Vaccine influenza inactivated adjuvant im at WellSpan Chambersburg Hospital

112 N. 7th St., Chambersburg, PA · Wellspan · · NPI 1902804552

Source: hospital's published price file ↗ · Published Jan 1, 2026 · Ingested Sep 17, 2026

$167.20

Cash price

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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.

Full explanation →

What you pay up front if you don't use insurance.

$209.00

Gross charge

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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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$12.50 with UPMC_Medicaid vs $532.95 with Aetna_Better_Health_Kids — 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 →

Payer
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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
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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
UPMC_Medicaid All_Plans $12.50 ↓ -93%
Highmark Higmark_Healthy_Kids $64.08 ↓ -62%
Blue_Cross Capital_Cares_4_kids $72.33 ↓ -57%
Amerihealth_Caritas_Medicaid All_Plans $98.16 ↓ -41%
Geisinger_Medicaid All_Plans $98.16 ↓ -41%
Highmark_Wholecare_Gateway_Medicaid All_Plans $98.16 ↓ -41%
Health_Partners_Medicaid All_Other_Plans $98.16 ↓ -41%
Blue_Cross Capital_Blue_Performance_PPO $103.33 ↓ -38%
Blue_Cross All_Other_Plans $103.33 ↓ -38%
UPMC UPMC_For_Kids $125.40 ↓ -25%
Aetna All_Plans $140.24 ↓ -16%
WellSpan_Capital_Blue_Cross All_Plans $150.48 ↓ -10%
Geisinger All_Plans $154.66 ↓ -8%
Cigna All_Plans $155.66 ↓ -7%
Highmark_Medicare All_Plans $158.32 ↓ -5%
Aetna PPO_Plan $159.05 ↓ -5%
Cigna PPO_Plan $163.46 ↓ -2%
Devoted_Medicare All_Plans $164.59 ↓ -2%
United_Medicare ISNP_DSNP_Plans $164.59 ↓ -2%
Performance_Blue Blue_Cross_High_Performance_Network $167.97 ↑ +0%
Highmark Choice_Blue_PPO $167.97 ↑ +0%
Highmark Blue_Cross_High_Performance_Network $167.97 ↑ +0%
Highmark All_Other_Plans $188.73 ↑ +13%
First_Health_Network All_Plans $198.55 ↑ +19%
United_Healthcare All_Plans $267.17 ↑ +60%
Aetna_Better_Health_Kids All_Plans $532.95 ↑ +219%

Visitor-reported prices

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Vaccine influenza inactivated adjuvant im at other Pennsylvania hospitals

Hospital City Cash price Negotiated range
WellSpan Ephrata Community Hospital Ephrata $506.20 $12.50 – $328.25
WellSpan Surgery & Rehabilitation Hospital York PA 17403 $531.80 $12.50 – $287.56
Uniontown Hospital Uniontown $73.00 $11.00 – $115.56
WellSpan Waynesboro Hospital Waynesboro $167.20 $72.33 – $596.90
WellSpan Good Samaritan Hospital Lebanon $643.00 $12.50 – $328.25
WellSpan Gettysburg Hospital Gettysburg $531.80 $12.50 – $298.41

All Pennsylvania hospitals for this procedure →