Ot evaluation low complexity patient/family at WellSpan Chambersburg Hospital
112 N. 7th St., Chambersburg, PA · Wellspan · · NPI 1902804552
$335.20
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.
?
What you pay up front if you don't use insurance.
$419.00
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.
$56.80 with Amerihealth_Caritas_Medicaid vs $398.05 with First_Health_Network — 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 |
|---|---|---|---|
| Amerihealth_Caritas_Medicaid | All_Plans | $56.80 | ↓ -83% |
| UPMC_Medicaid | All_Plans | $77.16 | ↓ -77% |
| PA_Health_&_Wellness_Medicaid | All_Plans | $77.16 | ↓ -77% |
| Highmark_Wholecare_Gateway_Medicaid | All_Plans | $77.16 | ↓ -77% |
| Health_Partners_Medicaid | All_Other_Plans | $77.16 | ↓ -77% |
| Geisinger_Medicaid | All_Plans | $77.16 | ↓ -77% |
| Blue_Cross | Capital_Cares_4_kids | $241.39 | ↓ -28% |
| UPMC | UPMC_For_Kids | $251.40 | ↓ -25% |
| Aetna | All_Plans | $281.15 | ↓ -16% |
| WellSpan_Capital_Blue_Cross | All_Plans | $301.68 | ↓ -10% |
| Geisinger | All_Plans | $310.06 | ↓ -8% |
| Cigna | All_Plans | $312.07 | ↓ -7% |
| Aetna | PPO_Plan | $318.86 | ↓ -5% |
| Blue_Cross | Capital_Blue_Performance_PPO | $325.00 | ↓ -3% |
| Cigna | PPO_Plan | $327.70 | ↓ -2% |
| Blue_Cross | All_Other_Plans | $344.84 | ↑ +3% |
| United_Healthcare | All_Plans | $393.44 | ↑ +17% |
| First_Health_Network | All_Plans | $398.05 | ↑ +19% |
Visitor-reported prices
Comments
Ot evaluation low complexity patient/family at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $226.80 | $50.04 – $302.40 |
| UPMC Bedford | Everett | $299.40 | $101.56 – $449.10 |
| UPMC Carlisle | Carlisle | $226.80 | $51.79 – $387.00 |
| UPMC Cole | Coudersport | $281.40 | $84.11 – $375.20 |
| UPMC Community Osteopathic | Harrisburg | $226.80 | $75.60 – $321.30 |
| UPMC East | Monroeville | $411.60 | $50.52 – $548.80 |
| UPMC Hamot | Erie | $307.80 | $50.04 – $177.27 |
| UPMC Northwest | Seneca | $272.40 | $101.56 – $250.66 |