Perflutren lipid microspheres 1.1 mg/ml intravenous suspension at WellSpan Surgery & Rehabilitation Hospital
55 Monument Road, York PA 17403, PA · Wellspan · · NPI 1760787576
$995.20
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.
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What you pay up front if you don't use insurance.
$1,244.00
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.
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The hospital's undiscounted list price — almost no one pays this.
$69.11 with Amerihealth_Caritas_Medicaid vs $1,181.80 with Johns_Hopkins_HealthCare_Plan — 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 →
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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 ?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 |
|---|---|---|---|
| Amerihealth_Caritas_Medicaid | All_Plans | $69.11 | ↓ -93% |
| Geisinger_Medicaid | All_Plans | $81.31 | ↓ -92% |
| UPMC_Medicaid | All_Plans | $85.50 | ↓ -91% |
| Aetna_Better_Health_Kids | All_Plans | $86.18 | ↓ -91% |
| Aetna | All_Plans | $247.17 | ↓ -75% |
| First_Health_Network | All_Plans | $247.17 | ↓ -75% |
| United_Healthcare | All_Plans | $263.68 | ↓ -74% |
| Cigna | All_Plans | $293.16 | ↓ -71% |
| Blue_Cross | Capital_Cares_4_kids | $698.47 | ↓ -30% |
| Blue_Cross | Capital_Blue_Performance_PPO | $720.15 | ↓ -28% |
| Blue_Cross | All_Other_Plans | $997.81 | ↑ +0% |
| UPMC | All_Plans | $1,156.92 | ↑ +16% |
| UPMC | UPMC_For_Kids | $1,156.92 | ↑ +16% |
| Geisinger | All_Plans | $1,165.01 | ↑ +17% |
| PHC | All_Plans | $1,181.80 | ↑ +19% |
| Johns_Hopkins_HealthCare_Plan | All_Other_Plans | $1,181.80 | ↑ +19% |
Visitor-reported prices
Comments
Perflutren lipid microspheres 1.1 mg/ml intravenous suspension at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $1,221.60 | $25.67 – $566.40 |
| UPMC Bedford | Everett | $606.00 | $25.67 – $456.30 |
| UPMC Carlisle | Carlisle | $104.40 | $7.95 – $59.45 |
| UPMC Cole | Coudersport | $262.80 | $44.72 – $350.40 |
| UPMC Community Osteopathic | Harrisburg | $104.40 | $11.60 – $229.34 |
| UPMC East | Monroeville | $618.60 | $25.67 – $824.80 |
| UPMC Hamot | Erie | $557.40 | $25.67 – $137.74 |
| UPMC Northwest | Seneca | $824.40 | $25.67 – $357.48 |