MRI breast w IV cont bi at WellSpan Evangelical Community Hospital
1 Hospital Drive, Lewisburg, PA · Wellspan · · NPI 1124076039
$705.34
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.
$5,083.00
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.
$231.54 with Jefferson_Health_Medicare_Advantage vs $1,882.74 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 |
|---|---|---|---|
| Jefferson_Health_Medicare_Advantage | All_Plans | $231.54 | ↓ -67% |
| UPMC_Medicaid | All_Plans | $343.23 | ↓ -51% |
| Aetna | All_Plans | $343.57 | ↓ -51% |
| Geisinger | All_Plans | $343.57 | ↓ -51% |
| Aetna_Advantra_Medicare | All_Plans | $343.57 | ↓ -51% |
| Amerihealth_Medicare | All_Plans | $343.57 | ↓ -51% |
| Blue_Cross_BlueJourney_Medicare | All_Plans | $343.57 | ↓ -51% |
| Devoted_Medicare | All_Plans | $343.57 | ↓ -51% |
| Geisinger_Gold_Medicare | All_Plans | $343.57 | ↓ -51% |
| Highmark_Wholecare_Gateway_Medicaid | All_Plans | $343.57 | ↓ -51% |
| PA_Health_&_Wellness_Medicare | All_Plans | $343.57 | ↓ -51% |
| UPMC_for_Life_Community_HealthChoices | UPMC_for_Life_Complete_Care | $343.57 | ↓ -51% |
| United_Medicaid | Community_Plan_For_Kids | $343.57 | ↓ -51% |
| United_Medicare | ISNP_DSNP_Plans | $343.57 | ↓ -51% |
| Humana_Medicare | All_Plans | $343.57 | ↓ -51% |
| Highmark | All_Other_Plans | $344.92 | ↓ -51% |
| Highmark | Higmark_Healthy_Kids | $344.92 | ↓ -51% |
| Highmark_Medicare | All_Plans | $344.92 | ↓ -51% |
| Performance_Blue | Blue_Cross_High_Performance_Network | $344.92 | ↓ -51% |
| Amerihealth_Caritas_Medicaid | All_Plans | $368.20 | ↓ -48% |
| UPMC | UPMC_For_Kids | $377.56 | ↓ -46% |
| Health_Partners_Medicaid | All_Plans | $390.04 | ↓ -45% |
| Highmark_Wholecare_Gateway_Medicare | All_Plans | $390.04 | ↓ -45% |
| Geisinger_Medicaid | All_Plans | $404.86 | ↓ -43% |
| PA_Health_&_Wellness_Medicaid | All_Plans | $405.64 | ↓ -42% |
| First_Health_Network | All_Plans | $1,039.58 | ↑ +47% |
| UPMC | All_Plans | $1,286.09 | ↑ +82% |
| United_Healthcare | All_Plans | $1,381.96 | ↑ +96% |
| Blue_Cross | Capital_Cares_4_kids | $1,532.33 | ↑ +117% |
| Blue_Cross | All_Other_Plans | $1,882.74 | ↑ +167% |
Visitor-reported prices
Comments
MRI breast w IV cont bi at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Cole | Coudersport | $2,153.40 | $327.63 – $2,871.20 |
| UPMC Kane | Kane | $1,314.00 | $343.23 – $1,024.66 |
| UPMC Magee | Pittsburgh | $6,741.00 | $169.13 – $531.76 |
| UPMC Passavant-McCandless | Pittsburgh | $5,999.40 | $169.13 – $549.42 |
| WellSpan Chambersburg Hospital | Chambersburg | $705.34 | $214.39 – $1,381.96 |
| WellSpan Ephrata Community Hospital | Ephrata | $705.34 | $274.33 – $1,381.96 |
| WellSpan Good Samaritan Hospital | Lebanon | $705.34 | $352.78 – $1,381.96 |
| WellSpan Gettysburg Hospital | Gettysburg | $705.34 | $274.33 – $1,381.96 |