Nm imaging gastrointestinal acute blood loss 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

$2,804.40

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.

Full explanation →

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

$3,505.50

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.

$70.40 with UPMC_Medicaid vs $2,259.58 with United_Healthcare — 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 $70.40 ↓ -97%
Amerihealth_Caritas_Medicaid All_Plans $75.52 ↓ -97%
UPMC UPMC_For_Kids $77.44 ↓ -97%
Health_Partners_Medicaid All_Plans $80.00 ↓ -97%
Highmark_Wholecare_Gateway_Medicare All_Plans $80.00 ↓ -97%
Geisinger_Medicaid All_Plans $83.04 ↓ -97%
PA_Health_&_Wellness_Medicaid All_Plans $83.20 ↓ -97%
Geisinger_Gold_Medicare All_Plans $386.57 ↓ -86%
Humana_Medicare All_Plans $386.57 ↓ -86%
Geisinger All_Plans $386.57 ↓ -86%
Aetna_Advantra_Medicare All_Plans $386.57 ↓ -86%
Amerihealth_Medicare All_Plans $386.57 ↓ -86%
Blue_Cross_BlueJourney_Medicare All_Plans $386.57 ↓ -86%
Devoted_Medicare All_Plans $386.57 ↓ -86%
First_Health_Network All_Plans $386.57 ↓ -86%
Highmark_Wholecare_Gateway_Medicaid All_Plans $386.57 ↓ -86%
Jefferson_Health_Medicare_Advantage All_Plans $386.57 ↓ -86%
PA_Health_&_Wellness_Medicare All_Plans $386.57 ↓ -86%
UPMC_for_Life_Community_HealthChoices UPMC_for_Life_Complete_Care $386.57 ↓ -86%
United_Medicaid Community_Plan_For_Kids $386.57 ↓ -86%
United_Medicare ISNP_DSNP_Plans $386.57 ↓ -86%
Aetna All_Plans $386.57 ↓ -86%
Highmark Higmark_Healthy_Kids $388.09 ↓ -86%
Highmark All_Other_Plans $388.09 ↓ -86%
Highmark_Medicare All_Plans $388.09 ↓ -86%
Performance_Blue Blue_Cross_High_Performance_Network $388.09 ↓ -86%
Blue_Cross Capital_Cares_4_kids $1,262.98 ↓ -55%
UPMC All_Plans $1,506.92 ↓ -46%
Blue_Cross All_Other_Plans $1,804.26 ↓ -36%
United_Healthcare All_Plans $2,259.58 ↓ -19%

Visitor-reported prices

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Nm imaging gastrointestinal acute blood loss at other Pennsylvania hospitals

Hospital City Cash price Negotiated range
UPMC Altoona Altoona $630.60 $39.00 – $840.80
UPMC Bedford Everett $935.40 $67.20 – $1,403.10
UPMC Carlisle Carlisle $1,228.80 $51.09 – $1,740.80
UPMC Cole Coudersport $1,186.20 $67.20 – $1,581.60
UPMC Community Osteopathic Harrisburg $1,228.80 $51.09 – $1,740.80
UPMC East Monroeville $2,374.20 $70.40 – $3,165.60
UPMC Hamot Erie $1,124.40 $70.40 – $546.54
UPMC Northwest Seneca $828.60 $70.40 – $505.55

All Pennsylvania hospitals for this procedure →