Diazepam 5 mg/ml injection solution (wrapper) 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

$248.80

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.

Full explanation →

What you pay up front if you don't use insurance.

$311.00

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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$12.80 with UPMC_Medicaid vs $286.12 with WellSpan_Capital_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 →

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
UPMC_Medicaid All_Plans $12.80 ↓ -95%
Health_Partners_Medicaid All_Other_Plans $14.70 ↓ -94%
Geisinger_Medicaid All_Plans $14.70 ↓ -94%
Amerihealth_Caritas_Medicaid All_Plans $14.70 ↓ -94%
Aetna_Better_Health_Kids All_Plans $15.58 ↓ -94%
United_Healthcare All_Plans $39.49 ↓ -84%
Cigna All_Plans $40.53 ↓ -84%
First_Health_Network All_Plans $44.68 ↓ -82%
Aetna All_Plans $44.68 ↓ -82%
Blue_Cross Capital_Cares_4_kids $98.26 ↓ -61%
Blue_Cross All_Other_Plans $140.37 ↓ -44%
Blue_Cross Capital_Blue_Performance_PPO $140.37 ↓ -44%
UPMC All_Plans $162.75 ↓ -35%
UPMC UPMC_For_Kids $162.75 ↓ -35%
Geisinger All_Plans $163.89 ↓ -34%
Johns_Hopkins_HealthCare_Plan All_Other_Plans $166.25 ↓ -33%
PHC All_Plans $169.75 ↓ -32%
WellSpan_Capital_Blue_Cross All_Plans $286.12 ↑ +15%

Visitor-reported prices

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Diazepam 5 mg/ml injection solution (wrapper) at other Pennsylvania hospitals

Hospital City Cash price Negotiated range
UPMC Altoona Altoona $26.80 $1.97 – $26.40
UPMC Bedford Everett $31.20 $4.64 – $23.40
UPMC Carlisle Carlisle $9.60 $0.41 – $7.71
UPMC Cole Coudersport $34.80 $6.34 – $46.40
UPMC Community Osteopathic Harrisburg $9.60 $0.60 – $9.04
UPMC East Monroeville $17.40 $1.67 – $11.20
UPMC Hamot Erie $37.20 $1.97 – $14.90
UPMC Northwest Seneca $29.40 $4.64 – $7.35

All Pennsylvania hospitals for this procedure →