Insertion of new/replacement ppm w/transvenous electrode(s) ventricular at WellSpan Chambersburg Hospital
112 N. 7th St., Chambersburg, PA · Wellspan · · NPI 1902804552
$30,291.20
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.
$37,864.00
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.
$576.48 with Highmark_Wholecare_Gateway_Medicaid vs $48,131.05 with Highmark — 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 | $576.48 | ↓ -98% |
| Geisinger_Medicaid | All_Plans | $576.48 | ↓ -98% |
| PA_Health_&_Wellness_Medicaid | All_Plans | $576.48 | ↓ -98% |
| Health_Partners_Medicaid | All_Other_Plans | $576.48 | ↓ -98% |
| Amerihealth_Caritas_Medicaid | All_Plans | $654.88 | ↓ -98% |
| UPMC_Medicaid | All_Plans | $970.00 | ↓ -97% |
| Blue_Cross_BlueJourney_Medicare | All_Plans | $10,820.10 | ↓ -64% |
| United_Medicaid | Community_Plan_For_Kids | $10,820.10 | ↓ -64% |
| Highmark_Medicare | All_Plans | $10,928.30 | ↓ -64% |
| Highmark_Wholecare_Gateway_Medicare | All_Plans | $10,928.30 | ↓ -64% |
| Aetna_Advantra_Medicare | All_Plans | $11,144.70 | ↓ -63% |
| Aetna_Medicare | All_Plans | $11,144.70 | ↓ -63% |
| Devoted_Medicare | All_Plans | $11,361.11 | ↓ -62% |
| United_Medicare | ISNP_DSNP_Plans | $11,361.11 | ↓ -62% |
| Amerihealth_Medicare | All_Plans | $11,415.21 | ↓ -62% |
| Geisinger_Gold_Medicare | All_Plans | $11,577.51 | ↓ -62% |
| Jefferson_Health_Medicare_Advantage | All_Plans | $11,685.71 | ↓ -61% |
| PA_Health_&_Wellness_Medicare | All_Plans | $11,685.71 | ↓ -61% |
| Blue_Cross | Capital_Blue_Performance_PPO | $13,939.00 | ↓ -54% |
| UPMC_Medicare | UPMC_for_Life_Community_HealthChoices | $14,066.13 | ↓ -54% |
| UPMC_Medicare | UPMC_for_Life_Complete_Care | $14,066.13 | ↓ -54% |
| Highmark | Higmark_Healthy_Kids | $16,339.43 | ↓ -46% |
| Health_Partners_Medicaid | Kidz_Partners | $17,853.17 | ↓ -41% |
| UPMC | UPMC_For_Kids | $22,718.40 | ↓ -25% |
| Aetna | All_Plans | $25,406.74 | ↓ -16% |
| WellSpan_Capital_Blue_Cross | All_Plans | $27,262.08 | ↓ -10% |
| Geisinger | All_Plans | $28,019.36 | ↓ -8% |
| Cigna | All_Plans | $28,201.11 | ↓ -7% |
| Aetna | PPO_Plan | $28,814.50 | ↓ -5% |
| Cigna | PPO_Plan | $29,613.43 | ↓ -2% |
| Blue_Cross | Capital_Cares_4_kids | $32,407.20 | ↑ +7% |
| United_Healthcare | All_Plans | $35,554.30 | ↑ +17% |
| First_Health_Network | All_Plans | $35,970.80 | ↑ +19% |
| Aetna_Better_Health_Kids | All_Plans | $36,788.34 | ↑ +21% |
| Blue_Cross | All_Other_Plans | $46,296.00 | ↑ +53% |
| Highmark | My_Direct_Blue | $48,131.05 | ↑ +59% |
| Performance_Blue | Blue_Cross_High_Performance_Network | $48,131.05 | ↑ +59% |
| Highmark | Shared_Cost_Blue_PPO | $48,131.05 | ↑ +59% |
| Highmark | Choice_Blue_PPO | $48,131.05 | ↑ +59% |
| Highmark | Blue_Cross_High_Performance_Network | $48,131.05 | ↑ +59% |
| Highmark | All_Other_Plans | $48,131.05 | ↑ +59% |
Visitor-reported prices
Comments
Insertion of new/replacement ppm w/transvenous electrode(s) ventricular at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $4,138.20 | $461.18 – $5,517.60 |
| UPMC Carlisle | Carlisle | $24,630.00 | $585.70 – $34,892.50 |
| UPMC Cole | Coudersport | $990.00 | $457.38 – $1,954.88 |
| UPMC Community Osteopathic | Harrisburg | $24,630.00 | $585.70 – $34,892.50 |
| UPMC East | Monroeville | $3,774.00 | $507.30 – $10,476.31 |
| UPMC Hamot | Erie | $10,378.80 | $507.30 – $14,511.47 |
| UPMC Hanover | Hanover | $24,630.00 | $585.70 – $15,996.05 |
| UPMC Jameson | New Castle | $17,091.00 | $507.30 – $13,469.54 |