Pr cystourethroscopy with insertion indwelling ureteral stent at WellSpan Evangelical Community Hospital
1 Hospital Drive, Lewisburg, PA · Wellspan · · NPI 1124076039
not published by hospital
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.
?
What you pay up front if you don't use insurance.
not published by hospital
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.
?
The hospital's undiscounted list price — almost no one pays this.
$853.60 with UPMC_Medicaid vs $15,468.00 with Blue_Cross — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $853.60 | — |
| Amerihealth_Caritas_Medicaid | All_Plans | $915.68 | — |
| Health_Partners_Medicaid | All_Plans | $970.00 | — |
| Highmark_Wholecare_Gateway_Medicare | All_Plans | $970.00 | — |
| Geisinger_Medicaid | All_Plans | $1,006.86 | — |
| PA_Health_&_Wellness_Medicaid | All_Plans | $1,008.80 | — |
| UPMC | UPMC_For_Kids | $1,008.80 | — |
| Aetna | All_Plans | $3,317.98 | — |
| Blue_Cross_BlueJourney_Medicare | All_Plans | $3,317.98 | — |
| First_Health_Network | All_Plans | $3,317.98 | — |
| Highmark_Medicare | All_Plans | $3,351.16 | — |
| Aetna_Advantra_Medicare | All_Plans | $3,384.34 | — |
| Humana_Medicare | All_Plans | $3,384.34 | — |
| Geisinger_Gold_Medicare | All_Plans | $3,417.52 | — |
| Amerihealth_Medicare | All_Plans | $3,450.70 | — |
| UPMC_for_Life_Community_HealthChoices | UPMC_for_Life_Complete_Care | $3,483.88 | — |
| Devoted_Medicare | All_Plans | $3,483.88 | — |
| United_Medicare | ISNP_DSNP_Plans | $3,483.88 | — |
| Jefferson_Health_Medicare_Advantage | All_Plans | $3,583.42 | — |
| PA_Health_&_Wellness_Medicare | All_Plans | $3,583.42 | — |
| Highmark_Wholecare_Gateway_Medicaid | All_Plans | $3,716.14 | — |
| UPMC | All_Plans | $4,237.66 | — |
| Highmark | Higmark_Healthy_Kids | $4,976.97 | — |
| United_Medicaid | Community_Plan_For_Kids | $5,806.47 | — |
| Blue_Cross | Capital_Cares_4_kids | $10,827.60 | — |
| Geisinger | All_Plans | $10,832.21 | — |
| Performance_Blue | Blue_Cross_High_Performance_Network | $12,737.73 | — |
| Highmark | All_Other_Plans | $14,152.84 | — |
| Blue_Cross | All_Other_Plans | $15,468.00 | — |
| United_Healthcare | All_Plans | not published by hospital | — |
Visitor-reported prices
Comments
Pr cystourethroscopy with insertion indwelling ureteral stent at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $4,764.60 | $143.72 – $6,352.80 |
| UPMC Cole | Coudersport | $639.00 | $150.91 – $1,041.88 |
| UPMC East | Monroeville | $4,170.00 | $158.09 – $5,560.00 |
| UPMC Hamot | Erie | $4,273.20 | $158.09 – $4,782.42 |
| UPMC Horizon-Greenville | Greenville | $3,521.40 | $158.09 – $3,551.23 |
| UPMC Jameson | New Castle | $3,688.80 | $158.09 – $4,439.04 |
| UPMC Kane | Kane | $3,071.40 | $158.09 – $1,670.55 |
| UPMC Magee | Pittsburgh | $3,570.00 | $158.09 – $3,551.23 |