X-ray lumbosacral spine >= 4 views at WellSpan Surgery & Rehabilitation Hospital
55 Monument Road, York PA 17403, PA · Wellspan · · NPI 1760787576
$526.40
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.
$658.00
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.
$28.13 with UPMC_Medicaid vs $625.10 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 →
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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 |
|---|---|---|---|
| UPMC_Medicaid | All_Plans | $28.13 | ↓ -95% |
| PA_Health_&_Wellness_Medicaid | All_Plans | $45.78 | ↓ -91% |
| Geisinger_Medicaid | All_Plans | $45.78 | ↓ -91% |
| Health_Partners_Medicaid | All_Other_Plans | $45.78 | ↓ -91% |
| Highmark_Wholecare_Gateway_Medicaid | All_Plans | $45.78 | ↓ -91% |
| Amerihealth_Caritas_Medicaid | All_Plans | $52.00 | ↓ -90% |
| Blue_Cross_BlueJourney_Medicare | All_Plans | $102.95 | ↓ -80% |
| Johns_Hopkins_HealthCare_Plan | Johns_Hopkins_US_Family_Health | $102.95 | ↓ -80% |
| Highmark_Medicare | All_Plans | $103.98 | ↓ -80% |
| WellSpan_Capital_Blue_Cross | All_Plans | $106.00 | ↓ -80% |
| Aetna_Medicare | All_Plans | $106.04 | ↓ -80% |
| Aetna_Advantra_Medicare | All_Plans | $106.04 | ↓ -80% |
| United_Medicare | ISNP_DSNP_Plans | $108.10 | ↓ -79% |
| Devoted_Medicare | All_Plans | $108.10 | ↓ -79% |
| Geisinger_Gold_Medicare | All_Plans | $108.10 | ↓ -79% |
| Highmark_Wholecare_Gateway_Medicare | All_Plans | $108.56 | ↓ -79% |
| Amerihealth_Medicare | All_Plans | $108.61 | ↓ -79% |
| Jefferson_Health_Medicare_Advantage | All_Plans | $111.19 | ↓ -79% |
| PA_Health_&_Wellness_Medicare | All_Plans | $111.19 | ↓ -79% |
| UPMC_Medicare | UPMC_for_Life_Complete_Care | $124.11 | ↓ -76% |
| UPMC_Medicare | UPMC_for_Life_Community_HealthChoices | $124.11 | ↓ -76% |
| Aetna_Better_Health_Kids | All_Plans | $124.51 | ↓ -76% |
| Highmark | Higmark_Healthy_Kids | $157.51 | ↓ -70% |
| Health_Partners_Medicaid | Kidz_Partners | $169.87 | ↓ -68% |
| United_Medicaid | Community_Plan_For_Kids | $180.16 | ↓ -66% |
| Blue_Cross | Capital_Cares_4_kids | $369.45 | ↓ -30% |
| Blue_Cross | Capital_Blue_Performance_PPO | $380.92 | ↓ -28% |
| Highmark | Choice_Blue_PPO | $402.88 | ↓ -23% |
| Highmark | Blue_Cross_High_Performance_Network | $402.88 | ↓ -23% |
| Highmark | Performance_Blue | $402.88 | ↓ -23% |
| Highmark | All_Other_Plans | $512.88 | ↓ -3% |
| Blue_Cross | All_Other_Plans | $527.78 | ↑ +0% |
| First_Health_Network | All_Plans | $548.77 | ↑ +4% |
| Aetna | All_Plans | $548.77 | ↑ +4% |
| Cigna | All_Plans | $589.83 | ↑ +12% |
| United_Healthcare | All_Plans | $602.31 | ↑ +14% |
| UPMC | All_Plans | $611.94 | ↑ +16% |
| UPMC | UPMC_For_Kids | $611.94 | ↑ +16% |
| Geisinger | All_Plans | $616.22 | ↑ +17% |
| Johns_Hopkins_HealthCare_Plan | All_Other_Plans | $625.10 | ↑ +19% |
| PHC | All_Plans | $625.10 | ↑ +19% |
Visitor-reported prices
Comments
X-ray lumbosacral spine >= 4 views at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $339.00 | $22.50 – $452.00 |
| UPMC Bedford | Everett | $190.20 | $36.58 – $285.30 |
| UPMC Carlisle | Carlisle | $262.80 | $29.48 – $372.30 |
| UPMC Cole | Coudersport | $292.80 | $38.45 – $390.40 |
| UPMC Community Osteopathic | Harrisburg | $262.80 | $15.40 – $192.02 |
| UPMC East | Monroeville | $732.60 | $40.28 – $976.80 |
| UPMC Hamot | Erie | $637.80 | $36.38 – $166.40 |
| UPMC Northwest | Seneca | $257.40 | $40.28 – $120.47 |