Cta lower extremity without & w/contrast (both sides) at WellSpan Surgery & Rehabilitation Hospital

55 Monument Road, York PA 17403, PA · Wellspan · · NPI 1760787576

Source: hospital's published price file ↗ · Published Jan 1, 2026 · Ingested Sep 17, 2026

$528.50

Cash price

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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.

$2,763.00

Gross charge

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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.

$172.34 with Blue_Cross_BlueJourney_Medicare vs $2,624.85 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 →

Payer
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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
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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 $172.34 ↓ -67%
Johns_Hopkins_HealthCare_Plan Johns_Hopkins_US_Family_Health $172.34 ↓ -67%
Highmark_Medicare All_Plans $174.06 ↓ -67%
Aetna_Medicare All_Plans $177.51 ↓ -66%
Aetna_Advantra_Medicare All_Plans $177.51 ↓ -66%
Devoted_Medicare All_Plans $180.96 ↓ -66%
Geisinger_Gold_Medicare All_Plans $180.96 ↓ -66%
United_Medicare ISNP_DSNP_Plans $180.96 ↓ -66%
Highmark_Wholecare_Gateway_Medicare All_Plans $181.73 ↓ -66%
Amerihealth_Medicare All_Plans $181.82 ↓ -66%
PA_Health_&_Wellness_Medicare All_Plans $186.13 ↓ -65%
Jefferson_Health_Medicare_Advantage All_Plans $186.13 ↓ -65%
UPMC_Medicare UPMC_for_Life_Community_HealthChoices $207.76 ↓ -61%
UPMC_Medicare UPMC_for_Life_Complete_Care $207.76 ↓ -61%
UPMC_Medicaid All_Plans $235.72 ↓ -55%
Highmark Higmark_Healthy_Kids $263.68 ↓ -50%
Health_Partners_Medicaid Kidz_Partners $284.36 ↓ -46%
United_Medicaid Community_Plan_For_Kids $301.60 ↓ -43%
Highmark_Wholecare_Gateway_Medicaid All_Plans $346.28 ↓ -34%
PA_Health_&_Wellness_Medicaid All_Plans $346.28 ↓ -34%
Geisinger_Medicaid All_Plans $346.28 ↓ -34%
Health_Partners_Medicaid All_Other_Plans $346.28 ↓ -34%
Amerihealth_Caritas_Medicaid All_Plans $393.37 ↓ -26%
WellSpan_Capital_Blue_Cross All_Plans $492.00 ↓ -7%
Highmark Blue_Cross_High_Performance_Network $674.44 ↑ +28%
Highmark Choice_Blue_PPO $674.44 ↑ +28%
Highmark Performance_Blue $674.44 ↑ +28%
Highmark All_Other_Plans $858.56 ↑ +62%
Aetna_Better_Health_Kids All_Plans $941.87 ↑ +78%
United_Healthcare All_Plans $1,006.60 ↑ +90%
Blue_Cross Capital_Cares_4_kids $1,551.34 ↑ +194%
Blue_Cross Capital_Blue_Performance_PPO $1,599.50 ↑ +203%
Blue_Cross All_Other_Plans $2,216.20 ↑ +319%
First_Health_Network All_Plans $2,304.34 ↑ +336%
Aetna All_Plans $2,304.34 ↑ +336%
Cigna All_Plans $2,460.73 ↑ +366%
UPMC All_Plans $2,569.59 ↑ +386%
UPMC UPMC_For_Kids $2,569.59 ↑ +386%
Geisinger All_Plans $2,587.55 ↑ +390%
Johns_Hopkins_HealthCare_Plan All_Other_Plans $2,624.85 ↑ +397%
PHC All_Plans $2,624.85 ↑ +397%

Visitor-reported prices

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Cta lower extremity without & w/contrast (both sides) at other Pennsylvania hospitals

Hospital City Cash price Negotiated range
UPMC Altoona Altoona $2,079.00 $240.00 – $2,772.00
UPMC Bedford Everett $1,082.40 $61.23 – $1,623.60
UPMC Carlisle Carlisle $1,424.40 $247.03 – $2,017.90
UPMC Community Osteopathic Harrisburg $1,424.40 $247.03 – $2,017.90
UPMC East Monroeville $3,282.60 $170.18 – $4,376.80
UPMC Hamot Erie $2,637.60 $195.88 – $680.98
UPMC Northwest Seneca $1,533.00 $153.92 – $680.98
UPMC Hanover Hanover $1,424.40 $247.03 – $957.68

All Pennsylvania hospitals for this procedure →