Drainage absc/cyst/hmtma/vestibule mouth smpl at WellSpan Chambersburg Hospital
112 N. 7th St., Chambersburg, PA · Wellspan · · NPI 1902804552
$496.80
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.
?
What you pay up front if you don't use insurance.
$621.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$33.13 with Geisinger_Medicaid vs $3,235.87 with Highmark — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 |
|---|---|---|---|
| Geisinger_Medicaid | All_Plans | $33.13 | ↓ -93% |
| Highmark_Wholecare_Gateway_Medicaid | All_Plans | $33.13 | ↓ -93% |
| PA_Health_&_Wellness_Medicaid | All_Plans | $33.13 | ↓ -93% |
| UPMC_Medicaid | All_Plans | $33.13 | ↓ -93% |
| Health_Partners_Medicaid | All_Other_Plans | $33.13 | ↓ -93% |
| Amerihealth_Caritas_Medicaid | All_Plans | $37.63 | ↓ -92% |
| UPMC | UPMC_For_Kids | $372.60 | ↓ -25% |
| Aetna | All_Plans | $416.69 | ↓ -16% |
| WellSpan_Capital_Blue_Cross | All_Plans | $447.12 | ↓ -10% |
| Geisinger | All_Plans | $459.54 | ↓ -8% |
| Cigna | All_Plans | $462.52 | ↓ -7% |
| Aetna | PPO_Plan | $472.58 | ↓ -5% |
| Cigna | PPO_Plan | $485.68 | ↓ -2% |
| United_Healthcare | All_Plans | $583.12 | ↑ +17% |
| First_Health_Network | All_Plans | $589.95 | ↑ +19% |
| United_Medicaid | Community_Plan_For_Kids | $727.44 | ↑ +46% |
| Blue_Cross_BlueJourney_Medicare | All_Plans | $727.44 | ↑ +46% |
| Highmark_Medicare | All_Plans | $734.71 | ↑ +48% |
| Highmark_Wholecare_Gateway_Medicare | All_Plans | $734.71 | ↑ +48% |
| Aetna_Medicare | All_Plans | $749.26 | ↑ +51% |
| Aetna_Advantra_Medicare | All_Plans | $749.26 | ↑ +51% |
| Devoted_Medicare | All_Plans | $763.81 | ↑ +54% |
| United_Medicare | ISNP_DSNP_Plans | $763.81 | ↑ +54% |
| Amerihealth_Medicare | All_Plans | $767.45 | ↑ +54% |
| Geisinger_Gold_Medicare | All_Plans | $778.36 | ↑ +57% |
| PA_Health_&_Wellness_Medicare | All_Plans | $785.64 | ↑ +58% |
| Jefferson_Health_Medicare_Advantage | All_Plans | $785.64 | ↑ +58% |
| UPMC_Medicare | UPMC_for_Life_Complete_Care | $945.67 | ↑ +90% |
| UPMC_Medicare | UPMC_for_Life_Community_HealthChoices | $945.67 | ↑ +90% |
| Highmark | Higmark_Healthy_Kids | $1,098.51 | ↑ +121% |
| Health_Partners_Medicaid | Kidz_Partners | $1,200.28 | ↑ +142% |
| Aetna_Better_Health_Kids | All_Plans | $2,473.30 | ↑ +398% |
| Highmark | Shared_Cost_Blue_PPO | $3,235.87 | ↑ +551% |
| Highmark | My_Direct_Blue | $3,235.87 | ↑ +551% |
| Performance_Blue | Blue_Cross_High_Performance_Network | $3,235.87 | ↑ +551% |
| Highmark | Choice_Blue_PPO | $3,235.87 | ↑ +551% |
| Highmark | Blue_Cross_High_Performance_Network | $3,235.87 | ↑ +551% |
| Highmark | All_Other_Plans | $3,235.87 | ↑ +551% |
Visitor-reported prices
Comments
Drainage absc/cyst/hmtma/vestibule mouth smpl at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $595.20 | $26.50 – $793.60 |
| UPMC Bedford | Everett | $897.00 | $27.82 – $1,345.50 |
| UPMC Carlisle | Carlisle | $924.60 | $33.66 – $1,309.85 |
| UPMC Community Osteopathic | Harrisburg | $924.60 | $33.66 – $1,016.56 |
| UPMC East | Monroeville | $543.60 | $29.15 – $724.80 |
| UPMC Hamot | Erie | $541.20 | $29.15 – $975.61 |
| UPMC Northwest | Seneca | $824.40 | $29.15 – $704.33 |
| UPMC Hanover | Hanover | $924.60 | $33.66 – $1,075.42 |