Lower Back (Lumbar Spine) CT scan (with contrast) at WellSpan Surgery & Rehabilitation Hospital
55 Monument Road, York PA 17403, PA · Wellspan · · NPI 1760787576
$472.00
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.
$2,350.00
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.
$117.50 with UPMC_Medicaid vs $2,232.50 with PHC — 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 |
|---|---|---|---|
| UPMC_Medicaid | All_Plans | $117.50 | ↓ -75% |
| PA_Health_&_Wellness_Medicaid | All_Plans | $188.19 | ↓ -60% |
| Geisinger_Medicaid | All_Plans | $188.19 | ↓ -60% |
| Health_Partners_Medicaid | All_Other_Plans | $188.19 | ↓ -60% |
| Highmark_Wholecare_Gateway_Medicaid | All_Plans | $188.19 | ↓ -60% |
| Amerihealth_Caritas_Medicaid | All_Plans | $213.78 | ↓ -55% |
| Johns_Hopkins_HealthCare_Plan | Johns_Hopkins_US_Family_Health | $345.73 | ↓ -27% |
| Blue_Cross_BlueJourney_Medicare | All_Plans | $345.73 | ↓ -27% |
| Highmark_Medicare | All_Plans | $349.19 | ↓ -26% |
| Aetna_Medicare | All_Plans | $356.10 | ↓ -25% |
| Aetna_Advantra_Medicare | All_Plans | $356.10 | ↓ -25% |
| Devoted_Medicare | All_Plans | $363.02 | ↓ -23% |
| United_Medicare | ISNP_DSNP_Plans | $363.02 | ↓ -23% |
| Geisinger_Gold_Medicare | All_Plans | $363.02 | ↓ -23% |
| Highmark_Wholecare_Gateway_Medicare | All_Plans | $364.57 | ↓ -23% |
| Amerihealth_Medicare | All_Plans | $364.75 | ↓ -23% |
| Jefferson_Health_Medicare_Advantage | All_Plans | $373.39 | ↓ -21% |
| PA_Health_&_Wellness_Medicare | All_Plans | $373.39 | ↓ -21% |
| UPMC_Medicare | UPMC_for_Life_Complete_Care | $416.78 | ↓ -12% |
| UPMC_Medicare | UPMC_for_Life_Community_HealthChoices | $416.78 | ↓ -12% |
| WellSpan_Capital_Blue_Cross | All_Plans | $432.00 | ↓ -8% |
| Aetna_Better_Health_Kids | All_Plans | $511.87 | ↑ +8% |
| Highmark | Higmark_Healthy_Kids | $528.97 | ↑ +12% |
| Health_Partners_Medicaid | Kidz_Partners | $570.45 | ↑ +21% |
| United_Medicaid | Community_Plan_For_Kids | $605.03 | ↑ +28% |
| Blue_Cross | Capital_Cares_4_kids | $1,319.45 | ↑ +180% |
| Highmark | Choice_Blue_PPO | $1,352.98 | ↑ +187% |
| Highmark | Blue_Cross_High_Performance_Network | $1,352.98 | ↑ +187% |
| Highmark | Performance_Blue | $1,352.98 | ↑ +187% |
| Blue_Cross | Capital_Blue_Performance_PPO | $1,360.42 | ↑ +188% |
| Highmark | All_Other_Plans | $1,722.36 | ↑ +265% |
| Blue_Cross | All_Other_Plans | $1,884.94 | ↑ +299% |
| First_Health_Network | All_Plans | $1,959.90 | ↑ +315% |
| Aetna | All_Plans | $1,959.90 | ↑ +315% |
| Cigna | All_Plans | $2,092.91 | ↑ +343% |
| United_Healthcare | All_Plans | $2,106.92 | ↑ +346% |
| UPMC | All_Plans | $2,185.50 | ↑ +363% |
| UPMC | UPMC_For_Kids | $2,185.50 | ↑ +363% |
| Geisinger | All_Plans | $2,200.78 | ↑ +366% |
| Johns_Hopkins_HealthCare_Plan | All_Other_Plans | $2,232.50 | ↑ +373% |
| PHC | All_Plans | $2,232.50 | ↑ +373% |
Visitor-reported prices
Comments
Lower Back (Lumbar Spine) CT scan (with contrast) at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $1,405.80 | $94.00 – $1,874.40 |
| UPMC Bedford | Everett | $957.60 | $122.85 – $1,436.40 |
| UPMC Carlisle | Carlisle | $1,424.40 | $123.14 – $2,017.90 |
| UPMC Cole | Coudersport | $961.20 | $158.08 – $1,281.60 |
| UPMC Community Osteopathic | Harrisburg | $1,424.40 | $123.14 – $2,017.90 |
| UPMC East | Monroeville | $2,917.20 | $165.60 – $3,889.60 |
| UPMC Hamot | Erie | $2,052.60 | $140.66 – $814.85 |
| UPMC Northwest | Seneca | $1,636.80 | $165.60 – $756.11 |