X-ray retrograde pyelogram with or without kidney ureter bladder w/supervision & interpretation 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

$599.20

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.

$749.00

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.

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The hospital's undiscounted list price — almost no one pays this.

$28.13 with UPMC_Medicaid vs $2,106.92 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.

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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 $28.13 ↓ -95%
Geisinger_Medicaid All_Plans $46.88 ↓ -92%
Highmark_Wholecare_Gateway_Medicaid All_Plans $46.88 ↓ -92%
Health_Partners_Medicaid All_Other_Plans $46.88 ↓ -92%
PA_Health_&_Wellness_Medicaid All_Plans $46.88 ↓ -92%
Amerihealth_Caritas_Medicaid All_Plans $53.25 ↓ -91%
Aetna_Better_Health_Kids All_Plans $127.50 ↓ -79%
Blue_Cross_BlueJourney_Medicare All_Plans $345.73 ↓ -42%
Johns_Hopkins_HealthCare_Plan Johns_Hopkins_US_Family_Health $345.73 ↓ -42%
Highmark_Medicare All_Plans $349.19 ↓ -42%
Aetna_Medicare All_Plans $356.10 ↓ -41%
Aetna_Advantra_Medicare All_Plans $356.10 ↓ -41%
Devoted_Medicare All_Plans $363.02 ↓ -39%
United_Medicare ISNP_DSNP_Plans $363.02 ↓ -39%
Geisinger_Gold_Medicare All_Plans $363.02 ↓ -39%
Highmark_Wholecare_Gateway_Medicare All_Plans $364.57 ↓ -39%
Amerihealth_Medicare All_Plans $364.75 ↓ -39%
Jefferson_Health_Medicare_Advantage All_Plans $373.39 ↓ -38%
PA_Health_&_Wellness_Medicare All_Plans $373.39 ↓ -38%
UPMC_Medicare UPMC_for_Life_Complete_Care $416.78 ↓ -30%
UPMC_Medicare UPMC_for_Life_Community_HealthChoices $416.78 ↓ -30%
Blue_Cross Capital_Cares_4_kids $420.54 ↓ -30%
Blue_Cross Capital_Blue_Performance_PPO $433.60 ↓ -28%
Highmark Higmark_Healthy_Kids $528.97 ↓ -12%
Health_Partners_Medicaid Kidz_Partners $570.45 ↓ -5%
Blue_Cross All_Other_Plans $600.77 ↑ +0%
United_Medicaid Community_Plan_For_Kids $605.03 ↑ +1%
Aetna All_Plans $624.67 ↑ +4%
First_Health_Network All_Plans $624.67 ↑ +4%
Cigna All_Plans $671.40 ↑ +12%
WellSpan_Capital_Blue_Cross All_Plans $689.08 ↑ +15%
UPMC UPMC_For_Kids $696.57 ↑ +16%
UPMC All_Plans $696.57 ↑ +16%
Geisinger All_Plans $701.44 ↑ +17%
Johns_Hopkins_HealthCare_Plan All_Other_Plans $711.55 ↑ +19%
PHC All_Plans $711.55 ↑ +19%
Highmark Performance_Blue $1,352.98 ↑ +126%
Highmark Choice_Blue_PPO $1,352.98 ↑ +126%
Highmark Blue_Cross_High_Performance_Network $1,352.98 ↑ +126%
Highmark All_Other_Plans $1,722.36 ↑ +187%
United_Healthcare All_Plans $2,106.92 ↑ +252%

Visitor-reported prices

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X-ray retrograde pyelogram with or without kidney ureter bladder w/supervision & interpretation at other Pennsylvania hospitals

Hospital City Cash price Negotiated range
UPMC Altoona Altoona $536.40 $22.50 – $715.20
UPMC Bedford Everett $306.60 $39.38 – $459.90
UPMC Carlisle Carlisle $896.40 $29.48 – $1,269.90
UPMC Cole Coudersport $459.60 $39.38 – $612.80
UPMC Community Osteopathic Harrisburg $896.40 $29.48 – $432.32
UPMC East Monroeville $1,785.00 $41.25 – $2,380.00
UPMC Hamot Erie $372.00 $41.25 – $566.90
UPMC Northwest Seneca $426.00 $41.25 – $357.50

All Pennsylvania hospitals for this procedure →