B-hexosaminidase ea assay at WellSpan Chambersburg Hospital
112 N. 7th St., Chambersburg, PA · Wellspan · · NPI 1902804552
$84.00
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.
$105.00
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.
$12.65 with Highmark_Wholecare_Gateway_Medicaid vs $167.40 with Blue_Cross — 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 | $12.65 | ↓ -85% |
| Blue_Cross_BlueJourney_Medicare | All_Plans | $16.87 | ↓ -80% |
| Health_Partners_Medicaid | All_Other_Plans | $16.87 | ↓ -80% |
| Highmark_Medicare | All_Plans | $17.04 | ↓ -80% |
| Highmark_Wholecare_Gateway_Medicare | All_Plans | $17.04 | ↓ -80% |
| Aetna_Advantra_Medicare | All_Plans | $17.38 | ↓ -79% |
| Aetna_Medicare | All_Plans | $17.38 | ↓ -79% |
| Devoted_Medicare | All_Plans | $17.71 | ↓ -79% |
| United_Medicare | ISNP_DSNP_Plans | $17.71 | ↓ -79% |
| Amerihealth_Medicare | All_Plans | $17.80 | ↓ -79% |
| Geisinger_Gold_Medicare | All_Plans | $18.05 | ↓ -79% |
| Jefferson_Health_Medicare_Advantage | All_Plans | $18.22 | ↓ -78% |
| PA_Health_&_Wellness_Medicare | All_Plans | $18.22 | ↓ -78% |
| Aetna_Better_Health_Kids | All_Plans | $18.90 | ↓ -78% |
| UPMC_Medicare | UPMC_for_Life_Complete_Care | $21.93 | ↓ -74% |
| UPMC_Medicare | UPMC_for_Life_Community_HealthChoices | $21.93 | ↓ -74% |
| Blue_Cross | Capital_Blue_Performance_PPO | $24.63 | ↓ -71% |
| Highmark | Higmark_Healthy_Kids | $25.48 | ↓ -70% |
| Health_Partners_Medicaid | Kidz_Partners | $27.84 | ↓ -67% |
| United_Medicaid | Community_Plan_For_Kids | $29.52 | ↓ -65% |
| United_Healthcare | All_Plans | $50.61 | ↓ -40% |
| UPMC | UPMC_For_Kids | $63.00 | ↓ -25% |
| Aetna | All_Plans | $69.66 | ↓ -17% |
| Aetna | PPO_Plan | $69.67 | ↓ -17% |
| Performance_Blue | Blue_Cross_High_Performance_Network | $75.04 | ↓ -11% |
| Highmark | All_Other_Plans | $75.04 | ↓ -11% |
| Highmark | Blue_Cross_High_Performance_Network | $75.04 | ↓ -11% |
| Highmark | Choice_Blue_PPO | $75.04 | ↓ -11% |
| Highmark | My_Direct_Blue | $75.04 | ↓ -11% |
| Highmark | Shared_Cost_Blue_PPO | $75.04 | ↓ -11% |
| WellSpan_Capital_Blue_Cross | All_Plans | $75.60 | ↓ -10% |
| Geisinger | All_Plans | $77.70 | ↓ -8% |
| Cigna | All_Plans | $78.20 | ↓ -7% |
| Cigna | PPO_Plan | $82.12 | ↓ -2% |
| First_Health_Network | All_Plans | $99.75 | ↑ +19% |
| Blue_Cross | Capital_Cares_4_kids | $117.18 | ↑ +40% |
| Blue_Cross | All_Other_Plans | $167.40 | ↑ +99% |
Visitor-reported prices
Comments
B-hexosaminidase ea assay at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $265.20 | $16.67 – $353.60 |
| UPMC Bedford | Everett | $276.00 | $6.09 – $414.00 |
| UPMC East | Monroeville | $216.00 | $16.67 – $288.00 |
| UPMC Hamot | Erie | $236.40 | $16.67 – $44.78 |
| UPMC Horizon-Greenville | Greenville | $195.60 | $15.10 – $31.66 |
| UPMC Magee | Pittsburgh | $197.40 | $15.79 – $45.20 |
| UPMC McKeesport | Mckeesport | $190.80 | $15.64 – $45.20 |
| UPMC Mercy | Pittsburgh | $154.80 | $14.06 – $44.78 |