Chromo high res and frag x - sendout at WellSpan Chambersburg Hospital
112 N. 7th St., Chambersburg, PA · Wellspan · · NPI 1902804552
$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.
$296.00
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.
$45.63 with Amerihealth_Caritas_Medicaid vs $387.68 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 |
|---|---|---|---|
| Amerihealth_Caritas_Medicaid | All_Plans | $45.63 | ↓ -81% |
| UPMC_Medicaid | All_Plans | $57.03 | ↓ -76% |
| Geisinger_Medicaid | All_Plans | $57.04 | ↓ -76% |
| Blue_Cross_BlueJourney_Medicare | All_Plans | $57.04 | ↓ -76% |
| PA_Health_&_Wellness_Medicaid | All_Plans | $57.04 | ↓ -76% |
| Blue_Cross | Capital_Blue_Performance_PPO | $57.04 | ↓ -76% |
| Highmark_Wholecare_Gateway_Medicaid | All_Plans | $57.04 | ↓ -76% |
| Health_Partners_Medicaid | All_Other_Plans | $57.04 | ↓ -76% |
| Highmark_Wholecare_Gateway_Medicare | All_Plans | $57.61 | ↓ -76% |
| Highmark_Medicare | All_Plans | $57.61 | ↓ -76% |
| Devoted_Medicare | All_Plans | $59.89 | ↓ -75% |
| United_Medicare | ISNP_DSNP_Plans | $59.89 | ↓ -75% |
| Amerihealth_Medicare | All_Plans | $60.18 | ↓ -75% |
| Geisinger_Gold_Medicare | All_Plans | $61.03 | ↓ -74% |
| PA_Health_&_Wellness_Medicare | All_Plans | $61.60 | ↓ -74% |
| Jefferson_Health_Medicare_Advantage | All_Plans | $61.60 | ↓ -74% |
| UPMC_Medicare | UPMC_for_Life_Complete_Care | $74.15 | ↓ -69% |
| UPMC_Medicare | UPMC_for_Life_Community_HealthChoices | $74.15 | ↓ -69% |
| Highmark | Higmark_Healthy_Kids | $86.14 | ↓ -64% |
| Health_Partners_Medicaid | Kidz_Partners | $94.12 | ↓ -60% |
| United_Medicaid | Community_Plan_For_Kids | $99.82 | ↓ -58% |
| United_Healthcare | All_Plans | $171.12 | ↓ -28% |
| UPMC | UPMC_For_Kids | $177.60 | ↓ -25% |
| Aetna_Better_Health_Kids | All_Plans | $193.94 | ↓ -18% |
| Aetna | All_Plans | $198.62 | ↓ -16% |
| WellSpan_Capital_Blue_Cross | All_Plans | $213.12 | ↓ -10% |
| Geisinger | All_Plans | $219.04 | ↓ -8% |
| Cigna | All_Plans | $220.46 | ↓ -7% |
| Aetna | PPO_Plan | $225.26 | ↓ -5% |
| Cigna | PPO_Plan | $231.50 | ↓ -2% |
| Highmark | All_Other_Plans | $253.73 | ↑ +7% |
| Performance_Blue | Blue_Cross_High_Performance_Network | $253.73 | ↑ +7% |
| Highmark | Shared_Cost_Blue_PPO | $253.73 | ↑ +7% |
| Highmark | My_Direct_Blue | $253.73 | ↑ +7% |
| Highmark | Choice_Blue_PPO | $253.73 | ↑ +7% |
| Highmark | Blue_Cross_High_Performance_Network | $253.73 | ↑ +7% |
| Blue_Cross | Capital_Cares_4_kids | $271.38 | ↑ +15% |
| First_Health_Network | All_Plans | $281.20 | ↑ +19% |
| Blue_Cross | All_Other_Plans | $387.68 | ↑ +64% |
Visitor-reported prices
Comments
Chromo high res and frag x - sendout at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $329.40 | $43.94 – $466.65 |
| UPMC Community Osteopathic | Harrisburg | $329.40 | $45.63 – $466.65 |
| UPMC Hanover | Hanover | $329.40 | $43.94 – $91.26 |
| UPMC Lititz | Lititz | $329.40 | $43.94 – $91.26 |
| UPMC Magee | Pittsburgh | $1,007.40 | $50.19 – $154.81 |
| UPMC Memorial | York | $329.40 | $43.94 – $282.61 |
| UPMC Muncy | Muncy | $688.80 | $50.19 – $77.76 |
| UPMC Passavant-McCandless | Pittsburgh | $1,067.40 | $50.19 – $154.81 |