Rmvl pm gen w/rplc pm gen sgl lead sys at WellSpan Chambersburg Hospital
112 N. 7th St., Chambersburg, PA · Wellspan · · NPI 1902804552
$25,965.60
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.
$32,457.00
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.
$337.09 with Highmark_Wholecare_Gateway_Medicaid vs $38,062.06 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 | $337.09 | ↓ -99% |
| Health_Partners_Medicaid | All_Other_Plans | $8,275.98 | ↓ -68% |
| United_Medicaid | Community_Plan_For_Kids | $8,556.54 | ↓ -67% |
| Blue_Cross_BlueJourney_Medicare | All_Plans | $8,556.54 | ↓ -67% |
| Highmark_Wholecare_Gateway_Medicare | All_Plans | $8,642.11 | ↓ -67% |
| Highmark_Medicare | All_Plans | $8,642.11 | ↓ -67% |
| Aetna_Advantra_Medicare | All_Plans | $8,813.24 | ↓ -66% |
| Aetna_Medicare | All_Plans | $8,813.24 | ↓ -66% |
| United_Medicare | ISNP_DSNP_Plans | $8,984.37 | ↓ -65% |
| Devoted_Medicare | All_Plans | $8,984.37 | ↓ -65% |
| Amerihealth_Medicare | All_Plans | $9,027.15 | ↓ -65% |
| Geisinger_Gold_Medicare | All_Plans | $9,155.50 | ↓ -65% |
| Jefferson_Health_Medicare_Advantage | All_Plans | $9,241.06 | ↓ -64% |
| PA_Health_&_Wellness_Medicare | All_Plans | $9,241.06 | ↓ -64% |
| UPMC_Medicare | UPMC_for_Life_Complete_Care | $11,123.50 | ↓ -57% |
| UPMC_Medicare | UPMC_for_Life_Community_HealthChoices | $11,123.50 | ↓ -57% |
| Highmark | Higmark_Healthy_Kids | $12,921.23 | ↓ -50% |
| Blue_Cross | Capital_Blue_Performance_PPO | $13,939.00 | ↓ -46% |
| Health_Partners_Medicaid | Kidz_Partners | $14,118.29 | ↓ -46% |
| UPMC | UPMC_For_Kids | $19,474.20 | ↓ -25% |
| Aetna | All_Plans | $21,778.65 | ↓ -16% |
| WellSpan_Capital_Blue_Cross | All_Plans | $23,369.04 | ↓ -10% |
| Geisinger | All_Plans | $24,018.18 | ↓ -8% |
| Cigna | All_Plans | $24,173.97 | ↓ -7% |
| Aetna | PPO_Plan | $24,699.78 | ↓ -5% |
| Cigna | PPO_Plan | $25,384.62 | ↓ -2% |
| Aetna_Better_Health_Kids | All_Plans | $29,092.24 | ↑ +12% |
| United_Healthcare | All_Plans | $30,477.12 | ↑ +17% |
| First_Health_Network | All_Plans | $30,834.15 | ↑ +19% |
| Highmark | All_Other_Plans | $38,062.06 | ↑ +47% |
| Highmark | Blue_Cross_High_Performance_Network | $38,062.06 | ↑ +47% |
| Highmark | Choice_Blue_PPO | $38,062.06 | ↑ +47% |
| Highmark | My_Direct_Blue | $38,062.06 | ↑ +47% |
| Highmark | Shared_Cost_Blue_PPO | $38,062.06 | ↑ +47% |
| Performance_Blue | Blue_Cross_High_Performance_Network | $38,062.06 | ↑ +47% |
Visitor-reported prices
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Rmvl pm gen w/rplc pm gen sgl lead sys at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $5,816.40 | $429.35 – $8,521.36 |
| UPMC Carlisle | Carlisle | $17,467.80 | $520.11 – $24,746.05 |
| UPMC Community Osteopathic | Harrisburg | $17,467.80 | $520.11 – $24,746.05 |
| UPMC Hamot | Erie | $8,749.20 | $429.35 – $11,475.67 |
| UPMC Hanover | Hanover | $17,467.80 | $520.11 – $1,016.56 |
| UPMC Lititz | Lititz | $17,467.80 | $362.74 – $1,016.56 |
| UPMC Memorial | York | $17,467.80 | $349.93 – $1,016.56 |
| UPMC Mercy | Pittsburgh | $27,025.20 | $429.35 – $8,679.17 |