Biopsy renal percutaneous trocar/needle (both sides) at WellSpan Chambersburg Hospital
112 N. 7th St., Chambersburg, PA · Wellspan · · NPI 1902804552
$1,992.80
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.
$2,491.00
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.
$171.39 with PA_Health_&_Wellness_Medicaid vs $7,451.66 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 |
|---|---|---|---|
| PA_Health_&_Wellness_Medicaid | All_Plans | $171.39 | ↓ -91% |
| UPMC_Medicaid | All_Plans | $171.39 | ↓ -91% |
| Highmark_Wholecare_Gateway_Medicaid | All_Plans | $171.39 | ↓ -91% |
| Health_Partners_Medicaid | All_Other_Plans | $171.39 | ↓ -91% |
| Geisinger_Medicaid | All_Plans | $171.39 | ↓ -91% |
| Amerihealth_Caritas_Medicaid | All_Plans | $194.70 | ↓ -90% |
| UPMC | UPMC_For_Kids | $1,494.60 | ↓ -25% |
| Aetna | All_Plans | $1,671.46 | ↓ -16% |
| United_Medicaid | Community_Plan_For_Kids | $1,675.17 | ↓ -16% |
| Blue_Cross_BlueJourney_Medicare | All_Plans | $1,675.17 | ↓ -16% |
| Highmark_Medicare | All_Plans | $1,691.92 | ↓ -15% |
| Highmark_Wholecare_Gateway_Medicare | All_Plans | $1,691.92 | ↓ -15% |
| Aetna_Medicare | All_Plans | $1,725.43 | ↓ -13% |
| Aetna_Advantra_Medicare | All_Plans | $1,725.43 | ↓ -13% |
| United_Medicare | ISNP_DSNP_Plans | $1,758.93 | ↓ -12% |
| Devoted_Medicare | All_Plans | $1,758.93 | ↓ -12% |
| Amerihealth_Medicare | All_Plans | $1,767.30 | ↓ -11% |
| Geisinger_Gold_Medicare | All_Plans | $1,792.43 | ↓ -10% |
| WellSpan_Capital_Blue_Cross | All_Plans | $1,793.52 | ↓ -10% |
| Jefferson_Health_Medicare_Advantage | All_Plans | $1,809.18 | ↓ -9% |
| PA_Health_&_Wellness_Medicare | All_Plans | $1,809.18 | ↓ -9% |
| Geisinger | All_Plans | $1,843.34 | ↓ -8% |
| Cigna | All_Plans | $1,855.30 | ↓ -7% |
| Aetna | PPO_Plan | $1,895.65 | ↓ -5% |
| Cigna | PPO_Plan | $1,948.21 | ↓ -2% |
| UPMC_Medicare | UPMC_for_Life_Complete_Care | $2,177.72 | ↑ +9% |
| UPMC_Medicare | UPMC_for_Life_Community_HealthChoices | $2,177.72 | ↑ +9% |
| United_Healthcare | All_Plans | $2,339.05 | ↑ +17% |
| First_Health_Network | All_Plans | $2,366.45 | ↑ +19% |
| Highmark | Higmark_Healthy_Kids | $2,529.67 | ↑ +27% |
| Health_Partners_Medicaid | Kidz_Partners | $2,764.03 | ↑ +39% |
| Aetna_Better_Health_Kids | All_Plans | $5,695.58 | ↑ +186% |
| Highmark | My_Direct_Blue | $7,451.66 | ↑ +274% |
| Highmark | Shared_Cost_Blue_PPO | $7,451.66 | ↑ +274% |
| Highmark | Blue_Cross_High_Performance_Network | $7,451.66 | ↑ +274% |
| Highmark | All_Other_Plans | $7,451.66 | ↑ +274% |
| Performance_Blue | Blue_Cross_High_Performance_Network | $7,451.66 | ↑ +274% |
| Highmark | Choice_Blue_PPO | $7,451.66 | ↑ +274% |
Visitor-reported prices
Comments
Biopsy renal percutaneous trocar/needle (both sides) at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $1,224.60 | $137.11 – $1,632.80 |
| UPMC Carlisle | Carlisle | $2,304.60 | $174.13 – $3,264.85 |
| UPMC Community Osteopathic | Harrisburg | $2,304.60 | $185.10 – $2,002.60 |
| UPMC East | Monroeville | $1,704.60 | $150.82 – $2,272.80 |
| UPMC Hamot | Erie | $2,335.80 | $150.82 – $2,246.66 |
| UPMC Northwest | Seneca | $2,056.80 | $150.82 – $1,621.93 |
| UPMC Hanover | Hanover | $2,304.60 | $174.13 – $2,476.51 |
| UPMC Jameson | New Castle | $1,897.20 | $150.82 – $2,085.34 |