Pr biopsy skin punch single lesion at WellSpan Chambersburg Hospital
112 N. 7th St., Chambersburg, PA · Wellspan · · NPI 1902804552
$756.00
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.
?
What you pay up front if you don't use insurance.
$945.00
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.
$50.53 with UPMC_Medicaid vs $1,837.46 with Performance_Blue — 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 | $50.53 | ↓ -93% |
| PA_Health_&_Wellness_Medicaid | All_Plans | $50.54 | ↓ -93% |
| Highmark_Wholecare_Gateway_Medicaid | All_Plans | $50.54 | ↓ -93% |
| Health_Partners_Medicaid | All_Other_Plans | $50.54 | ↓ -93% |
| Geisinger_Medicaid | All_Plans | $50.54 | ↓ -93% |
| Amerihealth_Caritas_Medicaid | All_Plans | $57.41 | ↓ -92% |
| Blue_Cross_BlueJourney_Medicare | All_Plans | $413.07 | ↓ -45% |
| United_Medicaid | Community_Plan_For_Kids | $413.07 | ↓ -45% |
| Highmark_Medicare | All_Plans | $417.20 | ↓ -45% |
| Highmark_Wholecare_Gateway_Medicare | All_Plans | $417.20 | ↓ -45% |
| Aetna_Medicare | All_Plans | $425.46 | ↓ -44% |
| Aetna_Advantra_Medicare | All_Plans | $425.46 | ↓ -44% |
| Devoted_Medicare | All_Plans | $433.72 | ↓ -43% |
| United_Medicare | ISNP_DSNP_Plans | $433.72 | ↓ -43% |
| Amerihealth_Medicare | All_Plans | $435.79 | ↓ -42% |
| Geisinger_Gold_Medicare | All_Plans | $441.98 | ↓ -42% |
| PA_Health_&_Wellness_Medicare | All_Plans | $446.12 | ↓ -41% |
| Jefferson_Health_Medicare_Advantage | All_Plans | $446.12 | ↓ -41% |
| UPMC_Medicare | UPMC_for_Life_Complete_Care | $536.99 | ↓ -29% |
| UPMC_Medicare | UPMC_for_Life_Community_HealthChoices | $536.99 | ↓ -29% |
| UPMC | UPMC_For_Kids | $567.00 | ↓ -25% |
| Highmark | Higmark_Healthy_Kids | $623.78 | ↓ -17% |
| Aetna | All_Plans | $634.10 | ↓ -16% |
| WellSpan_Capital_Blue_Cross | All_Plans | $680.40 | ↓ -10% |
| Health_Partners_Medicaid | Kidz_Partners | $681.57 | ↓ -10% |
| Geisinger | All_Plans | $699.30 | ↓ -8% |
| Cigna | All_Plans | $703.84 | ↓ -7% |
| Aetna | PPO_Plan | $719.15 | ↓ -5% |
| Cigna | PPO_Plan | $739.08 | ↓ -2% |
| United_Healthcare | All_Plans | $887.36 | ↑ +17% |
| First_Health_Network | All_Plans | $897.75 | ↑ +19% |
| Aetna_Better_Health_Kids | All_Plans | $1,404.44 | ↑ +86% |
| Highmark | Shared_Cost_Blue_PPO | $1,837.46 | ↑ +143% |
| Highmark | My_Direct_Blue | $1,837.46 | ↑ +143% |
| Highmark | Choice_Blue_PPO | $1,837.46 | ↑ +143% |
| Highmark | Blue_Cross_High_Performance_Network | $1,837.46 | ↑ +143% |
| Highmark | All_Other_Plans | $1,837.46 | ↑ +143% |
| Performance_Blue | Blue_Cross_High_Performance_Network | $1,837.46 | ↑ +143% |
Visitor-reported prices
Comments
Pr biopsy skin punch single lesion at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $613.80 | $40.43 – $818.40 |
| UPMC Bedford | Everett | $1,385.40 | $42.45 – $2,078.10 |
| UPMC Carlisle | Carlisle | $690.60 | $51.35 – $1,016.56 |
| UPMC Cole | Coudersport | $478.20 | $36.59 – $2,094.25 |
| UPMC Community Osteopathic | Harrisburg | $690.60 | $51.35 – $1,016.56 |
| UPMC East | Monroeville | $823.80 | $44.47 – $1,098.40 |
| UPMC Hamot | Erie | $857.40 | $44.47 – $554.00 |
| UPMC Northwest | Seneca | $658.20 | $44.47 – $399.94 |