Venogram ext bil s&i at WellSpan Chambersburg Hospital
112 N. 7th St., Chambersburg, PA · Wellspan · · NPI 1902804552
$4,980.00
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.
$6,225.00
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.
$28.13 with UPMC_Medicaid vs $8,774.10 with United_Healthcare — 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 |
|---|---|---|---|
| UPMC_Medicaid | All_Plans | $28.13 | ↓ -99% |
| Health_Partners_Medicaid | All_Other_Plans | $46.88 | ↓ -99% |
| Geisinger_Medicaid | All_Plans | $46.88 | ↓ -99% |
| PA_Health_&_Wellness_Medicaid | All_Plans | $46.88 | ↓ -99% |
| Highmark_Wholecare_Gateway_Medicaid | All_Plans | $46.88 | ↓ -99% |
| Amerihealth_Caritas_Medicaid | All_Plans | $53.25 | ↓ -99% |
| Blue_Cross | Capital_Blue_Performance_PPO | $84.52 | ↓ -98% |
| Blue_Cross | Capital_Cares_4_kids | $554.63 | ↓ -89% |
| Blue_Cross | All_Other_Plans | $792.32 | ↓ -84% |
| Blue_Cross_BlueJourney_Medicare | All_Plans | $1,606.10 | ↓ -68% |
| United_Medicaid | Community_Plan_For_Kids | $1,606.10 | ↓ -68% |
| Highmark_Wholecare_Gateway_Medicare | All_Plans | $1,622.16 | ↓ -67% |
| Highmark_Medicare | All_Plans | $1,622.16 | ↓ -67% |
| Aetna_Advantra_Medicare | All_Plans | $1,654.28 | ↓ -67% |
| Aetna_Medicare | All_Plans | $1,654.28 | ↓ -67% |
| Devoted_Medicare | All_Plans | $1,686.41 | ↓ -66% |
| United_Medicare | ISNP_DSNP_Plans | $1,686.41 | ↓ -66% |
| Amerihealth_Medicare | All_Plans | $1,694.44 | ↓ -66% |
| Geisinger_Gold_Medicare | All_Plans | $1,718.53 | ↓ -65% |
| Jefferson_Health_Medicare_Advantage | All_Plans | $1,734.59 | ↓ -65% |
| PA_Health_&_Wellness_Medicare | All_Plans | $1,734.59 | ↓ -65% |
| UPMC_Medicare | UPMC_for_Life_Community_HealthChoices | $2,087.93 | ↓ -58% |
| UPMC_Medicare | UPMC_for_Life_Complete_Care | $2,087.93 | ↓ -58% |
| Highmark | Higmark_Healthy_Kids | $2,425.37 | ↓ -51% |
| Health_Partners_Medicaid | Kidz_Partners | $2,650.07 | ↓ -47% |
| UPMC | UPMC_For_Kids | $3,735.00 | ↓ -25% |
| Aetna | All_Plans | $4,176.98 | ↓ -16% |
| WellSpan_Capital_Blue_Cross | All_Plans | $4,482.00 | ↓ -10% |
| Geisinger | All_Plans | $4,606.50 | ↓ -8% |
| Cigna | All_Plans | $4,636.38 | ↓ -7% |
| Aetna | PPO_Plan | $4,737.23 | ↓ -5% |
| Cigna | PPO_Plan | $4,868.57 | ↓ -2% |
| Aetna_Better_Health_Kids | All_Plans | $5,460.74 | ↑ +10% |
| First_Health_Network | All_Plans | $5,913.75 | ↑ +19% |
| Performance_Blue | Blue_Cross_High_Performance_Network | $7,144.41 | ↑ +43% |
| Highmark | Blue_Cross_High_Performance_Network | $7,144.41 | ↑ +43% |
| Highmark | All_Other_Plans | $7,144.41 | ↑ +43% |
| Highmark | My_Direct_Blue | $7,144.41 | ↑ +43% |
| Highmark | Shared_Cost_Blue_PPO | $7,144.41 | ↑ +43% |
| Highmark | Choice_Blue_PPO | $7,144.41 | ↑ +43% |
| United_Healthcare | All_Plans | $8,774.10 | ↑ +76% |
Visitor-reported prices
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Venogram ext bil s&i at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $848.40 | $22.50 – $1,131.20 |
| UPMC Carlisle | Carlisle | $3,476.40 | $29.48 – $4,924.90 |
| UPMC Community Osteopathic | Harrisburg | $3,476.40 | $29.48 – $4,924.90 |
| UPMC East | Monroeville | $1,186.20 | $41.25 – $1,581.60 |
| UPMC Hamot | Erie | $1,699.20 | $41.25 – $2,421.62 |
| UPMC Hanover | Hanover | $3,476.40 | $29.48 – $2,374.40 |
| UPMC Kane | Kane | $1,086.00 | $41.25 – $287.02 |
| UPMC Lititz | Lititz | $3,476.40 | $29.48 – $2,387.23 |