Closed tx/talus fracture without manip 28430 at WellSpan Chambersburg Hospital
112 N. 7th St., Chambersburg, PA · Wellspan · · NPI 1902804552
$522.40
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.
$653.00
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.
$138.75 with UPMC_Medicaid vs $1,103.22 with Performance_Blue — 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 | $138.75 | ↓ -73% |
| PA_Health_&_Wellness_Medicaid | All_Plans | $138.75 | ↓ -73% |
| Highmark_Wholecare_Gateway_Medicaid | All_Plans | $138.75 | ↓ -73% |
| Health_Partners_Medicaid | All_Other_Plans | $138.75 | ↓ -73% |
| Geisinger_Medicaid | All_Plans | $138.75 | ↓ -73% |
| Amerihealth_Caritas_Medicaid | All_Plans | $157.62 | ↓ -70% |
| Blue_Cross_BlueJourney_Medicare | All_Plans | $248.01 | ↓ -53% |
| United_Medicaid | Community_Plan_For_Kids | $248.01 | ↓ -53% |
| Highmark_Medicare | All_Plans | $250.49 | ↓ -52% |
| Highmark_Wholecare_Gateway_Medicare | All_Plans | $250.49 | ↓ -52% |
| Aetna_Medicare | All_Plans | $255.45 | ↓ -51% |
| Aetna_Advantra_Medicare | All_Plans | $255.45 | ↓ -51% |
| Devoted_Medicare | All_Plans | $260.41 | ↓ -50% |
| United_Medicare | ISNP_DSNP_Plans | $260.41 | ↓ -50% |
| Amerihealth_Medicare | All_Plans | $261.65 | ↓ -50% |
| Geisinger_Gold_Medicare | All_Plans | $265.37 | ↓ -49% |
| PA_Health_&_Wellness_Medicare | All_Plans | $267.85 | ↓ -49% |
| Jefferson_Health_Medicare_Advantage | All_Plans | $267.85 | ↓ -49% |
| UPMC_Medicare | UPMC_for_Life_Complete_Care | $322.41 | ↓ -38% |
| UPMC_Medicare | UPMC_for_Life_Community_HealthChoices | $322.41 | ↓ -38% |
| Highmark | Higmark_Healthy_Kids | $374.52 | ↓ -28% |
| UPMC | UPMC_For_Kids | $391.80 | ↓ -25% |
| Health_Partners_Medicaid | Kidz_Partners | $409.22 | ↓ -22% |
| Aetna | All_Plans | $438.16 | ↓ -16% |
| WellSpan_Capital_Blue_Cross | All_Plans | $470.16 | ↓ -10% |
| Geisinger | All_Plans | $483.22 | ↓ -8% |
| Cigna | All_Plans | $486.35 | ↓ -7% |
| Aetna | PPO_Plan | $496.93 | ↓ -5% |
| Cigna | PPO_Plan | $510.71 | ↓ -2% |
| United_Healthcare | All_Plans | $613.17 | ↑ +17% |
| First_Health_Network | All_Plans | $620.35 | ↑ +19% |
| Aetna_Better_Health_Kids | All_Plans | $843.23 | ↑ +61% |
| Highmark | Shared_Cost_Blue_PPO | $1,103.22 | ↑ +111% |
| Highmark | My_Direct_Blue | $1,103.22 | ↑ +111% |
| Highmark | Choice_Blue_PPO | $1,103.22 | ↑ +111% |
| Highmark | Blue_Cross_High_Performance_Network | $1,103.22 | ↑ +111% |
| Highmark | All_Other_Plans | $1,103.22 | ↑ +111% |
| Performance_Blue | Blue_Cross_High_Performance_Network | $1,103.22 | ↑ +111% |
Visitor-reported prices
Comments
Closed tx/talus fracture without manip 28430 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $327.60 | $74.80 – $571.83 |
| UPMC Cole | Coudersport | $747.60 | $53.22 – $546.42 |
| UPMC Community Osteopathic | Harrisburg | $327.60 | $109.20 – $580.26 |
| UPMC Hanover | Hanover | $327.60 | $140.97 – $580.26 |
| UPMC Lititz | Lititz | $327.60 | $140.97 – $571.83 |
| UPMC Memorial | York | $327.60 | $106.05 – $580.26 |
| UPMC Muncy | Muncy | $825.60 | $122.10 – $497.32 |
| UPMC Somerset | Somerset | $327.60 | $122.10 – $546.42 |