MRI upper extremity other than joint without contrast (both sides) 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

$463.50

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.

$2,225.00

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.

$234.00 with Blue_Cross_BlueJourney_Medicare vs $2,113.75 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
Blue_Cross_BlueJourney_Medicare All_Plans $234.00 ↓ -50%
Johns_Hopkins_HealthCare_Plan Johns_Hopkins_US_Family_Health $234.00 ↓ -50%
Highmark_Medicare All_Plans $236.34 ↓ -49%
Aetna_Advantra_Medicare All_Plans $241.02 ↓ -48%
Aetna_Medicare All_Plans $241.02 ↓ -48%
United_Medicare ISNP_DSNP_Plans $245.70 ↓ -47%
Devoted_Medicare All_Plans $245.70 ↓ -47%
Geisinger_Gold_Medicare All_Plans $245.70 ↓ -47%
Highmark_Wholecare_Gateway_Medicare All_Plans $246.75 ↓ -47%
Amerihealth_Medicare All_Plans $246.87 ↓ -47%
PA_Health_&_Wellness_Medicare All_Plans $252.72 ↓ -45%
Jefferson_Health_Medicare_Advantage All_Plans $252.72 ↓ -45%
UPMC_Medicare UPMC_for_Life_Community_HealthChoices $282.09 ↓ -39%
UPMC_Medicare UPMC_for_Life_Complete_Care $282.09 ↓ -39%
UPMC_Medicaid All_Plans $321.08 ↓ -31%
Highmark Higmark_Healthy_Kids $358.02 ↓ -23%
Health_Partners_Medicaid Kidz_Partners $386.10 ↓ -17%
Health_Partners_Medicaid All_Other_Plans $399.06 ↓ -14%
Highmark_Wholecare_Gateway_Medicaid All_Plans $399.06 ↓ -14%
PA_Health_&_Wellness_Medicaid All_Plans $399.06 ↓ -14%
Geisinger_Medicaid All_Plans $399.06 ↓ -14%
United_Medicaid Community_Plan_For_Kids $409.50 ↓ -12%
Amerihealth_Caritas_Medicaid All_Plans $453.34 ↓ -2%
WellSpan_Capital_Blue_Cross All_Plans $474.00 ↑ +2%
Highmark Blue_Cross_High_Performance_Network $915.74 ↑ +98%
Highmark Choice_Blue_PPO $915.74 ↑ +98%
Highmark Performance_Blue $915.74 ↑ +98%
Aetna_Better_Health_Kids All_Plans $1,085.45 ↑ +134%
Highmark All_Other_Plans $1,165.74 ↑ +152%
Blue_Cross Capital_Cares_4_kids $1,249.27 ↑ +170%
Blue_Cross Capital_Blue_Performance_PPO $1,288.05 ↑ +178%
United_Healthcare All_Plans $1,342.45 ↑ +190%
Blue_Cross All_Other_Plans $1,784.67 ↑ +285%
First_Health_Network All_Plans $1,855.65 ↑ +300%
Aetna All_Plans $1,855.65 ↑ +300%
Cigna All_Plans $1,981.59 ↑ +328%
UPMC All_Plans $2,069.25 ↑ +346%
UPMC UPMC_For_Kids $2,069.25 ↑ +346%
Geisinger All_Plans $2,083.71 ↑ +350%
Johns_Hopkins_HealthCare_Plan All_Other_Plans $2,113.75 ↑ +356%
PHC All_Plans $2,113.75 ↑ +356%

Visitor-reported prices

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MRI upper extremity other than joint without contrast (both sides) at other Pennsylvania hospitals

Hospital City Cash price Negotiated range
UPMC Altoona Altoona $1,699.20 $400.00 – $2,265.60
UPMC Bedford Everett $1,705.20 $83.15 – $2,557.80
UPMC Carlisle Carlisle $1,656.00 $336.49 – $2,346.00
UPMC Cole Coudersport $1,230.00 $298.36 – $1,640.00
UPMC Community Osteopathic Harrisburg $1,656.00 $336.49 – $2,346.00
UPMC East Monroeville $3,940.80 $231.07 – $5,254.40
UPMC Hamot Erie $2,045.40 $167.14 – $926.26
UPMC Northwest Seneca $2,205.00 $209.00 – $926.26

All Pennsylvania hospitals for this procedure →