Injection(s) diagnostic/therapeutic agent facet lumbar/sacral 2nd level w/image guidance 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

$1,586.60

Cash price

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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.

$1,983.25

Gross charge

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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.

$45.74 with UPMC_Medicaid vs $2,237.03 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 →

Payer
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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
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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 $45.74 ↓ -97%
Amerihealth_Caritas_Medicaid All_Plans $49.06 ↓ -97%
UPMC UPMC_For_Kids $50.31 ↓ -97%
Highmark_Wholecare_Gateway_Medicare All_Plans $51.98 ↓ -97%
Health_Partners_Medicaid All_Plans $51.98 ↓ -97%
Geisinger_Medicaid All_Plans $53.95 ↓ -97%
PA_Health_&_Wellness_Medicaid All_Plans $54.05 ↓ -97%
United_Healthcare All_Plans $1,925.74 ↑ +21%
UPMC All_Plans $2,237.03 ↑ +41%

Visitor-reported prices

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Injection(s) diagnostic/therapeutic agent facet lumbar/sacral 2nd level w/image guidance at other Pennsylvania hospitals

Hospital City Cash price Negotiated range
UPMC Carlisle Carlisle $1,318.80 $54.47 – $9,539.00
UPMC Cole Coudersport $126.00 $58.21 – $168.00
UPMC Community Osteopathic Harrisburg $1,318.80 $54.47 – $1,868.30
UPMC East Monroeville $766.20 $123.83 – $1,021.60
UPMC Northwest Seneca $974.40 $123.83 – $577.76
UPMC Hanover Hanover $1,318.80 $54.47 – $1,223.04
UPMC Horizon-Greenville Greenville $1,897.80 $123.83 – $663.46
UPMC Jameson New Castle $1,897.80 $44.09 – $1,223.04

All Pennsylvania hospitals for this procedure →