Rmvl icd gen w/rplc icd gen sgl lead sys at WellSpan Chambersburg Hospital
112 N. 7th St., Chambersburg, PA · Wellspan · · NPI 1902804552
$73,888.00
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.
$92,360.00
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.
$366.64 with Highmark_Wholecare_Gateway_Medicaid vs $103,232.23 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 | $366.64 | ↓ -100% |
| Blue_Cross | Capital_Blue_Performance_PPO | $13,939.00 | ↓ -81% |
| Health_Partners_Medicaid | All_Other_Plans | $22,446.19 | ↓ -70% |
| United_Medicaid | Community_Plan_For_Kids | $23,207.12 | ↓ -69% |
| Blue_Cross_BlueJourney_Medicare | All_Plans | $23,207.12 | ↓ -69% |
| Highmark_Medicare | All_Plans | $23,439.19 | ↓ -68% |
| Highmark_Wholecare_Gateway_Medicare | All_Plans | $23,439.19 | ↓ -68% |
| Aetna_Medicare | All_Plans | $23,903.33 | ↓ -68% |
| Aetna_Advantra_Medicare | All_Plans | $23,903.33 | ↓ -68% |
| Devoted_Medicare | All_Plans | $24,367.48 | ↓ -67% |
| United_Medicare | ISNP_DSNP_Plans | $24,367.48 | ↓ -67% |
| Amerihealth_Medicare | All_Plans | $24,483.51 | ↓ -67% |
| Geisinger_Gold_Medicare | All_Plans | $24,831.62 | ↓ -66% |
| Jefferson_Health_Medicare_Advantage | All_Plans | $25,063.69 | ↓ -66% |
| PA_Health_&_Wellness_Medicare | All_Plans | $25,063.69 | ↓ -66% |
| UPMC_Medicare | UPMC_for_Life_Complete_Care | $30,169.26 | ↓ -59% |
| UPMC_Medicare | UPMC_for_Life_Community_HealthChoices | $30,169.26 | ↓ -59% |
| Highmark | Higmark_Healthy_Kids | $35,045.07 | ↓ -53% |
| Health_Partners_Medicaid | Kidz_Partners | $38,291.75 | ↓ -48% |
| UPMC | UPMC_For_Kids | $55,416.00 | ↓ -25% |
| Aetna | All_Plans | $61,973.56 | ↓ -16% |
| WellSpan_Capital_Blue_Cross | All_Plans | $66,499.20 | ↓ -10% |
| Geisinger | All_Plans | $68,346.40 | ↓ -8% |
| Cigna | All_Plans | $68,789.73 | ↓ -7% |
| Aetna | PPO_Plan | $70,285.96 | ↓ -5% |
| Cigna | PPO_Plan | $72,234.76 | ↓ -2% |
| Aetna_Better_Health_Kids | All_Plans | $78,904.21 | ↑ +7% |
| United_Healthcare | All_Plans | $86,726.04 | ↑ +17% |
| First_Health_Network | All_Plans | $87,742.00 | ↑ +19% |
| Highmark | All_Other_Plans | $103,232.23 | ↑ +40% |
| Highmark | Blue_Cross_High_Performance_Network | $103,232.23 | ↑ +40% |
| Highmark | Choice_Blue_PPO | $103,232.23 | ↑ +40% |
| Highmark | My_Direct_Blue | $103,232.23 | ↑ +40% |
| Highmark | Shared_Cost_Blue_PPO | $103,232.23 | ↑ +40% |
| Performance_Blue | Blue_Cross_High_Performance_Network | $103,232.23 | ↑ +40% |
Visitor-reported prices
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Rmvl icd gen w/rplc icd gen sgl lead sys at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $40,435.80 | $466.99 – $53,914.40 |
| UPMC Carlisle | Carlisle | $34,564.20 | $565.70 – $48,965.95 |
| UPMC Community Osteopathic | Harrisburg | $34,564.20 | $565.70 – $48,965.95 |
| UPMC East | Monroeville | $51,008.40 | $471.43 – $68,011.20 |
| UPMC Hamot | Erie | $32,186.40 | $466.99 – $31,124.41 |
| UPMC Hanover | Hanover | $34,564.20 | $565.70 – $34,308.56 |
| UPMC Lititz | Lititz | $34,564.20 | $565.70 – $34,493.87 |
| UPMC Memorial | York | $34,564.20 | $380.61 – $34,437.84 |