Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback 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

$136.40

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.

$170.50

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.

$4.06 with UPMC_Medicaid vs $101.66 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 $4.06 ↓ -97%
Health_Partners_Medicaid All_Other_Plans $5.08 ↓ -96%
Geisinger_Medicaid All_Plans $5.08 ↓ -96%
Amerihealth_Caritas_Medicaid All_Plans $5.08 ↓ -96%
Aetna_Better_Health_Kids All_Plans $5.38 ↓ -96%
Cigna All_Plans $7.21 ↓ -95%
United_Healthcare All_Plans $12.54 ↓ -91%
First_Health_Network All_Plans $15.43 ↓ -89%
Aetna All_Plans $15.43 ↓ -89%
Blue_Cross Capital_Cares_4_kids $19.09 ↓ -86%
Blue_Cross All_Other_Plans $27.27 ↓ -80%
Blue_Cross Capital_Blue_Performance_PPO $27.27 ↓ -80%
UPMC All_Plans $31.62 ↓ -77%
UPMC UPMC_For_Kids $31.62 ↓ -77%
Geisinger All_Plans $31.84 ↓ -77%
Johns_Hopkins_HealthCare_Plan All_Other_Plans $32.30 ↓ -76%
PHC All_Plans $32.98 ↓ -76%
WellSpan_Capital_Blue_Cross All_Plans $101.66 ↓ -25%

Visitor-reported prices

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Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback at other Pennsylvania hospitals

Hospital City Cash price Negotiated range
UPMC Altoona Altoona $229.80 $1.05 – $102.40
UPMC Bedford Everett $284.40 $1.05 – $142.20
UPMC Cole Coudersport $34.80 $1.05 – $17.60
UPMC Hamot Erie $455.40 $1.05 – $9.69
UPMC Horizon-Greenville Greenville $254.40 $1.05 – $93.80
UPMC Jameson New Castle $141.60 $1.05 – $37.45
UPMC Kane Kane $21.60 $2.54 – $9.69
UPMC Magee Pittsburgh $325.80 $1.02 – $37.15

All Pennsylvania hospitals for this procedure →