Brain MRI (with contrast) at WellSpan Chambersburg Hospital
112 N. 7th St., Chambersburg, PA · Wellspan · · NPI 1902804552
$635.50
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.
$2,350.00
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.
$336.25 with UPMC_Medicaid vs $3,735.04 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 |
|---|---|---|---|
| UPMC_Medicaid | All_Plans | $336.25 | ↓ -47% |
| Blue_Cross_BlueJourney_Medicare | All_Plans | $369.24 | ↓ -42% |
| United_Medicaid | Community_Plan_For_Kids | $369.24 | ↓ -42% |
| Highmark_Medicare | All_Plans | $372.93 | ↓ -41% |
| Highmark_Wholecare_Gateway_Medicare | All_Plans | $372.93 | ↓ -41% |
| Aetna_Medicare | All_Plans | $380.32 | ↓ -40% |
| Aetna_Advantra_Medicare | All_Plans | $380.32 | ↓ -40% |
| Devoted_Medicare | All_Plans | $387.70 | ↓ -39% |
| United_Medicare | ISNP_DSNP_Plans | $387.70 | ↓ -39% |
| Amerihealth_Medicare | All_Plans | $389.55 | ↓ -39% |
| Geisinger_Gold_Medicare | All_Plans | $395.09 | ↓ -38% |
| Jefferson_Health_Medicare_Advantage | All_Plans | $398.78 | ↓ -37% |
| PA_Health_&_Wellness_Medicare | All_Plans | $398.78 | ↓ -37% |
| Geisinger_Medicaid | All_Plans | $423.75 | ↓ -33% |
| Highmark_Wholecare_Gateway_Medicaid | All_Plans | $423.75 | ↓ -33% |
| Health_Partners_Medicaid | All_Other_Plans | $423.75 | ↓ -33% |
| PA_Health_&_Wellness_Medicaid | All_Plans | $423.75 | ↓ -33% |
| UPMC_Medicare | UPMC_for_Life_Community_HealthChoices | $480.01 | ↓ -24% |
| UPMC_Medicare | UPMC_for_Life_Complete_Care | $480.01 | ↓ -24% |
| Amerihealth_Caritas_Medicaid | All_Plans | $481.38 | ↓ -24% |
| Highmark | Higmark_Healthy_Kids | $557.59 | ↓ -12% |
| Health_Partners_Medicaid | Kidz_Partners | $609.25 | ↓ -4% |
| WellSpan_Capital_Blue_Cross | All_Plans | $651.00 | ↑ +2% |
| Blue_Cross | Capital_Blue_Performance_PPO | $702.00 | ↑ +10% |
| Aetna_Better_Health_Kids | All_Plans | $1,255.42 | ↑ +98% |
| UPMC | UPMC_For_Kids | $1,410.00 | ↑ +122% |
| Aetna | All_Plans | $1,576.85 | ↑ +148% |
| Cigna | All_Plans | $1,612.10 | ↑ +154% |
| Highmark | All_Other_Plans | $1,642.49 | ↑ +158% |
| Highmark | Shared_Cost_Blue_PPO | $1,642.49 | ↑ +158% |
| Highmark | My_Direct_Blue | $1,642.49 | ↑ +158% |
| Highmark | Choice_Blue_PPO | $1,642.49 | ↑ +158% |
| Highmark | Blue_Cross_High_Performance_Network | $1,642.49 | ↑ +158% |
| Performance_Blue | Blue_Cross_High_Performance_Network | $1,642.49 | ↑ +158% |
| Cigna | PPO_Plan | $1,692.71 | ↑ +166% |
| Geisinger | All_Plans | $1,739.00 | ↑ +174% |
| Aetna | PPO_Plan | $1,788.35 | ↑ +181% |
| United_Healthcare | All_Plans | $2,106.92 | ↑ +232% |
| First_Health_Network | All_Plans | $2,232.50 | ↑ +251% |
| Blue_Cross | Capital_Cares_4_kids | $2,614.54 | ↑ +311% |
| Blue_Cross | All_Other_Plans | $3,735.04 | ↑ +488% |
Visitor-reported prices
Comments
Brain MRI (with contrast) at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $1,699.20 | $269.00 – $2,265.60 |
| UPMC Bedford | Everett | $4,566.60 | $122.85 – $6,849.90 |
| UPMC Carlisle | Carlisle | $2,854.80 | $338.22 – $4,044.30 |
| UPMC Cole | Coudersport | $1,243.20 | $319.01 – $1,657.60 |
| UPMC Community Osteopathic | Harrisburg | $2,854.80 | $347.79 – $4,044.30 |
| UPMC East | Monroeville | $5,074.20 | $341.40 – $6,765.60 |
| UPMC Hamot | Erie | $5,178.60 | $220.15 – $1,479.38 |
| UPMC Northwest | Seneca | $2,449.80 | $308.78 – $1,371.07 |