Incision of achilles tendon at WellSpan Surgery & Rehabilitation Hospital
55 Monument Road, York PA 17403, PA · Wellspan · · NPI 1760787576
$1,291.20
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.
?
What you pay up front if you don't use insurance.
$1,614.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$227.58 with Geisinger_Medicaid vs $7,718.40 with Highmark — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 |
|---|---|---|---|
| Geisinger_Medicaid | All_Plans | $227.58 | ↓ -82% |
| Health_Partners_Medicaid | All_Other_Plans | $227.58 | ↓ -82% |
| Highmark_Wholecare_Gateway_Medicaid | All_Plans | $227.58 | ↓ -82% |
| UPMC_Medicaid | All_Plans | $227.58 | ↓ -82% |
| PA_Health_&_Wellness_Medicaid | All_Plans | $227.58 | ↓ -82% |
| Amerihealth_Caritas_Medicaid | All_Plans | $258.53 | ↓ -80% |
| Aetna_Better_Health_Kids | All_Plans | $619.00 | ↓ -52% |
| Blue_Cross | Capital_Cares_4_kids | $906.21 | ↓ -30% |
| Blue_Cross | Capital_Blue_Performance_PPO | $934.34 | ↓ -28% |
| Blue_Cross | All_Other_Plans | $1,294.59 | ↑ +0% |
| Aetna | All_Plans | $1,346.08 | ↑ +4% |
| First_Health_Network | All_Plans | $1,346.08 | ↑ +4% |
| Cigna | All_Plans | $1,446.79 | ↑ +12% |
| United_Healthcare | All_Plans | $1,465.51 | ↑ +13% |
| WellSpan_Capital_Blue_Cross | All_Plans | $1,484.88 | ↑ +15% |
| UPMC | UPMC_For_Kids | $1,501.02 | ↑ +16% |
| UPMC | All_Plans | $1,501.02 | ↑ +16% |
| Geisinger | All_Plans | $1,511.51 | ↑ +17% |
| Johns_Hopkins_HealthCare_Plan | All_Other_Plans | $1,533.30 | ↑ +19% |
| PHC | All_Plans | $1,533.30 | ↑ +19% |
| Johns_Hopkins_HealthCare_Plan | Johns_Hopkins_US_Family_Health | $1,549.32 | ↑ +20% |
| Blue_Cross_BlueJourney_Medicare | All_Plans | $1,549.32 | ↑ +20% |
| Highmark_Medicare | All_Plans | $1,564.81 | ↑ +21% |
| Aetna_Medicare | All_Plans | $1,595.80 | ↑ +24% |
| Aetna_Advantra_Medicare | All_Plans | $1,595.80 | ↑ +24% |
| Devoted_Medicare | All_Plans | $1,626.79 | ↑ +26% |
| United_Medicare | ISNP_DSNP_Plans | $1,626.79 | ↑ +26% |
| Geisinger_Gold_Medicare | All_Plans | $1,626.79 | ↑ +26% |
| Highmark_Wholecare_Gateway_Medicare | All_Plans | $1,633.76 | ↑ +27% |
| Amerihealth_Medicare | All_Plans | $1,634.53 | ↑ +27% |
| Jefferson_Health_Medicare_Advantage | All_Plans | $1,673.27 | ↑ +30% |
| PA_Health_&_Wellness_Medicare | All_Plans | $1,673.27 | ↑ +30% |
| UPMC_Medicare | UPMC_for_Life_Community_HealthChoices | $1,867.71 | ↑ +45% |
| UPMC_Medicare | UPMC_for_Life_Complete_Care | $1,867.71 | ↑ +45% |
| Highmark | Higmark_Healthy_Kids | $2,370.46 | ↑ +84% |
| Health_Partners_Medicaid | Kidz_Partners | $2,556.38 | ↑ +98% |
| United_Medicaid | Community_Plan_For_Kids | $2,711.31 | ↑ +110% |
| Highmark | Performance_Blue | $6,063.11 | ↑ +370% |
| Highmark | Choice_Blue_PPO | $6,063.11 | ↑ +370% |
| Highmark | Blue_Cross_High_Performance_Network | $6,063.11 | ↑ +370% |
| Highmark | All_Other_Plans | $7,718.40 | ↑ +498% |
Visitor-reported prices
Comments
Incision of achilles tendon at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $4,284.60 | $231.22 – $6,069.85 |
| UPMC Cole | Coudersport | $327.00 | $151.07 – $771.51 |
| UPMC Community Osteopathic | Harrisburg | $4,284.60 | $245.78 – $6,069.85 |
| UPMC Hanover | Hanover | $4,284.60 | $231.22 – $2,446.19 |
| UPMC Lititz | Lititz | $4,284.60 | $231.22 – $2,459.41 |
| UPMC Memorial | York | $4,284.60 | $231.22 – $2,455.41 |
| UPMC Somerset | Somerset | $4,284.60 | $200.27 – $1,525.80 |
| Uniontown Hospital | Uniontown | $2,853.75 | $200.27 – $3,237.13 |