Exchange biliary drg cath at WellSpan Chambersburg Hospital
112 N. 7th St., Chambersburg, PA · Wellspan · · NPI 1902804552
$6,028.00
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.
$7,535.00
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.
$150.23 with UPMC_Medicaid vs $16,230.51 with Performance_Blue — 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 | $150.23 | ↓ -98% |
| PA_Health_&_Wellness_Medicaid | All_Plans | $150.23 | ↓ -98% |
| Highmark_Wholecare_Gateway_Medicaid | All_Plans | $150.23 | ↓ -98% |
| Health_Partners_Medicaid | All_Other_Plans | $150.23 | ↓ -98% |
| Geisinger_Medicaid | All_Plans | $150.23 | ↓ -98% |
| Amerihealth_Caritas_Medicaid | All_Plans | $170.66 | ↓ -97% |
| Blue_Cross_BlueJourney_Medicare | All_Plans | $3,648.70 | ↓ -39% |
| United_Medicaid | Community_Plan_For_Kids | $3,648.70 | ↓ -39% |
| Highmark_Medicare | All_Plans | $3,685.19 | ↓ -39% |
| Highmark_Wholecare_Gateway_Medicare | All_Plans | $3,685.19 | ↓ -39% |
| Aetna_Medicare | All_Plans | $3,758.16 | ↓ -38% |
| Aetna_Advantra_Medicare | All_Plans | $3,758.16 | ↓ -38% |
| Devoted_Medicare | All_Plans | $3,831.14 | ↓ -36% |
| United_Medicare | ISNP_DSNP_Plans | $3,831.14 | ↓ -36% |
| Amerihealth_Medicare | All_Plans | $3,849.38 | ↓ -36% |
| Geisinger_Gold_Medicare | All_Plans | $3,904.11 | ↓ -35% |
| PA_Health_&_Wellness_Medicare | All_Plans | $3,940.60 | ↓ -35% |
| Jefferson_Health_Medicare_Advantage | All_Plans | $3,940.60 | ↓ -35% |
| UPMC | UPMC_For_Kids | $4,521.00 | ↓ -25% |
| UPMC_Medicare | UPMC_for_Life_Complete_Care | $4,743.31 | ↓ -21% |
| UPMC_Medicare | UPMC_for_Life_Community_HealthChoices | $4,743.31 | ↓ -21% |
| Aetna | All_Plans | $5,055.99 | ↓ -16% |
| WellSpan_Capital_Blue_Cross | All_Plans | $5,425.20 | ↓ -10% |
| Highmark | Higmark_Healthy_Kids | $5,509.90 | ↓ -9% |
| Geisinger | All_Plans | $5,575.90 | ↓ -8% |
| Cigna | All_Plans | $5,612.07 | ↓ -7% |
| Aetna | PPO_Plan | $5,734.14 | ↓ -5% |
| Cigna | PPO_Plan | $5,893.12 | ↓ -2% |
| Health_Partners_Medicaid | Kidz_Partners | $6,020.36 | ↓ -0% |
| United_Healthcare | All_Plans | $7,075.37 | ↑ +17% |
| First_Health_Network | All_Plans | $7,158.25 | ↑ +19% |
| Aetna_Better_Health_Kids | All_Plans | $12,405.58 | ↑ +106% |
| Highmark | Shared_Cost_Blue_PPO | $16,230.51 | ↑ +169% |
| Highmark | My_Direct_Blue | $16,230.51 | ↑ +169% |
| Highmark | Choice_Blue_PPO | $16,230.51 | ↑ +169% |
| Highmark | Blue_Cross_High_Performance_Network | $16,230.51 | ↑ +169% |
| Highmark | All_Other_Plans | $16,230.51 | ↑ +169% |
| Performance_Blue | Blue_Cross_High_Performance_Network | $16,230.51 | ↑ +169% |
Visitor-reported prices
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Exchange biliary drg cath at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $2,273.40 | $120.18 – $3,031.20 |
| UPMC Carlisle | Carlisle | $7,502.40 | $152.63 – $10,628.40 |
| UPMC Community Osteopathic | Harrisburg | $7,502.40 | $162.24 – $10,628.40 |
| UPMC East | Monroeville | $3,058.80 | $132.20 – $4,078.40 |
| UPMC Hamot | Erie | $3,045.00 | $132.20 – $4,893.48 |
| UPMC Northwest | Seneca | $3,855.00 | $132.20 – $3,532.77 |
| UPMC Hanover | Hanover | $7,502.40 | $152.63 – $5,394.10 |
| UPMC Jameson | New Castle | $2,373.00 | $132.20 – $4,542.13 |