Genetic tstg severe inh cond at WellSpan Chambersburg Hospital
112 N. 7th St., Chambersburg, PA · Wellspan · · NPI 1902804552
$10,186.40
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.
$12,733.00
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.
$1,224.28 with Amerihealth_Caritas_Medicaid vs $16,642.13 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 |
|---|---|---|---|
| Amerihealth_Caritas_Medicaid | All_Plans | $1,224.28 | ↓ -88% |
| Highmark_Wholecare_Gateway_Medicaid | All_Plans | $1,836.42 | ↓ -82% |
| Health_Partners_Medicaid | All_Other_Plans | $2,448.56 | ↓ -76% |
| Blue_Cross_BlueJourney_Medicare | All_Plans | $2,448.56 | ↓ -76% |
| Blue_Cross | Capital_Blue_Performance_PPO | $2,448.56 | ↓ -76% |
| Highmark_Wholecare_Gateway_Medicare | All_Plans | $2,473.05 | ↓ -76% |
| Highmark_Medicare | All_Plans | $2,473.05 | ↓ -76% |
| Aetna_Advantra_Medicare | All_Plans | $2,522.02 | ↓ -75% |
| Aetna_Medicare | All_Plans | $2,522.02 | ↓ -75% |
| United_Medicare | ISNP_DSNP_Plans | $2,570.99 | ↓ -75% |
| Devoted_Medicare | All_Plans | $2,570.99 | ↓ -75% |
| Amerihealth_Medicare | All_Plans | $2,583.23 | ↓ -75% |
| Geisinger_Gold_Medicare | All_Plans | $2,619.96 | ↓ -74% |
| Jefferson_Health_Medicare_Advantage | All_Plans | $2,644.44 | ↓ -74% |
| PA_Health_&_Wellness_Medicare | All_Plans | $2,644.44 | ↓ -74% |
| UPMC_Medicare | UPMC_for_Life_Complete_Care | $3,183.13 | ↓ -69% |
| UPMC_Medicare | UPMC_for_Life_Community_HealthChoices | $3,183.13 | ↓ -69% |
| Highmark | Higmark_Healthy_Kids | $3,697.57 | ↓ -64% |
| Health_Partners_Medicaid | Kidz_Partners | $4,040.12 | ↓ -60% |
| United_Medicaid | Community_Plan_For_Kids | $4,284.98 | ↓ -58% |
| United_Healthcare | All_Plans | $7,345.68 | ↓ -28% |
| UPMC | UPMC_For_Kids | $7,639.80 | ↓ -25% |
| Aetna | All_Plans | $8,543.84 | ↓ -16% |
| WellSpan_Capital_Blue_Cross | All_Plans | $9,167.76 | ↓ -10% |
| Geisinger | All_Plans | $9,422.42 | ↓ -8% |
| Cigna | All_Plans | $9,483.54 | ↓ -7% |
| Aetna | PPO_Plan | $9,689.81 | ↓ -5% |
| Cigna | PPO_Plan | $9,958.48 | ↓ -2% |
| Performance_Blue | Blue_Cross_High_Performance_Network | $10,891.93 | ↑ +7% |
| Highmark | All_Other_Plans | $10,891.93 | ↑ +7% |
| Highmark | Blue_Cross_High_Performance_Network | $10,891.93 | ↑ +7% |
| Highmark | Choice_Blue_PPO | $10,891.93 | ↑ +7% |
| Highmark | My_Direct_Blue | $10,891.93 | ↑ +7% |
| Highmark | Shared_Cost_Blue_PPO | $10,891.93 | ↑ +7% |
| Blue_Cross | Capital_Cares_4_kids | $11,649.51 | ↑ +14% |
| First_Health_Network | All_Plans | $12,096.35 | ↑ +19% |
| Blue_Cross | All_Other_Plans | $16,642.13 | ↑ +63% |
Visitor-reported prices
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Genetic tstg severe inh cond at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $4,117.20 | $1,127.00 – $2,644.44 |
| UPMC Bedford | Everett | $3,739.80 | $883.44 – $5,609.70 |
| UPMC East | Monroeville | $4,156.20 | $1,509.63 – $4,986.40 |
| UPMC Hamot | Erie | $14,904.00 | $1,495.39 – $2,644.44 |
| UPMC Northwest | Seneca | $14,904.00 | $2,220.60 – $2,644.44 |
| UPMC Horizon-Greenville | Greenville | $11,694.00 | $2,192.20 – $2,644.44 |
| UPMC Jameson | New Castle | $4,156.20 | $1,521.77 – $2,644.44 |
| UPMC Magee | Pittsburgh | $17,123.40 | $1,509.63 – $2,693.42 |