Kit lead specify 5-6-5 at WellSpan Chambersburg Hospital
112 N. 7th St., Chambersburg, PA · Wellspan · · NPI 1902804552
$10,956.00
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.
$13,695.00
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.
$60.59 with UPMC vs $1,392.19 with UPMC_Medicare — 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 |
|---|---|---|---|
| UPMC | UPMC_For_Kids | $60.59 | ↓ -99% |
| Aetna | All_Plans | $67.76 | ↓ -99% |
| WellSpan_Capital_Blue_Cross | All_Plans | $72.71 | ↓ -99% |
| Geisinger | All_Plans | $74.73 | ↓ -99% |
| Cigna | All_Plans | $75.21 | ↓ -99% |
| Aetna | PPO_Plan | $76.85 | ↓ -99% |
| Cigna | PPO_Plan | $78.98 | ↓ -99% |
| United_Healthcare | All_Plans | $94.82 | ↓ -99% |
| First_Health_Network | All_Plans | $95.93 | ↓ -99% |
| UPMC_Medicare | UPMC_for_Life_Complete_Care | $1,392.19 | ↓ -87% |
| UPMC_Medicare | UPMC_for_Life_Community_HealthChoices | $1,392.19 | ↓ -87% |
Visitor-reported prices
Comments
Kit lead specify 5-6-5 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $25,039.80 | $37.62 – $13,170.92 |
| UPMC Bedford | Everett | $7,272.00 | $38.00 – $13,170.92 |
| UPMC Cole | Coudersport | $18,036.00 | $5,711.40 – $24,048.00 |
| UPMC East | Monroeville | $21,221.40 | $133.00 – $13,170.92 |
| UPMC Hamot | Erie | $24,616.20 | $2,153.59 – $2,153.59 |
| UPMC Northwest | Seneca | $7,816.20 | $5,589.39 – $15,937.99 |
| UPMC Horizon-Greenville | Greenville | $11,638.80 | $5,488.59 – $13,170.92 |
| UPMC Jameson | New Castle | $7,176.60 | $582.60 – $13,170.92 |