Shoulder MRI (without contrast) at WellSpan Evangelical Community Hospital
1 Hospital Drive, Lewisburg, PA · Wellspan · · NPI 1124076039
$461.50
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.
$4,546.75
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.
$232.54 with Aetna vs $3,105.62 with UPMC — 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 |
|---|---|---|---|
| Aetna | All_Plans | $232.54 | ↓ -50% |
| Geisinger | All_Plans | $232.54 | ↓ -50% |
| Aetna_Advantra_Medicare | All_Plans | $232.54 | ↓ -50% |
| Amerihealth_Medicare | All_Plans | $232.54 | ↓ -50% |
| Blue_Cross_BlueJourney_Medicare | All_Plans | $232.54 | ↓ -50% |
| Devoted_Medicare | All_Plans | $232.54 | ↓ -50% |
| First_Health_Network | All_Plans | $232.54 | ↓ -50% |
| Geisinger_Gold_Medicare | All_Plans | $232.54 | ↓ -50% |
| Highmark_Wholecare_Gateway_Medicaid | All_Plans | $232.54 | ↓ -50% |
| Jefferson_Health_Medicare_Advantage | All_Plans | $232.54 | ↓ -50% |
| PA_Health_&_Wellness_Medicare | All_Plans | $232.54 | ↓ -50% |
| UPMC_for_Life_Community_HealthChoices | UPMC_for_Life_Complete_Care | $232.54 | ↓ -50% |
| United_Medicaid | Community_Plan_For_Kids | $232.54 | ↓ -50% |
| United_Medicare | ISNP_DSNP_Plans | $232.54 | ↓ -50% |
| Humana_Medicare | All_Plans | $232.54 | ↓ -50% |
| Highmark | All_Other_Plans | $233.45 | ↓ -49% |
| Performance_Blue | Blue_Cross_High_Performance_Network | $233.45 | ↓ -49% |
| Highmark_Medicare | All_Plans | $233.45 | ↓ -49% |
| Highmark | Higmark_Healthy_Kids | $233.45 | ↓ -49% |
| UPMC_Medicaid | All_Plans | $364.53 | ↓ -21% |
| Amerihealth_Caritas_Medicaid | All_Plans | $391.04 | ↓ -15% |
| UPMC | UPMC_For_Kids | $400.98 | ↓ -13% |
| Health_Partners_Medicaid | All_Plans | $414.24 | ↓ -10% |
| Highmark_Wholecare_Gateway_Medicare | All_Plans | $414.24 | ↓ -10% |
| Geisinger_Medicaid | All_Plans | $429.98 | ↓ -7% |
| PA_Health_&_Wellness_Medicaid | All_Plans | $430.81 | ↓ -7% |
| United_Healthcare | All_Plans | $1,342.45 | ↑ +191% |
| Blue_Cross | Capital_Cares_4_kids | $1,807.44 | ↑ +292% |
| Blue_Cross | All_Other_Plans | $2,582.06 | ↑ +459% |
| UPMC | All_Plans | $3,105.62 | ↑ +573% |
Visitor-reported prices
Comments
Shoulder MRI (without contrast) at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $1,699.20 | $400.00 – $2,265.60 |
| UPMC Bedford | Everett | $1,705.20 | $83.15 – $2,557.80 |
| UPMC Carlisle | Carlisle | $1,656.00 | $352.39 – $2,346.00 |
| UPMC Cole | Coudersport | $966.00 | $236.38 – $1,288.00 |
| UPMC Community Osteopathic | Harrisburg | $1,656.00 | $352.39 – $2,348.09 |
| UPMC East | Monroeville | $3,940.80 | $231.07 – $5,254.40 |
| UPMC Hamot | Erie | $2,045.40 | $167.99 – $1,176.45 |
| UPMC Northwest | Seneca | $2,205.00 | $209.00 – $1,112.98 |