In-111 pentetate dtpa / 0.5 mci at WellSpan Chambersburg Hospital

112 N. 7th St., Chambersburg, PA · Wellspan · · NPI 1902804552

Source: hospital's published price file ↗ · Published Jan 1, 2026 · Ingested Sep 17, 2026

$6,989.60

Cash price

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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.

Full explanation →

What you pay up front if you don't use insurance.

$8,737.00

Gross charge

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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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$715.29 with United_Medicaid vs $8,300.15 with First_Health_Network — 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 →

Payer
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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
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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
United_Medicaid Community_Plan_For_Kids $715.29 ↓ -90%
Devoted_Medicare All_Plans $751.05 ↓ -89%
United_Medicare ISNP_DSNP_Plans $751.05 ↓ -89%
WellSpan_Capital_Blue_Cross All_Plans $879.27 ↓ -87%
UPMC_Medicare UPMC_for_Life_Community_HealthChoices $929.88 ↓ -87%
UPMC_Medicare UPMC_for_Life_Complete_Care $929.88 ↓ -87%
United_Healthcare All_Plans $2,288.93 ↓ -67%
Cigna All_Plans $3,161.24 ↓ -55%
Cigna PPO_Plan $3,319.30 ↓ -53%
UPMC UPMC_For_Kids $5,242.20 ↓ -25%
Aetna All_Plans $5,862.53 ↓ -16%
Geisinger All_Plans $6,465.38 ↓ -8%
Aetna PPO_Plan $6,648.86 ↓ -5%
First_Health_Network All_Plans $8,300.15 ↑ +19%

Visitor-reported prices

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In-111 pentetate dtpa / 0.5 mci at other Pennsylvania hospitals

Hospital City Cash price Negotiated range
UPMC Altoona Altoona $1,023.00 $30.21 – $1,364.00
UPMC Carlisle Carlisle $3,424.80 $393.41 – $4,851.80
UPMC Cole Coudersport $3,067.80 $995.51 – $4,090.40
UPMC Community Osteopathic Harrisburg $3,424.80 $50.29 – $4,851.80
UPMC Hamot Erie $2,550.60 $30.21 – $772.51
UPMC Hanover Hanover $3,424.80 $708.14 – $1,144.46
UPMC Lititz Lititz $3,424.80 $708.14 – $1,144.46
UPMC Magee Pittsburgh $1,150.80 $30.49 – $786.82

All Pennsylvania hospitals for this procedure →