Pelvic CT scan (without contrast) 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

$281.00

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.

Full explanation →

What you pay up front if you don't use insurance.

$1,462.00

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.

$84.38 with UPMC_Medicaid vs $1,388.90 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
UPMC_Medicaid All_Plans $84.38 ↓ -70%
Johns_Hopkins_HealthCare_Plan Johns_Hopkins_US_Family_Health $102.95 ↓ -63%
Blue_Cross_BlueJourney_Medicare All_Plans $102.95 ↓ -63%
Highmark_Medicare All_Plans $103.98 ↓ -63%
Aetna_Medicare All_Plans $106.04 ↓ -62%
Aetna_Advantra_Medicare All_Plans $106.04 ↓ -62%
Devoted_Medicare All_Plans $108.10 ↓ -62%
United_Medicare ISNP_DSNP_Plans $108.10 ↓ -62%
Geisinger_Gold_Medicare All_Plans $108.10 ↓ -62%
Highmark_Wholecare_Gateway_Medicare All_Plans $108.56 ↓ -61%
Amerihealth_Medicare All_Plans $108.61 ↓ -61%
PA_Health_&_Wellness_Medicare All_Plans $111.19 ↓ -60%
Jefferson_Health_Medicare_Advantage All_Plans $111.19 ↓ -60%
UPMC_Medicare UPMC_for_Life_Community_HealthChoices $124.11 ↓ -56%
UPMC_Medicare UPMC_for_Life_Complete_Care $124.11 ↓ -56%
Health_Partners_Medicaid All_Other_Plans $140.63 ↓ -50%
PA_Health_&_Wellness_Medicaid All_Plans $140.63 ↓ -50%
Highmark_Wholecare_Gateway_Medicaid All_Plans $140.63 ↓ -50%
Geisinger_Medicaid All_Plans $140.63 ↓ -50%
Highmark Higmark_Healthy_Kids $157.51 ↓ -44%
Amerihealth_Caritas_Medicaid All_Plans $159.75 ↓ -43%
Health_Partners_Medicaid Kidz_Partners $169.87 ↓ -40%
United_Medicaid Community_Plan_For_Kids $180.16 ↓ -36%
WellSpan_Capital_Blue_Cross All_Plans $237.00 ↓ -16%
Aetna_Better_Health_Kids All_Plans $382.50 ↑ +36%
Highmark Blue_Cross_High_Performance_Network $402.88 ↑ +43%
Highmark Choice_Blue_PPO $402.88 ↑ +43%
Highmark Performance_Blue $402.88 ↑ +43%
Highmark All_Other_Plans $512.88 ↑ +83%
United_Healthcare All_Plans $602.31 ↑ +114%
Blue_Cross Capital_Cares_4_kids $820.87 ↑ +192%
Blue_Cross Capital_Blue_Performance_PPO $846.35 ↑ +201%
Blue_Cross All_Other_Plans $1,172.67 ↑ +317%
First_Health_Network All_Plans $1,219.31 ↑ +334%
Aetna All_Plans $1,219.31 ↑ +334%
Cigna All_Plans $1,302.06 ↑ +363%
UPMC All_Plans $1,359.66 ↑ +384%
UPMC UPMC_For_Kids $1,359.66 ↑ +384%
Geisinger All_Plans $1,369.16 ↑ +387%
Johns_Hopkins_HealthCare_Plan All_Other_Plans $1,388.90 ↑ +394%
PHC All_Plans $1,388.90 ↑ +394%

Visitor-reported prices

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Pelvic CT scan (without contrast) at other Pennsylvania hospitals

Hospital City Cash price Negotiated range
UPMC Altoona Altoona $1,192.80 $67.50 – $1,590.40
UPMC Bedford Everett $847.80 $36.58 – $1,271.70
UPMC Carlisle Carlisle $876.00 $88.42 – $1,241.00
UPMC Cole Coudersport $599.40 $118.12 – $799.20
UPMC Community Osteopathic Harrisburg $876.00 $58.60 – $1,014.27
UPMC East Monroeville $1,863.00 $101.65 – $2,484.00
UPMC Hamot Erie $2,838.00 $117.01 – $691.07
UPMC Northwest Seneca $1,226.40 $91.94 – $641.55

All Pennsylvania hospitals for this procedure →