Vaccine pneumonococcal conjugate 20 valent (pcv20) im 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

$1,742.00

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.

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

$2,177.50

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.

$12.50 with Health_Partners_Medicaid vs $2,068.63 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
Health_Partners_Medicaid All_Other_Plans $12.50 ↓ -99%
Highmark_Wholecare_Gateway_Medicaid All_Plans $12.50 ↓ -99%
UPMC_Medicaid All_Plans $12.50 ↓ -99%
PA_Health_&_Wellness_Medicaid All_Plans $12.50 ↓ -99%
Geisinger_Medicaid All_Plans $12.50 ↓ -99%
Amerihealth_Caritas_Medicaid All_Plans $312.90 ↓ -82%
Aetna_Better_Health_Kids All_Plans $331.68 ↓ -81%
United_Healthcare All_Plans $1,001.28 ↓ -43%
Cigna All_Plans $1,076.43 ↓ -38%
Blue_Cross Capital_Cares_4_kids $1,222.60 ↓ -30%
Blue_Cross Capital_Blue_Performance_PPO $1,260.55 ↓ -28%
Blue_Cross All_Other_Plans $1,746.57 ↑ +0%
Aetna All_Plans $1,816.04 ↑ +4%
First_Health_Network All_Plans $1,816.04 ↑ +4%
WellSpan_Capital_Blue_Cross All_Plans $2,003.30 ↑ +15%
UPMC UPMC_For_Kids $2,025.08 ↑ +16%
UPMC All_Plans $2,025.08 ↑ +16%
Geisinger All_Plans $2,039.23 ↑ +17%
Johns_Hopkins_HealthCare_Plan All_Other_Plans $2,068.63 ↑ +19%
PHC All_Plans $2,068.63 ↑ +19%

Visitor-reported prices

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Vaccine pneumonococcal conjugate 20 valent (pcv20) im at other Pennsylvania hospitals

Hospital City Cash price Negotiated range
UPMC Altoona Altoona $192.00 $10.00 – $894.12
UPMC Bedford Everett $192.00 $10.50 – $312.90
UPMC Carlisle Carlisle $322.80 $10.50 – $442.85
UPMC Community Osteopathic Harrisburg $322.80 $10.50 – $442.85
UPMC East Monroeville $192.00 $11.00 – $312.90
UPMC Hamot Erie $192.00 $11.00 – $785.88
UPMC Northwest Seneca $192.00 $11.00 – $312.90
UPMC Hanover Hanover $322.80 $10.50 – $2,027.12

All Pennsylvania hospitals for this procedure →