Immunoassay tumor antigen quantitative ca 125 at WellSpan Evangelical Community Hospital
1 Hospital Drive, Lewisburg, PA · Wellspan · · NPI 1124076039
$85.00
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.
$238.00
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.
$20.60 with Highmark_Medicare vs $172.73 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 |
|---|---|---|---|
| Highmark_Medicare | All_Plans | $20.60 | ↓ -76% |
| Blue_Cross_BlueJourney_Medicare | All_Plans | $20.81 | ↓ -76% |
| Aetna_Advantra_Medicare | All_Plans | $21.23 | ↓ -75% |
| Humana_Medicare | All_Plans | $21.23 | ↓ -75% |
| Geisinger_Gold_Medicare | All_Plans | $21.43 | ↓ -75% |
| Amerihealth_Medicare | All_Plans | $21.64 | ↓ -75% |
| PA_Health_&_Wellness_Medicare | All_Plans | $22.47 | ↓ -74% |
| Jefferson_Health_Medicare_Advantage | All_Plans | $22.47 | ↓ -74% |
| Devoted_Medicare | All_Plans | $22.89 | ↓ -73% |
| UPMC_for_Life_Community_HealthChoices | UPMC_for_Life_Complete_Care | $22.89 | ↓ -73% |
| United_Medicare | ISNP_DSNP_Plans | $22.89 | ↓ -73% |
| Highmark_Wholecare_Gateway_Medicaid | All_Plans | $23.93 | ↓ -72% |
| UPMC_Medicaid | All_Plans | $25.31 | ↓ -70% |
| Amerihealth_Caritas_Medicaid | All_Plans | $27.15 | ↓ -68% |
| UPMC | UPMC_For_Kids | $27.84 | ↓ -67% |
| Highmark_Wholecare_Gateway_Medicare | All_Plans | $28.76 | ↓ -66% |
| Health_Partners_Medicaid | All_Plans | $28.76 | ↓ -66% |
| Geisinger_Medicaid | All_Plans | $29.86 | ↓ -65% |
| PA_Health_&_Wellness_Medicaid | All_Plans | $29.91 | ↓ -65% |
| Highmark | Higmark_Healthy_Kids | $31.63 | ↓ -63% |
| United_Medicaid | Community_Plan_For_Kids | $36.42 | ↓ -57% |
| United_Healthcare | All_Plans | $62.43 | ↓ -27% |
| Geisinger | All_Plans | $67.94 | ↓ -20% |
| Performance_Blue | Blue_Cross_High_Performance_Network | $79.89 | ↓ -6% |
| Highmark | All_Other_Plans | $88.77 | ↑ +4% |
| Aetna | All_Plans | $91.73 | ↑ +8% |
| First_Health_Network | All_Plans | $100.91 | ↑ +19% |
| Blue_Cross | Capital_Cares_4_kids | $120.91 | ↑ +42% |
| UPMC | All_Plans | $150.05 | ↑ +77% |
| Blue_Cross | All_Other_Plans | $172.73 | ↑ +103% |
Visitor-reported prices
Comments
Immunoassay tumor antigen quantitative ca 125 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $169.20 | $20.57 – $225.60 |
| UPMC Bedford | Everett | $133.20 | $7.51 – $199.80 |
| UPMC Carlisle | Carlisle | $116.40 | $20.60 – $164.90 |
| UPMC Cole | Coudersport | $193.20 | $13.53 – $257.60 |
| UPMC Community Osteopathic | Harrisburg | $116.40 | $20.60 – $164.90 |
| UPMC East | Monroeville | $427.20 | $20.57 – $569.60 |
| UPMC Hamot | Erie | $304.80 | $20.57 – $55.24 |
| UPMC Northwest | Seneca | $141.00 | $18.87 – $26.46 |