Appl modality 1/> areas vasopneumatic devices 97016 at WellSpan Surgery & Rehabilitation Hospital
55 Monument Road, York PA 17403, PA · Wellspan · · NPI 1760787576
$189.60
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.
$237.00
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.
$11.22 with Blue_Cross_BlueJourney_Medicare vs $225.15 with PHC — 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 |
|---|---|---|---|
| Blue_Cross_BlueJourney_Medicare | All_Plans | $11.22 | ↓ -94% |
| Johns_Hopkins_HealthCare_Plan | Johns_Hopkins_US_Family_Health | $11.22 | ↓ -94% |
| Highmark_Medicare | All_Plans | $11.33 | ↓ -94% |
| Aetna_Advantra_Medicare | All_Plans | $11.56 | ↓ -94% |
| Aetna_Medicare | All_Plans | $11.56 | ↓ -94% |
| Devoted_Medicare | All_Plans | $11.78 | ↓ -94% |
| Geisinger_Gold_Medicare | All_Plans | $11.78 | ↓ -94% |
| United_Medicare | ISNP_DSNP_Plans | $11.78 | ↓ -94% |
| Highmark_Wholecare_Gateway_Medicare | All_Plans | $11.83 | ↓ -94% |
| Amerihealth_Medicare | All_Plans | $11.84 | ↓ -94% |
| PA_Health_&_Wellness_Medicare | All_Plans | $12.12 | ↓ -94% |
| Jefferson_Health_Medicare_Advantage | All_Plans | $12.12 | ↓ -94% |
| UPMC_Medicare | UPMC_for_Life_Complete_Care | $13.53 | ↓ -93% |
| UPMC_Medicare | UPMC_for_Life_Community_HealthChoices | $13.53 | ↓ -93% |
| Highmark | Higmark_Healthy_Kids | $17.17 | ↓ -91% |
| Health_Partners_Medicaid | Kidz_Partners | $18.51 | ↓ -90% |
| United_Medicaid | Community_Plan_For_Kids | $19.64 | ↓ -90% |
| Highmark | Choice_Blue_PPO | $43.91 | ↓ -77% |
| Highmark | Blue_Cross_High_Performance_Network | $43.91 | ↓ -77% |
| Highmark | Performance_Blue | $43.91 | ↓ -77% |
| Aetna_Better_Health_Kids | All_Plans | $44.95 | ↓ -76% |
| UPMC_Medicaid | All_Plans | $50.00 | ↓ -74% |
| Geisinger_Medicaid | All_Plans | $50.00 | ↓ -74% |
| Health_Partners_Medicaid | All_Other_Plans | $50.00 | ↓ -74% |
| PA_Health_&_Wellness_Medicaid | All_Plans | $50.00 | ↓ -74% |
| Highmark_Wholecare_Gateway_Medicaid | All_Plans | $50.00 | ↓ -74% |
| Highmark | All_Other_Plans | $55.90 | ↓ -71% |
| Amerihealth_Caritas_Medicaid | All_Plans | $56.80 | ↓ -70% |
| Blue_Cross | Capital_Cares_4_kids | $133.07 | ↓ -30% |
| Blue_Cross | Capital_Blue_Performance_PPO | $137.20 | ↓ -28% |
| Blue_Cross | All_Other_Plans | $190.10 | ↑ +0% |
| First_Health_Network | All_Plans | $197.66 | ↑ +4% |
| Aetna | All_Plans | $197.66 | ↑ +4% |
| Cigna | All_Plans | $212.45 | ↑ +12% |
| United_Healthcare | All_Plans | $215.20 | ↑ +14% |
| WellSpan_Capital_Blue_Cross | All_Plans | $218.04 | ↑ +15% |
| UPMC | All_Plans | $220.41 | ↑ +16% |
| UPMC | UPMC_For_Kids | $220.41 | ↑ +16% |
| Geisinger | All_Plans | $221.95 | ↑ +17% |
| Johns_Hopkins_HealthCare_Plan | All_Other_Plans | $225.15 | ↑ +19% |
| PHC | All_Plans | $225.15 | ↑ +19% |
Visitor-reported prices
Comments
Appl modality 1/> areas vasopneumatic devices 97016 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $49.80 | $11.37 – $387.00 |
| UPMC Cole | Coudersport | $94.80 | $12.31 – $126.40 |
| UPMC Community Osteopathic | Harrisburg | $49.80 | $16.60 – $126.46 |
| UPMC Hanover | Hanover | $49.80 | $16.79 – $148.00 |
| UPMC Kane | Kane | $71.40 | $14.54 – $49.50 |
| UPMC Mercy | Pittsburgh | $141.60 | $14.54 – $44.29 |
| UPMC Muncy | Muncy | $76.80 | $14.54 – $46.84 |
| UPMC Somerset | Somerset | $49.80 | $14.54 – $44.74 |