Consultation pathology during surgery cytological exam initial site at WellSpan Chambersburg Hospital
112 N. 7th St., Chambersburg, PA · Wellspan · · NPI 1902804552
$142.40
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.
$178.00
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.
$20.01 with UPMC_Medicaid vs $3,756.99 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 |
|---|---|---|---|
| UPMC_Medicaid | All_Plans | $20.01 | ↓ -86% |
| Blue_Cross | Capital_Blue_Performance_PPO | $29.25 | ↓ -79% |
| Amerihealth_Caritas_Medicaid | All_Plans | $67.87 | ↓ -52% |
| PA_Health_&_Wellness_Medicaid | All_Plans | $84.84 | ↓ -40% |
| Highmark_Wholecare_Gateway_Medicaid | All_Plans | $84.84 | ↓ -40% |
| Health_Partners_Medicaid | All_Other_Plans | $84.84 | ↓ -40% |
| Geisinger_Medicaid | All_Plans | $84.84 | ↓ -40% |
| UPMC | UPMC_For_Kids | $106.80 | ↓ -25% |
| Aetna | All_Plans | $119.44 | ↓ -16% |
| WellSpan_Capital_Blue_Cross | All_Plans | $128.16 | ↓ -10% |
| Geisinger | All_Plans | $131.72 | ↓ -8% |
| Cigna | All_Plans | $132.57 | ↓ -7% |
| Aetna | PPO_Plan | $135.46 | ↓ -5% |
| Blue_Cross | Capital_Cares_4_kids | $139.16 | ↓ -2% |
| Cigna | PPO_Plan | $139.21 | ↓ -2% |
| First_Health_Network | All_Plans | $169.10 | ↑ +19% |
| Blue_Cross | All_Other_Plans | $198.80 | ↑ +40% |
| United_Medicaid | Community_Plan_For_Kids | $844.59 | ↑ +493% |
| Blue_Cross_BlueJourney_Medicare | All_Plans | $844.59 | ↑ +493% |
| Highmark_Wholecare_Gateway_Medicare | All_Plans | $853.04 | ↑ +499% |
| Highmark_Medicare | All_Plans | $853.04 | ↑ +499% |
| Aetna_Medicare | All_Plans | $869.93 | ↑ +511% |
| Aetna_Advantra_Medicare | All_Plans | $869.93 | ↑ +511% |
| Devoted_Medicare | All_Plans | $886.82 | ↑ +523% |
| United_Medicare | ISNP_DSNP_Plans | $886.82 | ↑ +523% |
| Amerihealth_Medicare | All_Plans | $891.04 | ↑ +526% |
| Geisinger_Gold_Medicare | All_Plans | $903.71 | ↑ +535% |
| Jefferson_Health_Medicare_Advantage | All_Plans | $912.16 | ↑ +541% |
| PA_Health_&_Wellness_Medicare | All_Plans | $912.16 | ↑ +541% |
| UPMC_Medicare | UPMC_for_Life_Community_HealthChoices | $1,097.97 | ↑ +671% |
| UPMC_Medicare | UPMC_for_Life_Complete_Care | $1,097.97 | ↑ +671% |
| Highmark | Higmark_Healthy_Kids | $1,275.42 | ↑ +796% |
| Health_Partners_Medicaid | Kidz_Partners | $1,393.57 | ↑ +879% |
| United_Healthcare | All_Plans | $2,457.87 | ↑ +1626% |
| Aetna_Better_Health_Kids | All_Plans | $2,871.61 | ↑ +1917% |
| Highmark | Shared_Cost_Blue_PPO | $3,756.99 | ↑ +2538% |
| Highmark | All_Other_Plans | $3,756.99 | ↑ +2538% |
| Highmark | Choice_Blue_PPO | $3,756.99 | ↑ +2538% |
| Performance_Blue | Blue_Cross_High_Performance_Network | $3,756.99 | ↑ +2538% |
| Highmark | Blue_Cross_High_Performance_Network | $3,756.99 | ↑ +2538% |
| Highmark | My_Direct_Blue | $3,756.99 | ↑ +2538% |
Visitor-reported prices
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Consultation pathology during surgery cytological exam initial site at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $100.20 | $16.01 – $133.60 |
| UPMC Bedford | Everett | $235.20 | $23.28 – $352.80 |
| UPMC Carlisle | Carlisle | $1,472.40 | $20.97 – $2,085.90 |
| UPMC Cole | Coudersport | $280.20 | $53.00 – $373.60 |
| UPMC Community Osteopathic | Harrisburg | $1,472.40 | $20.97 – $2,085.90 |
| UPMC East | Monroeville | $287.40 | $22.97 – $817.76 |
| UPMC Hamot | Erie | $93.60 | $23.43 – $970.76 |
| UPMC Northwest | Seneca | $231.60 | $23.18 – $817.76 |