Change of windpipe airway 31502 at WellSpan Surgery & Rehabilitation Hospital
55 Monument Road, York PA 17403, PA · Wellspan · · NPI 1760787576
$567.20
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.
$709.00
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.
$116.11 with Amerihealth_Caritas_Medicaid vs $1,119.96 with Highmark — 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 |
|---|---|---|---|
| Amerihealth_Caritas_Medicaid | All_Plans | $116.11 | ↓ -80% |
| Johns_Hopkins_HealthCare_Plan | Johns_Hopkins_US_Family_Health | $224.81 | ↓ -60% |
| Health_Partners_Medicaid | All_Other_Plans | $224.81 | ↓ -60% |
| Blue_Cross_BlueJourney_Medicare | All_Plans | $224.81 | ↓ -60% |
| Highmark_Medicare | All_Plans | $227.06 | ↓ -60% |
| Aetna_Medicare | All_Plans | $231.55 | ↓ -59% |
| Aetna_Advantra_Medicare | All_Plans | $231.55 | ↓ -59% |
| Geisinger_Gold_Medicare | All_Plans | $236.05 | ↓ -58% |
| United_Medicare | ISNP_DSNP_Plans | $236.05 | ↓ -58% |
| Devoted_Medicare | All_Plans | $236.05 | ↓ -58% |
| Highmark_Wholecare_Gateway_Medicare | All_Plans | $237.06 | ↓ -58% |
| Amerihealth_Medicare | All_Plans | $237.17 | ↓ -58% |
| Jefferson_Health_Medicare_Advantage | All_Plans | $242.79 | ↓ -57% |
| PA_Health_&_Wellness_Medicare | All_Plans | $242.79 | ↓ -57% |
| UPMC_Medicare | UPMC_for_Life_Community_HealthChoices | $271.01 | ↓ -52% |
| UPMC_Medicare | UPMC_for_Life_Complete_Care | $271.01 | ↓ -52% |
| Highmark | Higmark_Healthy_Kids | $343.96 | ↓ -39% |
| Health_Partners_Medicaid | Kidz_Partners | $370.94 | ↓ -35% |
| United_Medicaid | Community_Plan_For_Kids | $393.42 | ↓ -31% |
| Blue_Cross | Capital_Cares_4_kids | $398.08 | ↓ -30% |
| Blue_Cross | Capital_Blue_Performance_PPO | $410.44 | ↓ -28% |
| Blue_Cross | All_Other_Plans | $568.69 | ↑ +0% |
| Aetna | All_Plans | $591.31 | ↑ +4% |
| First_Health_Network | All_Plans | $591.31 | ↑ +4% |
| Cigna | All_Plans | $635.55 | ↑ +12% |
| United_Healthcare | All_Plans | $643.77 | ↑ +13% |
| WellSpan_Capital_Blue_Cross | All_Plans | $652.28 | ↑ +15% |
| UPMC | All_Plans | $659.37 | ↑ +16% |
| UPMC | UPMC_For_Kids | $659.37 | ↑ +16% |
| Geisinger | All_Plans | $663.98 | ↑ +17% |
| PHC | All_Plans | $673.55 | ↑ +19% |
| Johns_Hopkins_HealthCare_Plan | All_Other_Plans | $673.55 | ↑ +19% |
| Highmark | Performance_Blue | $879.77 | ↑ +55% |
| Highmark | Choice_Blue_PPO | $879.77 | ↑ +55% |
| Highmark | Blue_Cross_High_Performance_Network | $879.77 | ↑ +55% |
| Highmark | All_Other_Plans | $1,119.96 | ↑ +97% |
Visitor-reported prices
Comments
Change of windpipe airway 31502 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $454.20 | $92.94 – $605.60 |
| UPMC Carlisle | Carlisle | $463.80 | $105.90 – $657.05 |
| UPMC Cole | Coudersport | $220.20 | $10.53 – $2,325.85 |
| UPMC Community Osteopathic | Harrisburg | $463.80 | $124.62 – $657.05 |
| UPMC East | Monroeville | $319.20 | $93.83 – $425.60 |
| UPMC Hamot | Erie | $380.40 | $92.94 – $322.01 |
| UPMC Northwest | Seneca | $580.20 | $119.08 – $239.10 |
| UPMC Hanover | Hanover | $463.80 | $124.62 – $354.94 |