Pr moderate sedation same physician >= 5 years initial 15 minutes at WellSpan Evangelical Community Hospital
1 Hospital Drive, Lewisburg, PA · Wellspan · · NPI 1124076039
$406.00
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.
$507.50
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.
$10.89 with UPMC_Medicaid vs $492.78 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 →
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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 |
|---|---|---|---|
| UPMC_Medicaid | All_Plans | $10.89 | ↓ -97% |
| Amerihealth_Caritas_Medicaid | All_Plans | $11.68 | ↓ -97% |
| UPMC | UPMC_For_Kids | $11.98 | ↓ -97% |
| Highmark_Wholecare_Gateway_Medicare | All_Plans | $12.38 | ↓ -97% |
| Health_Partners_Medicaid | All_Plans | $12.38 | ↓ -97% |
| Geisinger_Medicaid | All_Plans | $12.85 | ↓ -97% |
| PA_Health_&_Wellness_Medicaid | All_Plans | $12.87 | ↓ -97% |
| United_Healthcare | All_Plans | $492.78 | ↑ +21% |
Visitor-reported prices
Comments
Pr moderate sedation same physician >= 5 years initial 15 minutes at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $223.20 | $9.90 – $297.60 |
| UPMC Bedford | Everett | $138.00 | $10.39 – $207.00 |
| UPMC Carlisle | Carlisle | $831.60 | $12.57 – $1,178.10 |
| UPMC Cole | Coudersport | $21.00 | $9.70 – $64.78 |
| UPMC Community Osteopathic | Harrisburg | $831.60 | $12.57 – $1,178.10 |
| UPMC East | Monroeville | $377.40 | $10.89 – $503.20 |
| UPMC Hamot | Erie | $725.40 | $10.89 – $64.78 |
| UPMC Northwest | Seneca | $138.00 | $10.89 – $64.78 |