Risperidone microspheres 12.5 mg/2 ml inj at WellSpan Chambersburg Hospital
112 N. 7th St., Chambersburg, PA · Wellspan · · NPI 1902804552
$2,530.60
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.
$3,163.25
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.
$11.91 with Blue_Cross vs $2,441.67 with Highmark — 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 |
|---|---|---|---|
| Blue_Cross | Capital_Blue_Performance_PPO | $11.91 | ↓ -100% |
| WellSpan_Capital_Blue_Cross | All_Plans | $12.95 | ↓ -99% |
| Blue_Cross | Capital_Cares_4_kids | $416.85 | ↓ -84% |
| Health_Partners_Medicaid | All_Other_Plans | $548.90 | ↓ -78% |
| Jefferson_Health_Medicare_Advantage | All_Plans | $548.90 | ↓ -78% |
| Highmark_Wholecare_Gateway_Medicaid | All_Plans | $548.90 | ↓ -78% |
| Amerihealth_Caritas_Medicaid | All_Plans | $548.90 | ↓ -78% |
| Blue_Cross_BlueJourney_Medicare | All_Plans | $548.90 | ↓ -78% |
| Geisinger_Medicaid | All_Plans | $548.90 | ↓ -78% |
| Health_Partners_Medicaid | Kidz_Partners | $548.90 | ↓ -78% |
| Highmark_Wholecare_Gateway_Medicare | All_Plans | $554.39 | ↓ -78% |
| Highmark_Medicare | All_Plans | $554.39 | ↓ -78% |
| Aetna_Medicare | All_Plans | $565.37 | ↓ -78% |
| Aetna_Advantra_Medicare | All_Plans | $565.37 | ↓ -78% |
| UPMC_Medicaid | All_Plans | $567.50 | ↓ -78% |
| Devoted_Medicare | All_Plans | $576.35 | ↓ -77% |
| United_Medicare | ISNP_DSNP_Plans | $576.35 | ↓ -77% |
| Amerihealth_Medicare | All_Plans | $579.09 | ↓ -77% |
| Geisinger_Gold_Medicare | All_Plans | $587.32 | ↓ -77% |
| PA_Health_&_Wellness_Medicare | All_Plans | $592.81 | ↓ -77% |
| Blue_Cross | All_Other_Plans | $595.50 | ↓ -76% |
| UPMC_Medicare | UPMC_for_Life_Complete_Care | $713.57 | ↓ -72% |
| UPMC_Medicare | UPMC_for_Life_Community_HealthChoices | $713.57 | ↓ -72% |
| Highmark | Higmark_Healthy_Kids | $828.89 | ↓ -67% |
| UPMC | UPMC_For_Kids | $915.45 | ↓ -64% |
| United_Medicaid | Community_Plan_For_Kids | $960.58 | ↓ -62% |
| Aetna | All_Plans | $1,023.78 | ↓ -60% |
| Geisinger | All_Plans | $1,129.06 | ↓ -55% |
| Cigna | All_Plans | $1,136.38 | ↓ -55% |
| Aetna | PPO_Plan | $1,161.10 | ↓ -54% |
| Cigna | PPO_Plan | $1,193.29 | ↓ -53% |
| First_Health_Network | All_Plans | $1,449.46 | ↓ -43% |
| United_Healthcare | All_Plans | $1,750.40 | ↓ -31% |
| Aetna_Better_Health_Kids | All_Plans | $1,866.26 | ↓ -26% |
| Performance_Blue | Blue_Cross_High_Performance_Network | $2,441.67 | ↓ -4% |
| Highmark | Shared_Cost_Blue_PPO | $2,441.67 | ↓ -4% |
| Highmark | My_Direct_Blue | $2,441.67 | ↓ -4% |
| Highmark | Choice_Blue_PPO | $2,441.67 | ↓ -4% |
| Highmark | Blue_Cross_High_Performance_Network | $2,441.67 | ↓ -4% |
| Highmark | All_Other_Plans | $2,441.67 | ↓ -4% |
Visitor-reported prices
Comments
Risperidone microspheres 12.5 mg/2 ml inj at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Northwest | Seneca | $1,370.40 | $6.93 – $1,301.34 |
| UPMC Magee | Pittsburgh | $2,116.20 | $6.93 – $1,363.31 |
| UPMC McKeesport | Mckeesport | $4,242.60 | $6.93 – $1,363.31 |
| UPMC Mercy | Pittsburgh | $1,216.20 | $6.93 – $12.08 |
| UPMC Muncy | Muncy | $4,199.40 | $10.98 – $12.08 |
| UPMC Passavant-McCandless | Pittsburgh | $1,204.20 | $6.93 – $1,301.34 |
| UPMC Presbyterian | Pittsburgh | $6,465.00 | $6.93 – $1,239.37 |
| UPMC St. Margaret | Pittsburgh | $5,408.40 | $6.93 – $1,363.31 |