Acyclovir 5 mg/ml in ns IV syringe (neo/ped) - cnr at WellSpan Chambersburg Hospital
112 N. 7th St., Chambersburg, PA · Wellspan · · NPI 1902804552
$9.60
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.
$12.00
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.
$0.04 with Blue_Cross vs $11.40 with First_Health_Network — 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 |
|---|---|---|---|
| Blue_Cross | Capital_Blue_Performance_PPO | $0.04 | ↓ -100% |
| UPMC_Medicaid | All_Plans | $3.00 | ↓ -69% |
| UPMC | UPMC_For_Kids | $7.20 | ↓ -25% |
| Aetna | All_Plans | $8.05 | ↓ -16% |
| WellSpan_Capital_Blue_Cross | All_Plans | $8.64 | ↓ -10% |
| Geisinger | All_Plans | $8.88 | ↓ -8% |
| Cigna | All_Plans | $8.94 | ↓ -7% |
| Aetna | PPO_Plan | $9.13 | ↓ -5% |
| Cigna | PPO_Plan | $9.39 | ↓ -2% |
| United_Healthcare | All_Plans | $9.60 | ↑ +0% |
| First_Health_Network | All_Plans | $11.40 | ↑ +19% |
Visitor-reported prices
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Acyclovir 5 mg/ml in ns IV syringe (neo/ped) - cnr at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $435.60 | $0.02 – $5.60 |
| UPMC Bedford | Everett | $315.00 | $0.02 – $4.50 |
| UPMC Cole | Coudersport | $4.20 | $0.04 – $5.60 |
| UPMC Northwest | Seneca | $427.20 | $0.02 – $3.62 |
| UPMC Horizon-Greenville | Greenville | $370.80 | $0.02 – $3.55 |
| UPMC Kane | Kane | $9.00 | $0.04 – $0.13 |
| UPMC Mercy | Pittsburgh | $370.80 | $0.02 – $1.39 |
| UPMC Muncy | Muncy | $74.40 | $0.04 – $0.04 |