Ins pm gen w/exist mlt leads at WellSpan Chambersburg Hospital
112 N. 7th St., Chambersburg, PA · Wellspan · · NPI 1902804552
$7,546.40
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.
?
What you pay up front if you don't use insurance.
$9,433.00
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.
$353.33 with Highmark_Wholecare_Gateway_Medicaid vs $87,710.11 with Highmark — 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 |
|---|---|---|---|
| Highmark_Wholecare_Gateway_Medicaid | All_Plans | $353.33 | ↓ -95% |
| UPMC | UPMC_For_Kids | $5,659.80 | ↓ -25% |
| Aetna | All_Plans | $6,329.54 | ↓ -16% |
| WellSpan_Capital_Blue_Cross | All_Plans | $6,791.76 | ↓ -10% |
| Geisinger | All_Plans | $6,980.42 | ↓ -8% |
| Cigna | All_Plans | $7,025.70 | ↓ -7% |
| Aetna | PPO_Plan | $7,178.51 | ↓ -5% |
| Cigna | PPO_Plan | $7,377.55 | ↓ -2% |
| United_Healthcare | All_Plans | $8,857.59 | ↑ +17% |
| First_Health_Network | All_Plans | $8,961.35 | ↑ +19% |
| Blue_Cross | Capital_Cares_4_kids | $13,072.50 | ↑ +73% |
| Blue_Cross | Capital_Blue_Performance_PPO | $13,939.00 | ↑ +85% |
| Blue_Cross | All_Other_Plans | $18,675.00 | ↑ +147% |
| Health_Partners_Medicaid | All_Other_Plans | $19,071.16 | ↑ +153% |
| United_Medicaid | Community_Plan_For_Kids | $19,717.67 | ↑ +161% |
| Blue_Cross_BlueJourney_Medicare | All_Plans | $19,717.67 | ↑ +161% |
| Highmark_Wholecare_Gateway_Medicare | All_Plans | $19,914.85 | ↑ +164% |
| Highmark_Medicare | All_Plans | $19,914.85 | ↑ +164% |
| Aetna_Medicare | All_Plans | $20,309.20 | ↑ +169% |
| Aetna_Advantra_Medicare | All_Plans | $20,309.20 | ↑ +169% |
| United_Medicare | ISNP_DSNP_Plans | $20,703.55 | ↑ +174% |
| Devoted_Medicare | All_Plans | $20,703.55 | ↑ +174% |
| Amerihealth_Medicare | All_Plans | $20,802.14 | ↑ +176% |
| Geisinger_Gold_Medicare | All_Plans | $21,097.91 | ↑ +180% |
| Jefferson_Health_Medicare_Advantage | All_Plans | $21,295.08 | ↑ +182% |
| PA_Health_&_Wellness_Medicare | All_Plans | $21,295.08 | ↑ +182% |
| UPMC_Medicare | UPMC_for_Life_Community_HealthChoices | $25,632.97 | ↑ +240% |
| UPMC_Medicare | UPMC_for_Life_Complete_Care | $25,632.97 | ↑ +240% |
| Highmark | Higmark_Healthy_Kids | $29,775.65 | ↑ +295% |
| Health_Partners_Medicaid | Kidz_Partners | $32,534.16 | ↑ +331% |
| Aetna_Better_Health_Kids | All_Plans | $67,040.08 | ↑ +788% |
| Performance_Blue | Blue_Cross_High_Performance_Network | $87,710.11 | ↑ +1062% |
| Highmark | My_Direct_Blue | $87,710.11 | ↑ +1062% |
| Highmark | Choice_Blue_PPO | $87,710.11 | ↑ +1062% |
| Highmark | Blue_Cross_High_Performance_Network | $87,710.11 | ↑ +1062% |
| Highmark | All_Other_Plans | $87,710.11 | ↑ +1062% |
| Highmark | Shared_Cost_Blue_PPO | $87,710.11 | ↑ +1062% |
Visitor-reported prices
Comments
Ins pm gen w/exist mlt leads at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $41,511.60 | $545.16 – $58,808.10 |
| UPMC Community Osteopathic | Harrisburg | $41,511.60 | $545.16 – $58,808.10 |
| UPMC Hamot | Erie | $2,586.00 | $450.02 – $26,444.52 |
| UPMC Hanover | Hanover | $41,511.60 | $545.16 – $29,149.89 |
| UPMC Lititz | Lititz | $41,511.60 | $545.16 – $29,307.34 |
| UPMC Memorial | York | $41,511.60 | $366.78 – $29,259.74 |
| UPMC Presbyterian | Pittsburgh | $40,853.40 | $454.30 – $20,000.27 |
| UPMC Somerset | Somerset | $41,511.60 | $445.46 – $19,634.81 |