Rmvl icd gen w/rplc icd gen mlt lead sys at WellSpan Chambersburg Hospital
112 N. 7th St., Chambersburg, PA · Wellspan · · NPI 1902804552
$113,008.00
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.
$141,260.00
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.
$395.83 with Highmark_Wholecare_Gateway_Medicaid vs $147,454.34 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 | $395.83 | ↓ -100% |
| Blue_Cross | Capital_Blue_Performance_PPO | $13,939.00 | ↓ -88% |
| Health_Partners_Medicaid | All_Other_Plans | $32,061.58 | ↓ -72% |
| United_Medicaid | Community_Plan_For_Kids | $33,148.47 | ↓ -71% |
| Blue_Cross_BlueJourney_Medicare | All_Plans | $33,148.47 | ↓ -71% |
| Highmark_Medicare | All_Plans | $33,479.95 | ↓ -70% |
| Highmark_Wholecare_Gateway_Medicare | All_Plans | $33,479.95 | ↓ -70% |
| Aetna_Medicare | All_Plans | $34,142.92 | ↓ -70% |
| Aetna_Advantra_Medicare | All_Plans | $34,142.92 | ↓ -70% |
| Devoted_Medicare | All_Plans | $34,805.89 | ↓ -69% |
| United_Medicare | ISNP_DSNP_Plans | $34,805.89 | ↓ -69% |
| Amerihealth_Medicare | All_Plans | $34,971.64 | ↓ -69% |
| Geisinger_Gold_Medicare | All_Plans | $35,468.86 | ↓ -69% |
| Jefferson_Health_Medicare_Advantage | All_Plans | $35,800.35 | ↓ -68% |
| PA_Health_&_Wellness_Medicare | All_Plans | $35,800.35 | ↓ -68% |
| UPMC_Medicare | UPMC_for_Life_Complete_Care | $43,093.01 | ↓ -62% |
| UPMC_Medicare | UPMC_for_Life_Community_HealthChoices | $43,093.01 | ↓ -62% |
| Highmark | Higmark_Healthy_Kids | $50,057.50 | ↓ -56% |
| Health_Partners_Medicaid | Kidz_Partners | $54,694.98 | ↓ -52% |
| UPMC | UPMC_For_Kids | $84,756.00 | ↓ -25% |
| Aetna | All_Plans | $94,785.46 | ↓ -16% |
| WellSpan_Capital_Blue_Cross | All_Plans | $101,707.20 | ↓ -10% |
| Geisinger | All_Plans | $104,532.40 | ↓ -8% |
| Cigna | All_Plans | $105,210.45 | ↓ -7% |
| Aetna | PPO_Plan | $107,498.86 | ↓ -5% |
| Cigna | PPO_Plan | $110,479.45 | ↓ -2% |
| Aetna_Better_Health_Kids | All_Plans | $112,704.80 | ↓ -0% |
| United_Healthcare | All_Plans | $132,643.14 | ↑ +17% |
| First_Health_Network | All_Plans | $134,197.00 | ↑ +19% |
| Highmark | All_Other_Plans | $147,454.34 | ↑ +30% |
| Highmark | Blue_Cross_High_Performance_Network | $147,454.34 | ↑ +30% |
| Highmark | Choice_Blue_PPO | $147,454.34 | ↑ +30% |
| Highmark | My_Direct_Blue | $147,454.34 | ↑ +30% |
| Highmark | Shared_Cost_Blue_PPO | $147,454.34 | ↑ +30% |
| Performance_Blue | Blue_Cross_High_Performance_Network | $147,454.34 | ↑ +30% |
Visitor-reported prices
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Rmvl icd gen w/rplc icd gen mlt lead sys at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $10,107.60 | $504.14 – $33,012.22 |
| UPMC Carlisle | Carlisle | $48,933.60 | $610.72 – $69,322.60 |
| UPMC Community Osteopathic | Harrisburg | $48,933.60 | $610.72 – $69,322.60 |
| UPMC East | Monroeville | $51,008.40 | $508.94 – $68,011.20 |
| UPMC Hamot | Erie | $32,186.40 | $504.14 – $44,457.34 |
| UPMC Hanover | Hanover | $48,933.60 | $610.72 – $49,005.49 |
| UPMC Lititz | Lititz | $48,933.60 | $610.72 – $49,270.19 |
| UPMC Memorial | York | $48,933.60 | $410.90 – $49,190.16 |