Drainage external ear simple 69000 at WellSpan Chambersburg Hospital
112 N. 7th St., Chambersburg, PA · Wellspan · · NPI 1902804552
$829.60
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.
$1,037.00
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.
$53.75 with Highmark_Wholecare_Gateway_Medicaid vs $3,235.87 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 |
|---|---|---|---|
| Highmark_Wholecare_Gateway_Medicaid | All_Plans | $53.75 | ↓ -94% |
| Health_Partners_Medicaid | All_Other_Plans | $53.75 | ↓ -94% |
| UPMC_Medicaid | All_Plans | $53.75 | ↓ -94% |
| Geisinger_Medicaid | All_Plans | $53.75 | ↓ -94% |
| PA_Health_&_Wellness_Medicaid | All_Plans | $53.75 | ↓ -94% |
| Amerihealth_Caritas_Medicaid | All_Plans | $61.06 | ↓ -93% |
| UPMC | UPMC_For_Kids | $622.20 | ↓ -25% |
| Aetna | All_Plans | $695.83 | ↓ -16% |
| United_Medicaid | Community_Plan_For_Kids | $727.44 | ↓ -12% |
| Blue_Cross_BlueJourney_Medicare | All_Plans | $727.44 | ↓ -12% |
| Highmark_Wholecare_Gateway_Medicare | All_Plans | $734.71 | ↓ -11% |
| Highmark_Medicare | All_Plans | $734.71 | ↓ -11% |
| WellSpan_Capital_Blue_Cross | All_Plans | $746.64 | ↓ -10% |
| Aetna_Medicare | All_Plans | $749.26 | ↓ -10% |
| Aetna_Advantra_Medicare | All_Plans | $749.26 | ↓ -10% |
| United_Medicare | ISNP_DSNP_Plans | $763.81 | ↓ -8% |
| Devoted_Medicare | All_Plans | $763.81 | ↓ -8% |
| Geisinger | All_Plans | $767.38 | ↓ -8% |
| Amerihealth_Medicare | All_Plans | $767.45 | ↓ -7% |
| Cigna | All_Plans | $772.36 | ↓ -7% |
| Geisinger_Gold_Medicare | All_Plans | $778.36 | ↓ -6% |
| Jefferson_Health_Medicare_Advantage | All_Plans | $785.64 | ↓ -5% |
| PA_Health_&_Wellness_Medicare | All_Plans | $785.64 | ↓ -5% |
| Aetna | PPO_Plan | $789.16 | ↓ -5% |
| Cigna | PPO_Plan | $811.04 | ↓ -2% |
| UPMC_Medicare | UPMC_for_Life_Complete_Care | $945.67 | ↑ +14% |
| UPMC_Medicare | UPMC_for_Life_Community_HealthChoices | $945.67 | ↑ +14% |
| United_Healthcare | All_Plans | $973.74 | ↑ +17% |
| First_Health_Network | All_Plans | $985.15 | ↑ +19% |
| Highmark | Higmark_Healthy_Kids | $1,098.51 | ↑ +32% |
| Health_Partners_Medicaid | Kidz_Partners | $1,200.28 | ↑ +45% |
| Aetna_Better_Health_Kids | All_Plans | $2,473.30 | ↑ +198% |
| Highmark | My_Direct_Blue | $3,235.87 | ↑ +290% |
| Highmark | Shared_Cost_Blue_PPO | $3,235.87 | ↑ +290% |
| Highmark | Blue_Cross_High_Performance_Network | $3,235.87 | ↑ +290% |
| Highmark | All_Other_Plans | $3,235.87 | ↑ +290% |
| Performance_Blue | Blue_Cross_High_Performance_Network | $3,235.87 | ↑ +290% |
| Highmark | Choice_Blue_PPO | $3,235.87 | ↑ +290% |
Visitor-reported prices
Comments
Drainage external ear simple 69000 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $909.00 | $43.00 – $1,212.00 |
| UPMC Bedford | Everett | $1,371.00 | $45.15 – $2,056.50 |
| UPMC Carlisle | Carlisle | $924.60 | $54.61 – $1,309.85 |
| UPMC Cole | Coudersport | $588.00 | $31.32 – $2,325.85 |
| UPMC Community Osteopathic | Harrisburg | $924.60 | $54.61 – $1,309.85 |
| UPMC East | Monroeville | $856.80 | $47.30 – $1,142.40 |
| UPMC Hamot | Erie | $1,248.00 | $47.30 – $975.61 |
| UPMC Northwest | Seneca | $1,134.60 | $47.30 – $704.33 |