Eval/fit voice prosthesis iii, st at WellSpan Surgery & Rehabilitation Hospital
55 Monument Road, York PA 17403, PA · Wellspan · · NPI 1760787576
$373.60
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.
$467.00
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.
$50.00 with PA_Health_&_Wellness_Medicaid vs $580.43 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 |
|---|---|---|---|
| PA_Health_&_Wellness_Medicaid | All_Plans | $50.00 | ↓ -87% |
| Highmark_Wholecare_Gateway_Medicaid | All_Plans | $50.00 | ↓ -87% |
| Health_Partners_Medicaid | All_Other_Plans | $50.00 | ↓ -87% |
| Geisinger_Medicaid | All_Plans | $50.00 | ↓ -87% |
| UPMC_Medicaid | All_Plans | $50.00 | ↓ -87% |
| Amerihealth_Caritas_Medicaid | All_Plans | $56.80 | ↓ -85% |
| Blue_Cross_BlueJourney_Medicare | All_Plans | $116.51 | ↓ -69% |
| Johns_Hopkins_HealthCare_Plan | Johns_Hopkins_US_Family_Health | $116.51 | ↓ -69% |
| Highmark_Medicare | All_Plans | $117.68 | ↓ -69% |
| Aetna_Advantra_Medicare | All_Plans | $120.01 | ↓ -68% |
| Aetna_Medicare | All_Plans | $120.01 | ↓ -68% |
| United_Medicare | ISNP_DSNP_Plans | $122.34 | ↓ -67% |
| Devoted_Medicare | All_Plans | $122.34 | ↓ -67% |
| Geisinger_Gold_Medicare | All_Plans | $122.34 | ↓ -67% |
| Highmark_Wholecare_Gateway_Medicare | All_Plans | $122.86 | ↓ -67% |
| Amerihealth_Medicare | All_Plans | $122.92 | ↓ -67% |
| Jefferson_Health_Medicare_Advantage | All_Plans | $125.83 | ↓ -66% |
| PA_Health_&_Wellness_Medicare | All_Plans | $125.83 | ↓ -66% |
| UPMC_Medicare | UPMC_for_Life_Complete_Care | $140.45 | ↓ -62% |
| UPMC_Medicare | UPMC_for_Life_Community_HealthChoices | $140.45 | ↓ -62% |
| Highmark | Higmark_Healthy_Kids | $178.26 | ↓ -52% |
| Health_Partners_Medicaid | Kidz_Partners | $192.24 | ↓ -49% |
| United_Medicaid | Community_Plan_For_Kids | $203.89 | ↓ -45% |
| Blue_Cross | Capital_Cares_4_kids | $262.21 | ↓ -30% |
| Blue_Cross | Capital_Blue_Performance_PPO | $270.35 | ↓ -28% |
| Blue_Cross | All_Other_Plans | $374.58 | ↑ +0% |
| Aetna | All_Plans | $389.48 | ↑ +4% |
| First_Health_Network | All_Plans | $389.48 | ↑ +4% |
| Cigna | All_Plans | $418.62 | ↑ +12% |
| United_Healthcare | All_Plans | $424.04 | ↑ +14% |
| WellSpan_Capital_Blue_Cross | All_Plans | $429.64 | ↑ +15% |
| UPMC | UPMC_For_Kids | $434.31 | ↑ +16% |
| UPMC | All_Plans | $434.31 | ↑ +16% |
| Geisinger | All_Plans | $437.35 | ↑ +17% |
| Johns_Hopkins_HealthCare_Plan | All_Other_Plans | $443.65 | ↑ +19% |
| PHC | All_Plans | $443.65 | ↑ +19% |
| Highmark | Performance_Blue | $455.95 | ↑ +22% |
| Highmark | Choice_Blue_PPO | $455.95 | ↑ +22% |
| Highmark | Blue_Cross_High_Performance_Network | $455.95 | ↑ +22% |
| Highmark | All_Other_Plans | $580.43 | ↑ +55% |
Visitor-reported prices
Comments
Eval/fit voice prosthesis iii, st at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $1,056.00 | $196.51 – $1,408.00 |
| UPMC Cole | Coudersport | $324.00 | $128.77 – $432.00 |
| UPMC Hanover | Hanover | $183.00 | $99.91 – $591.00 |
| UPMC McKeesport | Mckeesport | $868.20 | $130.92 – $394.91 |
| UPMC Mercy | Pittsburgh | $852.60 | $201.59 – $311.84 |
| UPMC Muncy | Muncy | $310.20 | $97.63 – $210.22 |
| UPMC Passavant-McCandless | Pittsburgh | $955.80 | $196.51 – $573.07 |
| UPMC Presbyterian | Pittsburgh | $979.80 | $91.52 – $638.50 |