Psychotherapy patient individual therapy 60 minutes at WellSpan Chambersburg Hospital
112 N. 7th St., Chambersburg, PA · Wellspan · · NPI 1902804552
$503.20
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.
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What you pay up front if you don't use insurance.
$629.00
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.
$65.00 with Highmark_Wholecare_Gateway_Medicaid vs $738.95 with Performance_Blue — 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 |
|---|---|---|---|
| Highmark_Wholecare_Gateway_Medicaid | All_Plans | $65.00 | ↓ -87% |
| Blue_Cross | Capital_Cares_4_kids | $114.10 | ↓ -77% |
| Highmark_Wholecare_Gateway_Medicare | All_Plans | $147.58 | ↓ -71% |
| Blue_Cross | All_Other_Plans | $163.00 | ↓ -68% |
| Health_Partners_Medicaid | All_Other_Plans | $166.12 | ↓ -67% |
| United_Medicaid | Community_Plan_For_Kids | $166.12 | ↓ -67% |
| Blue_Cross_BlueJourney_Medicare | All_Plans | $166.12 | ↓ -67% |
| Highmark_Medicare | All_Plans | $167.78 | ↓ -67% |
| Aetna_Medicare | All_Plans | $171.10 | ↓ -66% |
| Aetna_Advantra_Medicare | All_Plans | $171.10 | ↓ -66% |
| United_Medicare | ISNP_DSNP_Plans | $174.43 | ↓ -65% |
| Devoted_Medicare | All_Plans | $174.43 | ↓ -65% |
| Amerihealth_Medicare | All_Plans | $175.26 | ↓ -65% |
| Geisinger_Gold_Medicare | All_Plans | $177.75 | ↓ -65% |
| PA_Health_&_Wellness_Medicare | All_Plans | $179.41 | ↓ -64% |
| Jefferson_Health_Medicare_Advantage | All_Plans | $179.41 | ↓ -64% |
| UPMC_Medicare | UPMC_for_Life_Community_HealthChoices | $215.96 | ↓ -57% |
| UPMC_Medicare | UPMC_for_Life_Complete_Care | $215.96 | ↓ -57% |
| Highmark | Higmark_Healthy_Kids | $250.86 | ↓ -50% |
| Health_Partners_Medicaid | Kidz_Partners | $274.10 | ↓ -46% |
| UPMC | UPMC_For_Kids | $377.40 | ↓ -25% |
| Aetna | All_Plans | $422.06 | ↓ -16% |
| WellSpan_Capital_Blue_Cross | All_Plans | $452.88 | ↓ -10% |
| Geisinger | All_Plans | $465.46 | ↓ -8% |
| Cigna | All_Plans | $468.48 | ↓ -7% |
| Aetna | PPO_Plan | $478.67 | ↓ -5% |
| Cigna | PPO_Plan | $491.94 | ↓ -2% |
| Aetna_Better_Health_Kids | All_Plans | $564.81 | ↑ +12% |
| United_Healthcare | All_Plans | $590.63 | ↑ +17% |
| First_Health_Network | All_Plans | $597.55 | ↑ +19% |
| Highmark | All_Other_Plans | $738.95 | ↑ +47% |
| Highmark | Blue_Cross_High_Performance_Network | $738.95 | ↑ +47% |
| Highmark | Choice_Blue_PPO | $738.95 | ↑ +47% |
| Highmark | My_Direct_Blue | $738.95 | ↑ +47% |
| Highmark | Shared_Cost_Blue_PPO | $738.95 | ↑ +47% |
| Performance_Blue | Blue_Cross_High_Performance_Network | $738.95 | ↑ +47% |
Visitor-reported prices
Comments
Psychotherapy patient individual therapy 60 minutes at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $302.40 | $66.04 – $428.40 |
| UPMC Community Osteopathic | Harrisburg | $302.40 | $66.04 – $428.40 |
| UPMC Hanover | Hanover | $302.40 | $66.04 – $245.58 |
| UPMC Jameson | New Castle | $237.60 | $57.20 – $261.04 |
| UPMC Lititz | Lititz | $302.40 | $66.04 – $246.91 |
| UPMC Memorial | York | $302.40 | $66.04 – $246.51 |
| UPMC Presbyterian | Pittsburgh | $254.40 | $57.20 – $258.96 |
| UPMC Somerset | Somerset | $302.40 | $57.20 – $166.92 |