Change of ureter tube/stent at WellSpan Chambersburg Hospital
112 N. 7th St., Chambersburg, PA · Wellspan · · NPI 1902804552
$1,236.80
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.
$1,546.00
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.
$278.28 with Aetna_Better_Health_Kids vs $9,421.28 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 |
|---|---|---|---|
| Aetna_Better_Health_Kids | All_Plans | $278.28 | ↓ -78% |
| UPMC | UPMC_For_Kids | $927.60 | ↓ -25% |
| Aetna | All_Plans | $1,037.37 | ↓ -16% |
| WellSpan_Capital_Blue_Cross | All_Plans | $1,113.12 | ↓ -10% |
| Geisinger | All_Plans | $1,144.04 | ↓ -8% |
| Cigna | All_Plans | $1,151.46 | ↓ -7% |
| Aetna | PPO_Plan | $1,176.51 | ↓ -5% |
| Cigna | PPO_Plan | $1,209.13 | ↓ -2% |
| United_Healthcare | All_Plans | $1,451.69 | ↑ +17% |
| First_Health_Network | All_Plans | $1,468.70 | ↑ +19% |
| Highmark_Wholecare_Gateway_Medicaid | All_Plans | $1,536.38 | ↑ +24% |
| United_Medicaid | Community_Plan_For_Kids | $2,117.95 | ↑ +71% |
| Health_Partners_Medicaid | All_Other_Plans | $2,117.95 | ↑ +71% |
| Blue_Cross_BlueJourney_Medicare | All_Plans | $2,117.95 | ↑ +71% |
| Highmark_Medicare | All_Plans | $2,139.13 | ↑ +73% |
| Highmark_Wholecare_Gateway_Medicare | All_Plans | $2,139.13 | ↑ +73% |
| Aetna_Medicare | All_Plans | $2,181.49 | ↑ +76% |
| Aetna_Advantra_Medicare | All_Plans | $2,181.49 | ↑ +76% |
| Devoted_Medicare | All_Plans | $2,223.85 | ↑ +80% |
| United_Medicare | ISNP_DSNP_Plans | $2,223.85 | ↑ +80% |
| Amerihealth_Medicare | All_Plans | $2,234.44 | ↑ +81% |
| Geisinger_Gold_Medicare | All_Plans | $2,266.21 | ↑ +83% |
| Jefferson_Health_Medicare_Advantage | All_Plans | $2,287.39 | ↑ +85% |
| PA_Health_&_Wellness_Medicare | All_Plans | $2,287.39 | ↑ +85% |
| UPMC_Medicare | UPMC_for_Life_Complete_Care | $2,753.34 | ↑ +123% |
| UPMC_Medicare | UPMC_for_Life_Community_HealthChoices | $2,753.34 | ↑ +123% |
| Highmark | Higmark_Healthy_Kids | $3,198.32 | ↑ +159% |
| Health_Partners_Medicaid | Kidz_Partners | $3,494.62 | ↑ +183% |
| Highmark | My_Direct_Blue | $9,421.28 | ↑ +662% |
| Highmark | Choice_Blue_PPO | $9,421.28 | ↑ +662% |
| Highmark | Blue_Cross_High_Performance_Network | $9,421.28 | ↑ +662% |
| Performance_Blue | Blue_Cross_High_Performance_Network | $9,421.28 | ↑ +662% |
| Highmark | All_Other_Plans | $9,421.28 | ↑ +662% |
| Highmark | Shared_Cost_Blue_PPO | $9,421.28 | ↑ +662% |
Visitor-reported prices
Comments
Change of ureter tube/stent at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $3,457.20 | $148.72 – $4,897.70 |
| UPMC Community Osteopathic | Harrisburg | $3,457.20 | $150.33 – $4,897.70 |
| UPMC Hanover | Hanover | $3,457.20 | $150.33 – $3,131.10 |
| UPMC Lititz | Lititz | $3,457.20 | $148.72 – $3,148.02 |
| UPMC Magee | Pittsburgh | $2,680.20 | $155.03 – $2,148.31 |
| UPMC Memorial | York | $3,457.20 | $150.33 – $3,142.91 |
| UPMC Mercy | Pittsburgh | $2,270.40 | $151.47 – $2,148.31 |
| UPMC Presbyterian | Pittsburgh | $4,240.80 | $151.47 – $2,148.31 |