Factor ix at WellSpan Chambersburg Hospital
112 N. 7th St., Chambersburg, PA · Wellspan · · NPI 1902804552
$111.20
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.
$139.00
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.
$5.00 with Amerihealth_Caritas_Medicaid vs $188.88 with Blue_Cross — 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 |
|---|---|---|---|
| Amerihealth_Caritas_Medicaid | All_Plans | $5.00 | ↓ -96% |
| UPMC_Medicaid | All_Plans | $6.25 | ↓ -94% |
| Highmark_Wholecare_Gateway_Medicaid | All_Plans | $6.25 | ↓ -94% |
| PA_Health_&_Wellness_Medicaid | All_Plans | $6.25 | ↓ -94% |
| Health_Partners_Medicaid | All_Other_Plans | $6.25 | ↓ -94% |
| Geisinger_Medicaid | All_Plans | $6.25 | ↓ -94% |
| Blue_Cross_BlueJourney_Medicare | All_Plans | $19.04 | ↓ -83% |
| Highmark_Medicare | All_Plans | $19.23 | ↓ -83% |
| Highmark_Wholecare_Gateway_Medicare | All_Plans | $19.23 | ↓ -83% |
| Aetna_Medicare | All_Plans | $19.61 | ↓ -82% |
| Aetna_Advantra_Medicare | All_Plans | $19.61 | ↓ -82% |
| Devoted_Medicare | All_Plans | $19.99 | ↓ -82% |
| United_Medicare | ISNP_DSNP_Plans | $19.99 | ↓ -82% |
| Amerihealth_Medicare | All_Plans | $20.09 | ↓ -82% |
| Geisinger_Gold_Medicare | All_Plans | $20.37 | ↓ -82% |
| PA_Health_&_Wellness_Medicare | All_Plans | $20.56 | ↓ -82% |
| Jefferson_Health_Medicare_Advantage | All_Plans | $20.56 | ↓ -82% |
| UPMC_Medicare | UPMC_for_Life_Community_HealthChoices | $24.75 | ↓ -78% |
| UPMC_Medicare | UPMC_for_Life_Complete_Care | $24.75 | ↓ -78% |
| Blue_Cross | Capital_Blue_Performance_PPO | $27.79 | ↓ -75% |
| Highmark | Higmark_Healthy_Kids | $28.75 | ↓ -74% |
| Health_Partners_Medicaid | Kidz_Partners | $31.42 | ↓ -72% |
| United_Medicaid | Community_Plan_For_Kids | $33.32 | ↓ -70% |
| United_Healthcare | All_Plans | $57.12 | ↓ -49% |
| Aetna_Better_Health_Kids | All_Plans | $64.74 | ↓ -42% |
| Aetna | All_Plans | $78.62 | ↓ -29% |
| Aetna | PPO_Plan | $78.64 | ↓ -29% |
| UPMC | UPMC_For_Kids | $83.40 | ↓ -25% |
| Highmark | Blue_Cross_High_Performance_Network | $84.70 | ↓ -24% |
| Highmark | All_Other_Plans | $84.70 | ↓ -24% |
| Highmark | My_Direct_Blue | $84.70 | ↓ -24% |
| Highmark | Choice_Blue_PPO | $84.70 | ↓ -24% |
| Performance_Blue | Blue_Cross_High_Performance_Network | $84.70 | ↓ -24% |
| Highmark | Shared_Cost_Blue_PPO | $84.70 | ↓ -24% |
| WellSpan_Capital_Blue_Cross | All_Plans | $100.08 | ↓ -10% |
| Geisinger | All_Plans | $102.86 | ↓ -8% |
| Cigna | All_Plans | $103.53 | ↓ -7% |
| Cigna | PPO_Plan | $108.71 | ↓ -2% |
| First_Health_Network | All_Plans | $132.05 | ↑ +19% |
| Blue_Cross | Capital_Cares_4_kids | $132.22 | ↑ +19% |
| Blue_Cross | All_Other_Plans | $188.88 | ↑ +70% |
Visitor-reported prices
Comments
Factor ix at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $338.40 | $5.00 – $451.20 |
| UPMC Bedford | Everett | $85.20 | $5.00 – $127.80 |
| UPMC Carlisle | Carlisle | $96.60 | $5.00 – $136.85 |
| UPMC Community Osteopathic | Harrisburg | $96.60 | $5.00 – $103.21 |
| UPMC East | Monroeville | $299.40 | $5.00 – $399.20 |
| UPMC Hamot | Erie | $192.00 | $5.00 – $38.66 |
| UPMC Northwest | Seneca | $112.80 | $5.50 – $19.99 |
| UPMC Hanover | Hanover | $96.60 | $5.00 – $30.46 |