MRI tmj at WellSpan Chambersburg Hospital
112 N. 7th St., Chambersburg, PA · Wellspan · · NPI 1902804552
$658.00
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.
$2,225.00
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.
$249.91 with United_Medicaid vs $3,042.74 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 |
|---|---|---|---|
| United_Medicaid | Community_Plan_For_Kids | $249.91 | ↓ -62% |
| Blue_Cross_BlueJourney_Medicare | All_Plans | $249.91 | ↓ -62% |
| Highmark_Wholecare_Gateway_Medicare | All_Plans | $252.41 | ↓ -62% |
| Highmark_Medicare | All_Plans | $252.41 | ↓ -62% |
| Aetna_Medicare | All_Plans | $257.41 | ↓ -61% |
| Aetna_Advantra_Medicare | All_Plans | $257.41 | ↓ -61% |
| United_Medicare | ISNP_DSNP_Plans | $262.41 | ↓ -60% |
| Devoted_Medicare | All_Plans | $262.41 | ↓ -60% |
| Amerihealth_Medicare | All_Plans | $263.66 | ↓ -60% |
| Geisinger_Gold_Medicare | All_Plans | $267.40 | ↓ -59% |
| Jefferson_Health_Medicare_Advantage | All_Plans | $269.90 | ↓ -59% |
| PA_Health_&_Wellness_Medicare | All_Plans | $269.90 | ↓ -59% |
| UPMC_Medicare | UPMC_for_Life_Community_HealthChoices | $324.88 | ↓ -51% |
| UPMC_Medicare | UPMC_for_Life_Complete_Care | $324.88 | ↓ -51% |
| UPMC_Medicaid | All_Plans | $330.69 | ↓ -50% |
| Highmark | Higmark_Healthy_Kids | $377.39 | ↓ -43% |
| Health_Partners_Medicaid | Kidz_Partners | $412.35 | ↓ -37% |
| Health_Partners_Medicaid | All_Other_Plans | $416.45 | ↓ -37% |
| Geisinger_Medicaid | All_Plans | $416.45 | ↓ -37% |
| Highmark_Wholecare_Gateway_Medicaid | All_Plans | $416.45 | ↓ -37% |
| PA_Health_&_Wellness_Medicaid | All_Plans | $416.45 | ↓ -37% |
| WellSpan_Capital_Blue_Cross | All_Plans | $467.00 | ↓ -29% |
| Amerihealth_Caritas_Medicaid | All_Plans | $473.09 | ↓ -28% |
| Blue_Cross | Capital_Blue_Performance_PPO | $499.00 | ↓ -24% |
| Aetna_Better_Health_Kids | All_Plans | $849.69 | ↑ +29% |
| Performance_Blue | Blue_Cross_High_Performance_Network | $1,111.67 | ↑ +69% |
| Highmark | Shared_Cost_Blue_PPO | $1,111.67 | ↑ +69% |
| Highmark | My_Direct_Blue | $1,111.67 | ↑ +69% |
| Highmark | Choice_Blue_PPO | $1,111.67 | ↑ +69% |
| Highmark | Blue_Cross_High_Performance_Network | $1,111.67 | ↑ +69% |
| Highmark | All_Other_Plans | $1,111.67 | ↑ +69% |
| UPMC | UPMC_For_Kids | $1,335.00 | ↑ +103% |
| United_Healthcare | All_Plans | $1,342.45 | ↑ +104% |
| Aetna | All_Plans | $1,492.98 | ↑ +127% |
| Cigna | All_Plans | $1,526.35 | ↑ +132% |
| Cigna | PPO_Plan | $1,602.67 | ↑ +144% |
| Geisinger | All_Plans | $1,646.50 | ↑ +150% |
| Aetna | PPO_Plan | $1,693.23 | ↑ +157% |
| First_Health_Network | All_Plans | $2,113.75 | ↑ +221% |
| Blue_Cross | Capital_Cares_4_kids | $2,129.93 | ↑ +224% |
| Blue_Cross | All_Other_Plans | $3,042.74 | ↑ +362% |
Visitor-reported prices
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MRI tmj at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $1,699.20 | $264.55 – $2,265.60 |
| UPMC Bedford | Everett | $1,705.20 | $83.15 – $2,557.80 |
| UPMC Carlisle | Carlisle | $1,656.00 | $228.92 – $2,346.00 |
| UPMC Cole | Coudersport | $1,240.20 | $304.21 – $1,653.60 |
| UPMC Community Osteopathic | Harrisburg | $1,656.00 | $235.40 – $2,346.00 |
| UPMC Hamot | Erie | $2,210.40 | $181.28 – $1,176.45 |
| UPMC Northwest | Seneca | $2,332.20 | $209.00 – $1,112.98 |
| UPMC Hanover | Hanover | $1,656.00 | $228.61 – $1,164.74 |