Electrophysiology evaluation at WellSpan Chambersburg Hospital
112 N. 7th St., Chambersburg, PA · Wellspan · · NPI 1902804552
$15,524.80
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.
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What you pay up front if you don't use insurance.
$19,406.00
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.
$849.89 with Highmark_Wholecare_Gateway_Medicaid vs $66,617.00 with Blue_Cross — 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 | $849.89 | ↓ -95% |
| Health_Partners_Medicaid | All_Other_Plans | $7,588.10 | ↓ -51% |
| United_Medicaid | Community_Plan_For_Kids | $7,845.34 | ↓ -49% |
| Blue_Cross_BlueJourney_Medicare | All_Plans | $7,845.34 | ↓ -49% |
| Highmark_Wholecare_Gateway_Medicare | All_Plans | $7,923.79 | ↓ -49% |
| Highmark_Medicare | All_Plans | $7,923.79 | ↓ -49% |
| Aetna_Medicare | All_Plans | $8,080.70 | ↓ -48% |
| Aetna_Advantra_Medicare | All_Plans | $8,080.70 | ↓ -48% |
| Devoted_Medicare | All_Plans | $8,237.61 | ↓ -47% |
| United_Medicare | ISNP_DSNP_Plans | $8,237.61 | ↓ -47% |
| Amerihealth_Medicare | All_Plans | $8,276.83 | ↓ -47% |
| Geisinger_Gold_Medicare | All_Plans | $8,394.51 | ↓ -46% |
| Jefferson_Health_Medicare_Advantage | All_Plans | $8,472.97 | ↓ -45% |
| PA_Health_&_Wellness_Medicare | All_Plans | $8,472.97 | ↓ -45% |
| UPMC_Medicare | UPMC_for_Life_Complete_Care | $10,198.94 | ↓ -34% |
| UPMC_Medicare | UPMC_for_Life_Community_HealthChoices | $10,198.94 | ↓ -34% |
| UPMC | UPMC_For_Kids | $11,643.60 | ↓ -25% |
| Highmark | Higmark_Healthy_Kids | $11,847.25 | ↓ -24% |
| Health_Partners_Medicaid | Kidz_Partners | $12,944.81 | ↓ -17% |
| Aetna | All_Plans | $13,021.43 | ↓ -16% |
| Blue_Cross | Capital_Blue_Performance_PPO | $13,939.00 | ↓ -10% |
| WellSpan_Capital_Blue_Cross | All_Plans | $13,972.32 | ↓ -10% |
| Geisinger | All_Plans | $14,360.44 | ↓ -8% |
| Cigna | All_Plans | $14,453.59 | ↓ -7% |
| Aetna | PPO_Plan | $14,767.97 | ↓ -5% |
| Cigna | PPO_Plan | $15,177.43 | ↓ -2% |
| United_Healthcare | All_Plans | $18,222.23 | ↑ +17% |
| First_Health_Network | All_Plans | $18,435.70 | ↑ +19% |
| Aetna_Better_Health_Kids | All_Plans | $26,674.16 | ↑ +72% |
| Performance_Blue | Blue_Cross_High_Performance_Network | $34,898.43 | ↑ +125% |
| Highmark | All_Other_Plans | $34,898.43 | ↑ +125% |
| Highmark | Blue_Cross_High_Performance_Network | $34,898.43 | ↑ +125% |
| Highmark | Choice_Blue_PPO | $34,898.43 | ↑ +125% |
| Highmark | My_Direct_Blue | $34,898.43 | ↑ +125% |
| Highmark | Shared_Cost_Blue_PPO | $34,898.43 | ↑ +125% |
| Blue_Cross | Capital_Cares_4_kids | $46,631.90 | ↑ +200% |
| Blue_Cross | All_Other_Plans | $66,617.00 | ↑ +329% |
Visitor-reported prices
Comments
Electrophysiology evaluation at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $4,322.40 | $723.65 – $7,813.09 |
| UPMC Hamot | Erie | $4,615.80 | $723.65 – $9,017.29 |
| UPMC Mercy | Pittsburgh | $5,244.00 | $723.65 – $7,957.77 |
| UPMC Passavant-McCandless | Pittsburgh | $5,773.20 | $730.54 – $7,957.77 |
| UPMC Presbyterian | Pittsburgh | $9,087.60 | $730.54 – $7,957.77 |
| UPMC Williamsport | Williamsport | $4,569.60 | $993.28 – $7,813.09 |