Repair pm/icd lead sgl at WellSpan Chambersburg Hospital
112 N. 7th St., Chambersburg, PA · Wellspan · · NPI 1902804552
$14,596.00
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.
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What you pay up front if you don't use insurance.
$18,245.00
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.
$455.53 with Geisinger_Medicaid vs $17,332.75 with First_Health_Network — 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 |
|---|---|---|---|
| Geisinger_Medicaid | All_Plans | $455.53 | ↓ -97% |
| PA_Health_&_Wellness_Medicaid | All_Plans | $455.53 | ↓ -97% |
| Highmark_Wholecare_Gateway_Medicaid | All_Plans | $455.53 | ↓ -97% |
| Health_Partners_Medicaid | All_Other_Plans | $455.53 | ↓ -97% |
| Amerihealth_Caritas_Medicaid | All_Plans | $517.48 | ↓ -96% |
| United_Medicaid | Community_Plan_For_Kids | $3,762.67 | ↓ -74% |
| Blue_Cross_BlueJourney_Medicare | All_Plans | $3,762.67 | ↓ -74% |
| Highmark_Medicare | All_Plans | $3,800.30 | ↓ -74% |
| Highmark_Wholecare_Gateway_Medicare | All_Plans | $3,800.30 | ↓ -74% |
| Aetna_Advantra_Medicare | All_Plans | $3,875.55 | ↓ -73% |
| Aetna_Medicare | All_Plans | $3,875.55 | ↓ -73% |
| Devoted_Medicare | All_Plans | $3,950.80 | ↓ -73% |
| United_Medicare | ISNP_DSNP_Plans | $3,950.80 | ↓ -73% |
| Amerihealth_Medicare | All_Plans | $3,969.62 | ↓ -73% |
| Geisinger_Gold_Medicare | All_Plans | $4,026.06 | ↓ -72% |
| Jefferson_Health_Medicare_Advantage | All_Plans | $4,063.68 | ↓ -72% |
| PA_Health_&_Wellness_Medicare | All_Plans | $4,063.68 | ↓ -72% |
| UPMC_Medicare | UPMC_for_Life_Complete_Care | $4,891.47 | ↓ -66% |
| UPMC_Medicare | UPMC_for_Life_Community_HealthChoices | $4,891.47 | ↓ -66% |
| Highmark | Higmark_Healthy_Kids | $5,682.01 | ↓ -61% |
| Health_Partners_Medicaid | Kidz_Partners | $6,208.41 | ↓ -57% |
| UPMC | UPMC_For_Kids | $10,947.00 | ↓ -25% |
| Aetna | All_Plans | $12,242.40 | ↓ -16% |
| Aetna_Better_Health_Kids | All_Plans | $12,793.08 | ↓ -12% |
| WellSpan_Capital_Blue_Cross | All_Plans | $13,136.40 | ↓ -10% |
| Geisinger | All_Plans | $13,501.30 | ↓ -8% |
| Cigna | All_Plans | $13,588.88 | ↓ -7% |
| Aetna | PPO_Plan | $13,884.45 | ↓ -5% |
| Blue_Cross | Capital_Blue_Performance_PPO | $13,939.00 | ↓ -5% |
| Cigna | PPO_Plan | $14,269.41 | ↓ -2% |
| Performance_Blue | Blue_Cross_High_Performance_Network | $16,737.48 | ↑ +15% |
| Highmark | Shared_Cost_Blue_PPO | $16,737.48 | ↑ +15% |
| Highmark | My_Direct_Blue | $16,737.48 | ↑ +15% |
| Highmark | Choice_Blue_PPO | $16,737.48 | ↑ +15% |
| Highmark | Blue_Cross_High_Performance_Network | $16,737.48 | ↑ +15% |
| Highmark | All_Other_Plans | $16,737.48 | ↑ +15% |
| United_Healthcare | All_Plans | $17,132.06 | ↑ +17% |
| First_Health_Network | All_Plans | $17,332.75 | ↑ +19% |
Visitor-reported prices
Comments
Repair pm/icd lead sgl at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $4,523.40 | $462.81 – $6,408.15 |
| UPMC Community Osteopathic | Harrisburg | $4,523.40 | $462.81 – $6,408.15 |
| UPMC Hamot | Erie | $3,993.00 | $400.86 – $4,324.74 |
| UPMC Hanover | Hanover | $4,523.40 | $462.81 – $5,562.59 |
| UPMC Lititz | Lititz | $4,523.40 | $462.81 – $5,592.64 |
| UPMC Memorial | York | $4,523.40 | $462.81 – $5,583.55 |
| UPMC Presbyterian | Pittsburgh | $4,941.60 | $400.86 – $3,816.60 |
| UPMC Somerset | Somerset | $4,523.40 | $400.86 – $3,469.64 |