Thrombectmy crnry perq mechanical at WellSpan Evangelical Community Hospital
1 Hospital Drive, Lewisburg, PA · Wellspan · · NPI 1124076039
$7,599.40
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.
$9,499.25
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.
$209.20 with Highmark_Wholecare_Gateway_Medicare vs $18,076.00 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 |
|---|---|---|---|
| Highmark_Wholecare_Gateway_Medicare | All_Plans | $209.20 | ↓ -97% |
| United_Healthcare | All_Plans | $9,223.77 | ↑ +21% |
| Blue_Cross | Capital_Cares_4_kids | $12,653.20 | ↑ +67% |
| Blue_Cross | All_Other_Plans | $18,076.00 | ↑ +138% |
Visitor-reported prices
Comments
Thrombectmy crnry perq mechanical at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $3,430.80 | $167.36 – $4,574.40 |
| UPMC Carlisle | Carlisle | $6,847.20 | $219.24 – $17,298.00 |
| UPMC Community Osteopathic | Harrisburg | $6,847.20 | $219.24 – $9,700.20 |
| UPMC East | Monroeville | $1,444.80 | $330.47 – $1,926.40 |
| UPMC Hamot | Erie | $3,809.40 | $327.35 – $593.42 |
| UPMC Hanover | Hanover | $6,847.20 | $219.24 – $1,188.38 |
| UPMC Jameson | New Castle | $5,448.00 | $163.49 – $333.13 |
| UPMC Lititz | Lititz | $6,847.20 | $163.49 – $1,188.38 |