Drsg wnd mesh bovine bilayer 4x10in matrix-q4104-cost per sq cm 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

$18,762.68

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.

$23,453.35

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.

$51.00 with Geisinger_Medicaid vs $16,294.82 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
Geisinger_Medicaid All_Plans $51.00 ↓ -100%
Aetna_Better_Health_Kids All_Plans $54.06 ↓ -100%
UPMC_Medicaid All_Plans $55.79 ↓ -100%
United_Healthcare All_Plans $172.03 ↓ -99%
Cigna All_Plans $174.27 ↓ -99%
Blue_Cross Capital_Cares_4_kids $9,630.58 ↓ -49%
Blue_Cross Capital_Blue_Performance_PPO $9,929.55 ↓ -47%
Blue_Cross All_Other_Plans $13,757.97 ↓ -27%
Aetna All_Plans $14,305.13 ↓ -24%
First_Health_Network All_Plans $14,305.13 ↓ -24%
WellSpan_Capital_Blue_Cross All_Plans $15,780.24 ↓ -16%
UPMC UPMC_For_Kids $15,951.77 ↓ -15%
UPMC All_Plans $15,951.77 ↓ -15%
Geisinger All_Plans $16,063.26 ↓ -14%
Johns_Hopkins_HealthCare_Plan All_Other_Plans $16,294.82 ↓ -13%
PHC All_Plans $16,294.82 ↓ -13%

Visitor-reported prices

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Drsg wnd mesh bovine bilayer 4x10in matrix-q4104-cost per sq cm at other Pennsylvania hospitals

Hospital City Cash price Negotiated range
UPMC Altoona Altoona $14,389.80 $22.06 – $5,552.80
UPMC Cole Coudersport $3,286.80 $56.10 – $4,382.40
UPMC East Monroeville $22,306.80 $22.27 – $7,009.60
UPMC Hamot Erie $33,291.60 $22.06 – $75.02
UPMC Horizon-Greenville Greenville $5,257.20 $32.20 – $56.23
UPMC Jameson New Castle $10,660.80 $22.45 – $51.51
UPMC Magee Pittsburgh $6,688.20 $22.27 – $54.40
UPMC Mercy Pittsburgh $36,884.40 $22.06 – $51.00

All Pennsylvania hospitals for this procedure →