Repair lip full thkns >one-half vert height/cmplx at WellSpan Chambersburg Hospital
112 N. 7th St., Chambersburg, PA · Wellspan · · NPI 1902804552
$2,312.80
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.
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What you pay up front if you don't use insurance.
$2,891.00
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.
$460.33 with UPMC_Medicaid vs $6,812.57 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 |
|---|---|---|---|
| UPMC_Medicaid | All_Plans | $460.33 | ↓ -80% |
| PA_Health_&_Wellness_Medicaid | All_Plans | $460.33 | ↓ -80% |
| Highmark_Wholecare_Gateway_Medicaid | All_Plans | $460.33 | ↓ -80% |
| Health_Partners_Medicaid | All_Other_Plans | $460.33 | ↓ -80% |
| Geisinger_Medicaid | All_Plans | $460.33 | ↓ -80% |
| Amerihealth_Caritas_Medicaid | All_Plans | $522.93 | ↓ -77% |
| Blue_Cross_BlueJourney_Medicare | All_Plans | $1,531.50 | ↓ -34% |
| United_Medicaid | Community_Plan_For_Kids | $1,531.50 | ↓ -34% |
| Highmark_Medicare | All_Plans | $1,546.82 | ↓ -33% |
| Highmark_Wholecare_Gateway_Medicare | All_Plans | $1,546.82 | ↓ -33% |
| Aetna_Medicare | All_Plans | $1,577.45 | ↓ -32% |
| Aetna_Advantra_Medicare | All_Plans | $1,577.45 | ↓ -32% |
| Devoted_Medicare | All_Plans | $1,608.08 | ↓ -30% |
| United_Medicare | ISNP_DSNP_Plans | $1,608.08 | ↓ -30% |
| Amerihealth_Medicare | All_Plans | $1,615.73 | ↓ -30% |
| Geisinger_Gold_Medicare | All_Plans | $1,638.71 | ↓ -29% |
| PA_Health_&_Wellness_Medicare | All_Plans | $1,654.02 | ↓ -28% |
| Jefferson_Health_Medicare_Advantage | All_Plans | $1,654.02 | ↓ -28% |
| UPMC | UPMC_For_Kids | $1,734.60 | ↓ -25% |
| Aetna | All_Plans | $1,939.86 | ↓ -16% |
| UPMC_Medicare | UPMC_for_Life_Complete_Care | $1,990.95 | ↓ -14% |
| UPMC_Medicare | UPMC_for_Life_Community_HealthChoices | $1,990.95 | ↓ -14% |
| WellSpan_Capital_Blue_Cross | All_Plans | $2,081.52 | ↓ -10% |
| Geisinger | All_Plans | $2,139.34 | ↓ -8% |
| Cigna | All_Plans | $2,153.22 | ↓ -7% |
| Aetna | PPO_Plan | $2,200.05 | ↓ -5% |
| Cigna | PPO_Plan | $2,261.05 | ↓ -2% |
| Highmark | Higmark_Healthy_Kids | $2,312.72 | ↓ -0% |
| Health_Partners_Medicaid | Kidz_Partners | $2,526.98 | ↑ +9% |
| United_Healthcare | All_Plans | $2,714.65 | ↑ +17% |
| First_Health_Network | All_Plans | $2,746.45 | ↑ +19% |
| Aetna_Better_Health_Kids | All_Plans | $5,207.10 | ↑ +125% |
| Highmark | Shared_Cost_Blue_PPO | $6,812.57 | ↑ +195% |
| Highmark | My_Direct_Blue | $6,812.57 | ↑ +195% |
| Highmark | Choice_Blue_PPO | $6,812.57 | ↑ +195% |
| Highmark | Blue_Cross_High_Performance_Network | $6,812.57 | ↑ +195% |
| Highmark | All_Other_Plans | $6,812.57 | ↑ +195% |
| Performance_Blue | Blue_Cross_High_Performance_Network | $6,812.57 | ↑ +195% |
Visitor-reported prices
Comments
Repair lip full thkns >one-half vert height/cmplx at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $2,046.00 | $467.17 – $2,898.50 |
| UPMC Community Osteopathic | Harrisburg | $2,046.00 | $467.69 – $2,898.50 |
| UPMC Hamot | Erie | $4,856.40 | $405.09 – $2,053.97 |
| UPMC Hanover | Hanover | $2,046.00 | $467.69 – $2,264.11 |
| UPMC Jameson | New Castle | $3,645.60 | $405.09 – $1,906.50 |
| UPMC Lititz | Lititz | $2,046.00 | $467.69 – $2,276.34 |
| UPMC McKeesport | Mckeesport | $4,060.80 | $405.09 – $1,600.15 |
| UPMC Memorial | York | $2,046.00 | $467.69 – $2,272.64 |