Cath right heart w/o2 sat & card at WellSpan Chambersburg Hospital
112 N. 7th St., Chambersburg, PA · Wellspan · · NPI 1902804552
$5,858.40
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.
$7,323.00
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.
$1,318.14 with Aetna_Better_Health_Kids vs $18,675.00 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 |
|---|---|---|---|
| Aetna_Better_Health_Kids | All_Plans | $1,318.14 | ↓ -78% |
| Highmark_Wholecare_Gateway_Medicaid | All_Plans | $2,412.31 | ↓ -59% |
| Health_Partners_Medicaid | All_Other_Plans | $3,216.41 | ↓ -45% |
| Blue_Cross_BlueJourney_Medicare | All_Plans | $3,325.45 | ↓ -43% |
| United_Medicaid | Community_Plan_For_Kids | $3,325.45 | ↓ -43% |
| Highmark_Medicare | All_Plans | $3,358.70 | ↓ -43% |
| Highmark_Wholecare_Gateway_Medicare | All_Plans | $3,358.70 | ↓ -43% |
| Aetna_Medicare | All_Plans | $3,425.21 | ↓ -42% |
| Aetna_Advantra_Medicare | All_Plans | $3,425.21 | ↓ -42% |
| Devoted_Medicare | All_Plans | $3,491.72 | ↓ -40% |
| United_Medicare | ISNP_DSNP_Plans | $3,491.72 | ↓ -40% |
| Amerihealth_Medicare | All_Plans | $3,508.35 | ↓ -40% |
| Geisinger_Gold_Medicare | All_Plans | $3,558.23 | ↓ -39% |
| Jefferson_Health_Medicare_Advantage | All_Plans | $3,591.49 | ↓ -39% |
| PA_Health_&_Wellness_Medicare | All_Plans | $3,591.49 | ↓ -39% |
| UPMC_Medicare | UPMC_for_Life_Community_HealthChoices | $4,323.09 | ↓ -26% |
| UPMC_Medicare | UPMC_for_Life_Complete_Care | $4,323.09 | ↓ -26% |
| UPMC | UPMC_For_Kids | $4,393.80 | ↓ -25% |
| Aetna | All_Plans | $4,913.73 | ↓ -16% |
| Highmark | Higmark_Healthy_Kids | $5,021.76 | ↓ -14% |
| WellSpan_Capital_Blue_Cross | All_Plans | $5,272.56 | ↓ -10% |
| Geisinger | All_Plans | $5,419.02 | ↓ -8% |
| Cigna | All_Plans | $5,454.17 | ↓ -7% |
| Health_Partners_Medicaid | Kidz_Partners | $5,486.99 | ↓ -6% |
| Aetna | PPO_Plan | $5,572.80 | ↓ -5% |
| Cigna | PPO_Plan | $5,727.32 | ↓ -2% |
| United_Healthcare | All_Plans | $6,876.30 | ↑ +17% |
| First_Health_Network | All_Plans | $6,956.85 | ↑ +19% |
| Blue_Cross | Capital_Cares_4_kids | $13,072.50 | ↑ +123% |
| Blue_Cross | Capital_Blue_Performance_PPO | $13,939.00 | ↑ +138% |
| Highmark | Shared_Cost_Blue_PPO | $14,792.60 | ↑ +153% |
| Highmark | My_Direct_Blue | $14,792.60 | ↑ +153% |
| Highmark | Choice_Blue_PPO | $14,792.60 | ↑ +153% |
| Highmark | Blue_Cross_High_Performance_Network | $14,792.60 | ↑ +153% |
| Highmark | All_Other_Plans | $14,792.60 | ↑ +153% |
| Performance_Blue | Blue_Cross_High_Performance_Network | $14,792.60 | ↑ +153% |
| Blue_Cross | All_Other_Plans | $18,675.00 | ↑ +219% |
Visitor-reported prices
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Cath right heart w/o2 sat & card at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $5,586.00 | $1,095.37 – $7,448.00 |
| UPMC Carlisle | Carlisle | $4,762.80 | $1,016.56 – $6,747.30 |
| UPMC Community Osteopathic | Harrisburg | $4,762.80 | $1,016.56 – $6,747.30 |
| UPMC East | Monroeville | $5,670.60 | $1,105.80 – $7,560.80 |
| UPMC Hamot | Erie | $2,176.20 | $1,095.37 – $4,459.95 |
| UPMC Northwest | Seneca | $6,459.60 | $1,126.58 – $3,311.78 |
| UPMC Hanover | Hanover | $4,762.80 | $1,016.56 – $4,916.22 |
| UPMC Jameson | New Castle | $5,159.40 | $892.40 – $3,833.07 |