Noninv pace analysis at WellSpan Chambersburg Hospital
112 N. 7th St., Chambersburg, PA · Wellspan · · NPI 1902804552
$1,812.80
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.
$2,266.00
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.
$55.40 with UPMC_Medicaid vs $3,467.00 with Blue_Cross — 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 |
|---|---|---|---|
| UPMC_Medicaid | All_Plans | $55.40 | ↓ -97% |
| Blue_Cross_BlueJourney_Medicare | All_Plans | $310.08 | ↓ -83% |
| United_Medicaid | Community_Plan_For_Kids | $310.08 | ↓ -83% |
| Highmark_Medicare | All_Plans | $313.18 | ↓ -83% |
| Highmark_Wholecare_Gateway_Medicare | All_Plans | $313.18 | ↓ -83% |
| Aetna_Medicare | All_Plans | $319.38 | ↓ -82% |
| Aetna_Advantra_Medicare | All_Plans | $319.38 | ↓ -82% |
| Devoted_Medicare | All_Plans | $325.58 | ↓ -82% |
| United_Medicare | ISNP_DSNP_Plans | $325.58 | ↓ -82% |
| Amerihealth_Medicare | All_Plans | $327.13 | ↓ -82% |
| Geisinger_Gold_Medicare | All_Plans | $331.79 | ↓ -82% |
| Jefferson_Health_Medicare_Advantage | All_Plans | $334.89 | ↓ -82% |
| PA_Health_&_Wellness_Medicare | All_Plans | $334.89 | ↓ -82% |
| Geisinger_Medicaid | All_Plans | $369.53 | ↓ -80% |
| Highmark_Wholecare_Gateway_Medicaid | All_Plans | $369.53 | ↓ -80% |
| Health_Partners_Medicaid | All_Other_Plans | $369.53 | ↓ -80% |
| PA_Health_&_Wellness_Medicaid | All_Plans | $369.53 | ↓ -80% |
| UPMC_Medicare | UPMC_for_Life_Community_HealthChoices | $403.10 | ↓ -78% |
| UPMC_Medicare | UPMC_for_Life_Complete_Care | $403.10 | ↓ -78% |
| Amerihealth_Caritas_Medicaid | All_Plans | $419.78 | ↓ -77% |
| Highmark | Higmark_Healthy_Kids | $468.25 | ↓ -74% |
| Health_Partners_Medicaid | Kidz_Partners | $511.63 | ↓ -72% |
| Aetna_Better_Health_Kids | All_Plans | $1,054.27 | ↓ -42% |
| UPMC | UPMC_For_Kids | $1,359.60 | ↓ -25% |
| Highmark | Choice_Blue_PPO | $1,379.33 | ↓ -24% |
| Highmark | Blue_Cross_High_Performance_Network | $1,379.33 | ↓ -24% |
| Highmark | All_Other_Plans | $1,379.33 | ↓ -24% |
| Performance_Blue | Blue_Cross_High_Performance_Network | $1,379.33 | ↓ -24% |
| Highmark | Shared_Cost_Blue_PPO | $1,379.33 | ↓ -24% |
| Highmark | My_Direct_Blue | $1,379.33 | ↓ -24% |
| Aetna | All_Plans | $1,520.49 | ↓ -16% |
| WellSpan_Capital_Blue_Cross | All_Plans | $1,631.52 | ↓ -10% |
| Geisinger | All_Plans | $1,676.84 | ↓ -8% |
| Cigna | All_Plans | $1,687.72 | ↓ -7% |
| Aetna | PPO_Plan | $1,724.43 | ↓ -5% |
| Cigna | PPO_Plan | $1,772.24 | ↓ -2% |
| United_Healthcare | All_Plans | $2,127.77 | ↑ +17% |
| First_Health_Network | All_Plans | $2,152.70 | ↑ +19% |
| Blue_Cross | Capital_Cares_4_kids | $2,426.90 | ↑ +34% |
| Blue_Cross | Capital_Blue_Performance_PPO | $2,587.00 | ↑ +43% |
| Blue_Cross | All_Other_Plans | $3,467.00 | ↑ +91% |
Visitor-reported prices
Comments
Noninv pace analysis at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $1,002.00 | $58.06 – $1,419.50 |
| UPMC Community Osteopathic | Harrisburg | $1,002.00 | $58.06 – $1,419.50 |
| UPMC Hamot | Erie | $2,135.40 | $325.18 – $1,085.97 |
| UPMC Hanover | Hanover | $1,002.00 | $58.06 – $1,070.46 |
| UPMC Lititz | Lititz | $1,002.00 | $58.06 – $1,056.58 |
| UPMC Memorial | York | $1,002.00 | $58.06 – $1,070.46 |
| UPMC Somerset | Somerset | $1,002.00 | $50.97 – $1,009.62 |