CT limited or localized follow-up study at WellSpan Chambersburg Hospital
112 N. 7th St., Chambersburg, PA · Wellspan · · NPI 1902804552
$288.00
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.
$1,277.00
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.
$66.04 with Highmark_Wholecare_Gateway_Medicaid vs $1,213.15 with First_Health_Network — 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 |
|---|---|---|---|
| Highmark_Wholecare_Gateway_Medicaid | All_Plans | $66.04 | ↓ -77% |
| UPMC_Medicaid | All_Plans | $85.44 | ↓ -70% |
| United_Medicaid | Community_Plan_For_Kids | $91.03 | ↓ -68% |
| Blue_Cross_BlueJourney_Medicare | All_Plans | $91.03 | ↓ -68% |
| Health_Partners_Medicaid | All_Other_Plans | $91.03 | ↓ -68% |
| Highmark_Medicare | All_Plans | $91.94 | ↓ -68% |
| Highmark_Wholecare_Gateway_Medicare | All_Plans | $91.94 | ↓ -68% |
| Aetna_Medicare | All_Plans | $93.76 | ↓ -67% |
| Aetna_Advantra_Medicare | All_Plans | $93.76 | ↓ -67% |
| Devoted_Medicare | All_Plans | $95.58 | ↓ -67% |
| United_Medicare | ISNP_DSNP_Plans | $95.58 | ↓ -67% |
| Amerihealth_Medicare | All_Plans | $96.04 | ↓ -67% |
| Geisinger_Gold_Medicare | All_Plans | $97.40 | ↓ -66% |
| Blue_Cross | Capital_Blue_Performance_PPO | $97.76 | ↓ -66% |
| PA_Health_&_Wellness_Medicare | All_Plans | $98.31 | ↓ -66% |
| Jefferson_Health_Medicare_Advantage | All_Plans | $98.31 | ↓ -66% |
| UPMC_Medicare | UPMC_for_Life_Complete_Care | $118.34 | ↓ -59% |
| UPMC_Medicare | UPMC_for_Life_Community_HealthChoices | $118.34 | ↓ -59% |
| Highmark | Higmark_Healthy_Kids | $137.46 | ↓ -52% |
| Health_Partners_Medicaid | Kidz_Partners | $150.20 | ↓ -48% |
| Aetna_Better_Health_Kids | All_Plans | $229.86 | ↓ -20% |
| Performance_Blue | Blue_Cross_High_Performance_Network | $404.93 | ↑ +41% |
| Highmark | All_Other_Plans | $404.93 | ↑ +41% |
| Highmark | Blue_Cross_High_Performance_Network | $404.93 | ↑ +41% |
| Highmark | Choice_Blue_PPO | $404.93 | ↑ +41% |
| Highmark | My_Direct_Blue | $404.93 | ↑ +41% |
| Highmark | Shared_Cost_Blue_PPO | $404.93 | ↑ +41% |
| United_Healthcare | All_Plans | $497.84 | ↑ +73% |
| Blue_Cross | Capital_Cares_4_kids | $641.51 | ↑ +123% |
| UPMC | UPMC_For_Kids | $766.20 | ↑ +166% |
| Aetna | All_Plans | $856.87 | ↑ +198% |
| Cigna | All_Plans | $876.02 | ↑ +204% |
| Blue_Cross | All_Other_Plans | $916.44 | ↑ +218% |
| WellSpan_Capital_Blue_Cross | All_Plans | $919.44 | ↑ +219% |
| Cigna | PPO_Plan | $919.82 | ↑ +219% |
| Geisinger | All_Plans | $944.98 | ↑ +228% |
| Aetna | PPO_Plan | $971.80 | ↑ +237% |
| First_Health_Network | All_Plans | $1,213.15 | ↑ +321% |
Visitor-reported prices
Comments
CT limited or localized follow-up study at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $816.00 | $85.61 – $1,088.00 |
| UPMC Carlisle | Carlisle | $624.60 | $46.33 – $884.85 |
| UPMC Community Osteopathic | Harrisburg | $624.60 | $69.43 – $884.85 |
| UPMC East | Monroeville | $1,035.60 | $84.18 – $1,380.80 |
| UPMC Hamot | Erie | $735.00 | $96.88 – $456.29 |
| UPMC Hanover | Hanover | $624.60 | $69.43 – $655.93 |
| UPMC Jameson | New Castle | $222.00 | $60.95 – $424.38 |
| UPMC Lititz | Lititz | $624.60 | $69.43 – $655.93 |