPMC_for_Life_Complete_Care | $10.68 | ↓ -57% |
| United_Medicare | ISNP_DSNP_Plans | $10.68 | ↓ -57% |
| Highmark_Wholecare_Gateway_Medicaid | All_Plans | $11.17 | ↓ -55% |
| Highmark | Higmark_Healthy_Kids | $14.76 | ↓ -41% |
| United_Medicaid | Community_Plan_For_Kids | $16.99 | ↓ -32% |
| United_Healthcare | All_Plans | $29.13 | ↑ +17% |
| Geisinger | All_Plans | $31.70 | ↑ +27% |
| Performance_Blue | Blue_Cross_High_Performance_Network | $37.28 | ↑ +49% |
| Highmark | All_Other_Plans | $41.42 | ↑ +66% |
| Aetna | All_Plans | $42.80 | ↑ +71% |
| First_Health_Network | All_Plans | $47.08 | ↑ +88% |
| Blue_Cross | Capital_Cares_4_kids | $56.40 | ↑ +126% |
| Blue_Cross | All_Other_Plans | $80.57 | ↑ +222% |
| UPMC | All_Plans | $124.35 | ↑ +397% |
Visitor-reported prices
Comments
Diabetes (HbA1c) Test at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $86.40 | $7.00 – $115.20 |
| UPMC Bedford | Everett | $66.60 | $3.50 – $99.90 |
| UPMC Carlisle | Carlisle | $49.20 | $7.00 – $69.70 |
| UPMC Cole | Coudersport | $75.00 | $6.31 – $100.00 |
| UPMC Community Osteopathic | Harrisburg | $49.20 | $7.00 – $67.98 |
| UPMC East | Monroeville | $158.40 | $7.00 – $211.20 |
| UPMC Hamot | Erie | $125.40 | $7.00 – $20.60 |
| UPMC Northwest | Seneca | $74.40 | $7.70 – $10.49 |