Insertion of new/replacement ppm w/transvenous electrode(s) atrial & ventricular at WellSpan Chambersburg Hospital
112 N. 7th St., Chambersburg, PA · Wellspan · · NPI 1902804552
$32,084.00
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.
$40,105.00
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.
$578.84 with Geisinger_Medicaid vs $48,131.05 with Performance_Blue — 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 |
|---|---|---|---|
| Geisinger_Medicaid | All_Plans | $578.84 | ↓ -98% |
| PA_Health_&_Wellness_Medicaid | All_Plans | $578.84 | ↓ -98% |
| Highmark_Wholecare_Gateway_Medicaid | All_Plans | $578.84 | ↓ -98% |
| Health_Partners_Medicaid | All_Other_Plans | $578.84 | ↓ -98% |
| Amerihealth_Caritas_Medicaid | All_Plans | $657.56 | ↓ -98% |
| United_Medicaid | Community_Plan_For_Kids | $10,820.10 | ↓ -66% |
| Blue_Cross_BlueJourney_Medicare | All_Plans | $10,820.10 | ↓ -66% |
| Highmark_Medicare | All_Plans | $10,928.30 | ↓ -66% |
| Highmark_Wholecare_Gateway_Medicare | All_Plans | $10,928.30 | ↓ -66% |
| Aetna_Advantra_Medicare | All_Plans | $11,144.70 | ↓ -65% |
| Aetna_Medicare | All_Plans | $11,144.70 | ↓ -65% |
| United_Medicare | ISNP_DSNP_Plans | $11,361.11 | ↓ -65% |
| Devoted_Medicare | All_Plans | $11,361.11 | ↓ -65% |
| Amerihealth_Medicare | All_Plans | $11,415.21 | ↓ -64% |
| Geisinger_Gold_Medicare | All_Plans | $11,577.51 | ↓ -64% |
| Jefferson_Health_Medicare_Advantage | All_Plans | $11,685.71 | ↓ -64% |
| PA_Health_&_Wellness_Medicare | All_Plans | $11,685.71 | ↓ -64% |
| Blue_Cross | Capital_Blue_Performance_PPO | $13,939.00 | ↓ -57% |
| UPMC_Medicare | UPMC_for_Life_Community_HealthChoices | $14,066.13 | ↓ -56% |
| UPMC_Medicare | UPMC_for_Life_Complete_Care | $14,066.13 | ↓ -56% |
| Highmark | Higmark_Healthy_Kids | $16,339.43 | ↓ -49% |
| Health_Partners_Medicaid | Kidz_Partners | $17,853.17 | ↓ -44% |
| UPMC | UPMC_For_Kids | $24,063.00 | ↓ -25% |
| Aetna | All_Plans | $26,910.46 | ↓ -16% |
| WellSpan_Capital_Blue_Cross | All_Plans | $28,875.60 | ↓ -10% |
| Geisinger | All_Plans | $29,677.70 | ↓ -8% |
| Cigna | All_Plans | $29,870.20 | ↓ -7% |
| Aetna | PPO_Plan | $30,519.91 | ↓ -5% |
| Cigna | PPO_Plan | $31,366.12 | ↓ -2% |
| Aetna_Better_Health_Kids | All_Plans | $36,788.34 | ↑ +15% |
| United_Healthcare | All_Plans | $37,658.60 | ↑ +17% |
| First_Health_Network | All_Plans | $38,099.75 | ↑ +19% |
| Highmark | All_Other_Plans | $48,131.05 | ↑ +50% |
| Highmark | Blue_Cross_High_Performance_Network | $48,131.05 | ↑ +50% |
| Highmark | Choice_Blue_PPO | $48,131.05 | ↑ +50% |
| Highmark | My_Direct_Blue | $48,131.05 | ↑ +50% |
| Highmark | Shared_Cost_Blue_PPO | $48,131.05 | ↑ +50% |
| Performance_Blue | Blue_Cross_High_Performance_Network | $48,131.05 | ↑ +50% |
Visitor-reported prices
Comments
Insertion of new/replacement ppm w/transvenous electrode(s) atrial & ventricular at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $12,450.60 | $463.07 – $16,600.80 |
| UPMC Carlisle | Carlisle | $25,401.60 | $588.10 – $35,985.60 |
| UPMC Cole | Coudersport | $1,003.20 | $463.48 – $1,954.88 |
| UPMC Community Osteopathic | Harrisburg | $25,401.60 | $588.10 – $35,985.60 |
| UPMC East | Monroeville | $3,822.60 | $509.38 – $10,476.31 |
| UPMC Hamot | Erie | $12,843.00 | $509.38 – $14,511.47 |
| UPMC Hanover | Hanover | $25,401.60 | $588.10 – $15,996.05 |
| UPMC Jameson | New Castle | $18,378.00 | $509.38 – $13,469.54 |