App high cost ss t/a/l >100sq cm 1st 100sq cm at WellSpan Chambersburg Hospital
112 N. 7th St., Chambersburg, PA · Wellspan · · NPI 1902804552
$845.60
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.
$1,057.00
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.
$205.93 with Highmark_Wholecare_Gateway_Medicaid vs $16,837.17 with Highmark — 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 |
|---|---|---|---|
| Highmark_Wholecare_Gateway_Medicaid | All_Plans | $205.93 | ↓ -76% |
| UPMC | UPMC_For_Kids | $634.20 | ↓ -25% |
| Aetna | All_Plans | $709.25 | ↓ -16% |
| WellSpan_Capital_Blue_Cross | All_Plans | $761.04 | ↓ -10% |
| Geisinger | All_Plans | $782.18 | ↓ -8% |
| Cigna | All_Plans | $787.25 | ↓ -7% |
| Aetna | PPO_Plan | $804.38 | ↓ -5% |
| Cigna | PPO_Plan | $826.68 | ↓ -2% |
| Health_Partners_Medicaid | All_Other_Plans | $970.00 | ↑ +15% |
| UPMC_Medicaid | All_Plans | $970.00 | ↑ +15% |
| PA_Health_&_Wellness_Medicaid | All_Plans | $970.00 | ↑ +15% |
| Geisinger_Medicaid | All_Plans | $970.00 | ↑ +15% |
| United_Healthcare | All_Plans | $992.52 | ↑ +17% |
| First_Health_Network | All_Plans | $1,004.15 | ↑ +19% |
| Amerihealth_Caritas_Medicaid | All_Plans | $1,101.92 | ↑ +30% |
| Blue_Cross | Capital_Cares_4_kids | $2,602.60 | ↑ +208% |
| Blue_Cross | Capital_Blue_Performance_PPO | $2,775.00 | ↑ +228% |
| Blue_Cross | All_Other_Plans | $3,718.00 | ↑ +340% |
| United_Medicaid | Community_Plan_For_Kids | $3,785.08 | ↑ +348% |
| Blue_Cross_BlueJourney_Medicare | All_Plans | $3,785.08 | ↑ +348% |
| Highmark_Wholecare_Gateway_Medicare | All_Plans | $3,822.93 | ↑ +352% |
| Highmark_Medicare | All_Plans | $3,822.93 | ↑ +352% |
| Aetna_Advantra_Medicare | All_Plans | $3,898.63 | ↑ +361% |
| Aetna_Medicare | All_Plans | $3,898.63 | ↑ +361% |
| Devoted_Medicare | All_Plans | $3,974.33 | ↑ +370% |
| United_Medicare | ISNP_DSNP_Plans | $3,974.33 | ↑ +370% |
| Amerihealth_Medicare | All_Plans | $3,993.26 | ↑ +372% |
| Geisinger_Gold_Medicare | All_Plans | $4,050.04 | ↑ +379% |
| PA_Health_&_Wellness_Medicare | All_Plans | $4,087.89 | ↑ +383% |
| Jefferson_Health_Medicare_Advantage | All_Plans | $4,087.89 | ↑ +383% |
| UPMC_Medicare | UPMC_for_Life_Complete_Care | $4,920.60 | ↑ +482% |
| UPMC_Medicare | UPMC_for_Life_Community_HealthChoices | $4,920.60 | ↑ +482% |
| Highmark | Higmark_Healthy_Kids | $5,715.85 | ↑ +576% |
| Health_Partners_Medicaid | Kidz_Partners | $6,245.38 | ↑ +639% |
| Aetna_Better_Health_Kids | All_Plans | $12,869.27 | ↑ +1422% |
| Performance_Blue | Blue_Cross_High_Performance_Network | $16,837.17 | ↑ +1891% |
| Highmark | Shared_Cost_Blue_PPO | $16,837.17 | ↑ +1891% |
| Highmark | My_Direct_Blue | $16,837.17 | ↑ +1891% |
| Highmark | Choice_Blue_PPO | $16,837.17 | ↑ +1891% |
| Highmark | Blue_Cross_High_Performance_Network | $16,837.17 | ↑ +1891% |
| Highmark | All_Other_Plans | $16,837.17 | ↑ +1891% |
Visitor-reported prices
Comments
App high cost ss t/a/l >100sq cm 1st 100sq cm at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $4,513.80 | $440.44 – $6,394.55 |
| UPMC Hamot | Erie | $2,618.40 | $420.87 – $5,076.39 |
| UPMC Hanover | Hanover | $4,513.80 | $440.44 – $5,595.71 |
| UPMC Horizon-Greenville | Greenville | $3,868.20 | $420.87 – $3,769.52 |
| UPMC Jameson | New Castle | $3,441.60 | $420.87 – $4,711.90 |
| UPMC Lititz | Lititz | $4,513.80 | $440.44 – $5,625.95 |
| UPMC Magee | Pittsburgh | $3,461.40 | $420.87 – $3,839.33 |
| UPMC McKeesport | Mckeesport | $3,120.60 | $369.97 – $3,839.33 |