Stent iliac/open or perc/uni/init 37221 at WellSpan Chambersburg Hospital
112 N. 7th St., Chambersburg, PA · Wellspan · · NPI 1902804552
$15,972.00
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.
$19,965.00
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.
$531.88 with Health_Partners_Medicaid vs $52,156.41 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 |
|---|---|---|---|
| Health_Partners_Medicaid | All_Other_Plans | $531.88 | ↓ -97% |
| UPMC_Medicaid | All_Plans | $531.88 | ↓ -97% |
| PA_Health_&_Wellness_Medicaid | All_Plans | $531.88 | ↓ -97% |
| Highmark_Wholecare_Gateway_Medicaid | All_Plans | $531.88 | ↓ -97% |
| Geisinger_Medicaid | All_Plans | $531.88 | ↓ -97% |
| Amerihealth_Caritas_Medicaid | All_Plans | $604.21 | ↓ -96% |
| Blue_Cross_BlueJourney_Medicare | All_Plans | $11,725.02 | ↓ -27% |
| United_Medicaid | Community_Plan_For_Kids | $11,725.02 | ↓ -27% |
| Highmark_Medicare | All_Plans | $11,842.27 | ↓ -26% |
| Highmark_Wholecare_Gateway_Medicare | All_Plans | $11,842.27 | ↓ -26% |
| UPMC | UPMC_For_Kids | $11,979.00 | ↓ -25% |
| Aetna_Advantra_Medicare | All_Plans | $12,076.77 | ↓ -24% |
| Aetna_Medicare | All_Plans | $12,076.77 | ↓ -24% |
| Devoted_Medicare | All_Plans | $12,311.27 | ↓ -23% |
| United_Medicare | ISNP_DSNP_Plans | $12,311.27 | ↓ -23% |
| Amerihealth_Medicare | All_Plans | $12,369.90 | ↓ -23% |
| Geisinger_Gold_Medicare | All_Plans | $12,545.77 | ↓ -21% |
| PA_Health_&_Wellness_Medicare | All_Plans | $12,663.02 | ↓ -21% |
| Jefferson_Health_Medicare_Advantage | All_Plans | $12,663.02 | ↓ -21% |
| Aetna | All_Plans | $13,396.52 | ↓ -16% |
| Blue_Cross | Capital_Blue_Performance_PPO | $13,939.00 | ↓ -13% |
| WellSpan_Capital_Blue_Cross | All_Plans | $14,374.80 | ↓ -10% |
| Geisinger | All_Plans | $14,774.10 | ↓ -8% |
| Cigna | All_Plans | $14,869.93 | ↓ -7% |
| Aetna | PPO_Plan | $15,193.37 | ↓ -5% |
| UPMC_Medicare | UPMC_for_Life_Community_HealthChoices | $15,242.53 | ↓ -5% |
| UPMC_Medicare | UPMC_for_Life_Complete_Care | $15,242.53 | ↓ -5% |
| Cigna | PPO_Plan | $15,614.63 | ↓ -2% |
| Blue_Cross | Capital_Cares_4_kids | $16,965.20 | ↑ +6% |
| Highmark | Higmark_Healthy_Kids | $17,705.95 | ↑ +11% |
| United_Healthcare | All_Plans | $18,747.14 | ↑ +17% |
| First_Health_Network | All_Plans | $18,966.75 | ↑ +19% |
| Health_Partners_Medicaid | Kidz_Partners | $19,346.28 | ↑ +21% |
| Blue_Cross | All_Other_Plans | $24,236.00 | ↑ +52% |
| Aetna_Better_Health_Kids | All_Plans | $39,865.07 | ↑ +150% |
| Highmark | Choice_Blue_PPO | $52,156.41 | ↑ +227% |
| Highmark | Shared_Cost_Blue_PPO | $52,156.41 | ↑ +227% |
| Highmark | My_Direct_Blue | $52,156.41 | ↑ +227% |
| Highmark | All_Other_Plans | $52,156.41 | ↑ +227% |
| Highmark | Blue_Cross_High_Performance_Network | $52,156.41 | ↑ +227% |
| Performance_Blue | Blue_Cross_High_Performance_Network | $52,156.41 | ↑ +227% |
Visitor-reported prices
Comments
Stent iliac/open or perc/uni/init 37221 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $19,532.40 | $6,886.55 – $26,043.20 |
| UPMC Carlisle | Carlisle | $17,281.80 | $1,016.56 – $24,482.55 |
| UPMC Community Osteopathic | Harrisburg | $17,281.80 | $1,016.56 – $24,482.55 |
| UPMC East | Monroeville | $35,121.00 | $6,886.55 – $46,828.00 |
| UPMC Hamot | Erie | $17,695.80 | $468.05 – $15,725.10 |
| UPMC Northwest | Seneca | $21,381.00 | $5,385.45 – $11,676.82 |
| UPMC Hanover | Hanover | $17,281.80 | $1,016.56 – $17,333.84 |
| UPMC Jameson | New Castle | $16,973.40 | $892.40 – $14,596.02 |