Tacrol envarsus ex rel oral at WellSpan Surgery & Rehabilitation Hospital
55 Monument Road, York PA 17403, PA · Wellspan · · NPI 1760787576
$9.00
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.
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What you pay up front if you don't use insurance.
$11.25
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.
$5.49 with Amerihealth_Caritas_Medicaid vs $17.57 with United_Healthcare — 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 | $5.49 | ↓ -39% |
| Health_Partners_Medicaid | All_Other_Plans | $5.49 | ↓ -39% |
| Geisinger_Medicaid | All_Plans | $5.49 | ↓ -39% |
| UPMC_Medicaid | All_Plans | $5.70 | ↓ -37% |
| Aetna_Better_Health_Kids | All_Plans | $5.82 | ↓ -35% |
| Blue_Cross | Capital_Cares_4_kids | $6.32 | ↓ -30% |
| Blue_Cross | Capital_Blue_Performance_PPO | $6.51 | ↓ -28% |
| Blue_Cross | All_Other_Plans | $9.02 | ↑ +0% |
| Aetna | All_Plans | $9.96 | ↑ +11% |
| First_Health_Network | All_Plans | $9.96 | ↑ +11% |
| Cigna | All_Plans | $10.08 | ↑ +12% |
| WellSpan_Capital_Blue_Cross | All_Plans | $10.35 | ↑ +15% |
| UPMC | UPMC_For_Kids | $10.46 | ↑ +16% |
| UPMC | All_Plans | $10.46 | ↑ +16% |
| Geisinger | All_Plans | $10.54 | ↑ +17% |
| Johns_Hopkins_HealthCare_Plan | All_Other_Plans | $10.69 | ↑ +19% |
| PHC | All_Plans | $10.69 | ↑ +19% |
| United_Healthcare | All_Plans | $17.57 | ↑ +95% |
Visitor-reported prices
Comments
Tacrol envarsus ex rel oral at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Bedford | Everett | $3.40 | $1.00 – $3.60 |
| UPMC Carlisle | Carlisle | $15.60 | $0.69 – $4.25 |
| UPMC Community Osteopathic | Harrisburg | $15.60 | $1.00 – $4.25 |
| UPMC East | Monroeville | $3.40 | $0.48 – $3.20 |
| UPMC Hamot | Erie | $9.60 | $0.78 – $4.70 |
| UPMC Hanover | Hanover | $15.60 | $1.83 – $2.44 |
| UPMC Lititz | Lititz | $15.60 | $1.83 – $2.44 |
| UPMC Magee | Pittsburgh | $109.20 | $0.79 – $1.86 |