Injection(s) trigger point(s) single/multiple 1 or 2 muscle(s) at WellSpan Chambersburg Hospital
112 N. 7th St., Chambersburg, PA · Wellspan · · NPI 1902804552
$548.80
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.
$686.00
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.
$38.83 with Highmark_Wholecare_Gateway_Medicaid vs $1,900.00 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 | $38.83 | ↓ -93% |
| Geisinger_Medicaid | All_Plans | $38.83 | ↓ -93% |
| PA_Health_&_Wellness_Medicaid | All_Plans | $38.83 | ↓ -93% |
| Health_Partners_Medicaid | All_Other_Plans | $38.83 | ↓ -93% |
| UPMC_Medicaid | All_Plans | $38.83 | ↓ -93% |
| Amerihealth_Caritas_Medicaid | All_Plans | $44.11 | ↓ -92% |
| Blue_Cross_BlueJourney_Medicare | All_Plans | $305.20 | ↓ -44% |
| United_Medicaid | Community_Plan_For_Kids | $305.20 | ↓ -44% |
| Highmark_Medicare | All_Plans | $308.25 | ↓ -44% |
| Highmark_Wholecare_Gateway_Medicare | All_Plans | $308.25 | ↓ -44% |
| Aetna_Advantra_Medicare | All_Plans | $314.36 | ↓ -43% |
| Aetna_Medicare | All_Plans | $314.36 | ↓ -43% |
| Devoted_Medicare | All_Plans | $320.46 | ↓ -42% |
| United_Medicare | ISNP_DSNP_Plans | $320.46 | ↓ -42% |
| Amerihealth_Medicare | All_Plans | $321.99 | ↓ -41% |
| Geisinger_Gold_Medicare | All_Plans | $326.56 | ↓ -40% |
| PA_Health_&_Wellness_Medicare | All_Plans | $329.62 | ↓ -40% |
| Jefferson_Health_Medicare_Advantage | All_Plans | $329.62 | ↓ -40% |
| UPMC_Medicare | UPMC_for_Life_Community_HealthChoices | $396.76 | ↓ -28% |
| UPMC_Medicare | UPMC_for_Life_Complete_Care | $396.76 | ↓ -28% |
| UPMC | UPMC_For_Kids | $411.60 | ↓ -25% |
| Aetna | All_Plans | $460.31 | ↓ -16% |
| Highmark | Higmark_Healthy_Kids | $460.88 | ↓ -16% |
| WellSpan_Capital_Blue_Cross | All_Plans | $493.92 | ↓ -10% |
| Health_Partners_Medicaid | Kidz_Partners | $503.58 | ↓ -8% |
| Geisinger | All_Plans | $507.64 | ↓ -8% |
| Cigna | All_Plans | $510.93 | ↓ -7% |
| Aetna | PPO_Plan | $522.05 | ↓ -5% |
| Cigna | PPO_Plan | $536.52 | ↓ -2% |
| United_Healthcare | All_Plans | $644.15 | ↑ +17% |
| First_Health_Network | All_Plans | $651.70 | ↑ +19% |
| Aetna_Better_Health_Kids | All_Plans | $1,037.68 | ↑ +89% |
| Blue_Cross | Capital_Cares_4_kids | $1,330.00 | ↑ +142% |
| Highmark | All_Other_Plans | $1,357.62 | ↑ +147% |
| Highmark | Shared_Cost_Blue_PPO | $1,357.62 | ↑ +147% |
| Highmark | My_Direct_Blue | $1,357.62 | ↑ +147% |
| Highmark | Choice_Blue_PPO | $1,357.62 | ↑ +147% |
| Highmark | Blue_Cross_High_Performance_Network | $1,357.62 | ↑ +147% |
| Performance_Blue | Blue_Cross_High_Performance_Network | $1,357.62 | ↑ +147% |
| Blue_Cross | Capital_Blue_Performance_PPO | $1,419.00 | ↑ +159% |
| Blue_Cross | All_Other_Plans | $1,900.00 | ↑ +246% |
Visitor-reported prices
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Injection(s) trigger point(s) single/multiple 1 or 2 muscle(s) at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $454.20 | $31.06 – $605.60 |
| UPMC Bedford | Everett | $402.00 | $32.61 – $603.00 |
| UPMC Carlisle | Carlisle | $396.60 | $39.45 – $561.85 |
| UPMC Cole | Coudersport | $183.00 | $11.64 – $116.19 |
| UPMC Community Osteopathic | Harrisburg | $396.60 | $39.45 – $561.85 |
| UPMC East | Monroeville | $401.40 | $34.17 – $535.20 |
| UPMC Hamot | Erie | $532.80 | $34.17 – $409.31 |
| UPMC Northwest | Seneca | $571.20 | $34.17 – $295.50 |