Bilirubin total at WellSpan Surgery & Rehabilitation Hospital
55 Monument Road, York PA 17403, PA · Wellspan · · NPI 1760787576
$10.00
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.
$31.00
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.
$5.02 with Johns_Hopkins_HealthCare_Plan vs $29.45 with Johns_Hopkins_HealthCare_Plan — 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 |
|---|---|---|---|
| Johns_Hopkins_HealthCare_Plan | Johns_Hopkins_US_Family_Health | $5.02 | ↓ -50% |
| Blue_Cross_BlueJourney_Medicare | All_Plans | $5.02 | ↓ -50% |
| Highmark_Medicare | All_Plans | $5.07 | ↓ -49% |
| Aetna_Advantra_Medicare | All_Plans | $5.17 | ↓ -48% |
| Aetna_Medicare | All_Plans | $5.17 | ↓ -48% |
| United_Medicare | ISNP_DSNP_Plans | $5.27 | ↓ -47% |
| Devoted_Medicare | All_Plans | $5.27 | ↓ -47% |
| Geisinger_Gold_Medicare | All_Plans | $5.27 | ↓ -47% |
| Highmark_Wholecare_Gateway_Medicare | All_Plans | $5.29 | ↓ -47% |
| Amerihealth_Medicare | All_Plans | $5.30 | ↓ -47% |
| Jefferson_Health_Medicare_Advantage | All_Plans | $5.42 | ↓ -46% |
| PA_Health_&_Wellness_Medicare | All_Plans | $5.42 | ↓ -46% |
| UPMC_Medicare | UPMC_for_Life_Community_HealthChoices | $6.05 | ↓ -40% |
| UPMC_Medicare | UPMC_for_Life_Complete_Care | $6.05 | ↓ -40% |
| Amerihealth_Caritas_Medicaid | All_Plans | $6.93 | ↓ -31% |
| Highmark | Higmark_Healthy_Kids | $7.68 | ↓ -23% |
| Health_Partners_Medicaid | Kidz_Partners | $8.28 | ↓ -17% |
| UPMC_Medicaid | All_Plans | $8.66 | ↓ -13% |
| PA_Health_&_Wellness_Medicaid | All_Plans | $8.66 | ↓ -13% |
| Geisinger_Medicaid | All_Plans | $8.66 | ↓ -13% |
| Health_Partners_Medicaid | All_Other_Plans | $8.66 | ↓ -13% |
| Highmark_Wholecare_Gateway_Medicaid | All_Plans | $8.66 | ↓ -13% |
| United_Medicaid | Community_Plan_For_Kids | $8.79 | ↓ -12% |
| United_Healthcare | All_Plans | $15.06 | ↑ +51% |
| Blue_Cross | Capital_Cares_4_kids | $17.41 | ↑ +74% |
| Blue_Cross | Capital_Blue_Performance_PPO | $17.95 | ↑ +80% |
| Highmark | Performance_Blue | $19.65 | ↑ +97% |
| Highmark | Blue_Cross_High_Performance_Network | $19.65 | ↑ +97% |
| Highmark | Choice_Blue_PPO | $19.65 | ↑ +97% |
| First_Health_Network | All_Plans | $20.73 | ↑ +107% |
| Aetna | All_Plans | $20.73 | ↑ +107% |
| Aetna_Better_Health_Kids | All_Plans | $23.56 | ↑ +136% |
| Blue_Cross | All_Other_Plans | $24.87 | ↑ +149% |
| Highmark | All_Other_Plans | $25.01 | ↑ +150% |
| Cigna | All_Plans | $25.51 | ↑ +155% |
| WellSpan_Capital_Blue_Cross | All_Plans | $28.52 | ↑ +185% |
| UPMC | UPMC_For_Kids | $28.83 | ↑ +188% |
| UPMC | All_Plans | $28.83 | ↑ +188% |
| Geisinger | All_Plans | $29.03 | ↑ +190% |
| PHC | All_Plans | $29.45 | ↑ +195% |
| Johns_Hopkins_HealthCare_Plan | All_Other_Plans | $29.45 | ↑ +195% |
Visitor-reported prices
Comments
Bilirubin total at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $58.20 | $4.96 – $77.60 |
| UPMC Bedford | Everett | $36.60 | $1.81 – $54.90 |
| UPMC Carlisle | Carlisle | $25.20 | $4.97 – $35.70 |
| UPMC Cole | Coudersport | $49.80 | $3.26 – $66.40 |
| UPMC Community Osteopathic | Harrisburg | $25.20 | $4.97 – $45.19 |
| UPMC East | Monroeville | $102.60 | $4.96 – $136.80 |
| UPMC Hamot | Erie | $151.80 | $4.96 – $13.33 |
| UPMC Northwest | Seneca | $33.00 | $4.55 – $7.97 |