Apl(pml-rara) quant - sendout at WellSpan Gettysburg Hospital
147 Gettys Street, Gettysburg, PA · Wellspan · · NPI 1265466957
$862.40
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.
$1,078.00
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.
$207.31 with Johns_Hopkins_HealthCare_Plan vs $1,211.33 with Highmark — 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 |
|---|---|---|---|
| Johns_Hopkins_HealthCare_Plan | Johns_Hopkins_US_Family_Health | $207.31 | ↓ -76% |
| Blue_Cross_BlueJourney_Medicare | All_Plans | $207.31 | ↓ -76% |
| Highmark_Medicare | All_Plans | $209.38 | ↓ -76% |
| Aetna_Advantra_Medicare | All_Plans | $213.53 | ↓ -75% |
| Aetna_Medicare | All_Plans | $213.53 | ↓ -75% |
| Geisinger_Gold_Medicare | All_Plans | $217.68 | ↓ -75% |
| Devoted_Medicare | All_Plans | $217.68 | ↓ -75% |
| United_Medicare | ISNP_DSNP_Plans | $217.68 | ↓ -75% |
| Highmark_Wholecare_Gateway_Medicare | All_Plans | $218.61 | ↓ -75% |
| Amerihealth_Medicare | All_Plans | $218.71 | ↓ -75% |
| Jefferson_Health_Medicare_Advantage | All_Plans | $223.89 | ↓ -74% |
| PA_Health_&_Wellness_Medicare | All_Plans | $223.89 | ↓ -74% |
| Amerihealth_Caritas_Medicaid | All_Plans | $226.26 | ↓ -74% |
| Health_Partners_Medicaid | Kidz_Partners | $228.04 | ↓ -74% |
| UPMC_Medicare | UPMC_for_Life_Complete_Care | $249.91 | ↓ -71% |
| UPMC_for_Life_Community_HealthChoices | UPMC_for_Life_Complete_Care | $249.91 | ↓ -71% |
| Geisinger_Medicaid | All_Plans | $282.83 | ↓ -67% |
| PA_Health_&_Wellness_Medicaid | All_Plans | $282.83 | ↓ -67% |
| Highmark_Wholecare_Gateway_Medicaid | All_Plans | $282.83 | ↓ -67% |
| UPMC_Medicaid | All_Plans | $282.83 | ↓ -67% |
| Health_Partners_Medicaid | All_Other_Plans | $282.83 | ↓ -67% |
| Highmark | Higmark_Healthy_Kids | $310.97 | ↓ -64% |
| United_Medicaid | Community_Plan_For_Kids | $362.79 | ↓ -58% |
| Blue_Cross | Capital_Blue_Performance_PPO | $514.10 | ↓ -40% |
| Blue_Cross | Capital_Cares_4_kids | $605.08 | ↓ -30% |
| United_Healthcare | All_Plans | $621.93 | ↓ -28% |
| Highmark | My_Priority_Blue_Flex | $726.79 | ↓ -16% |
| Highmark | My_Direct_Blue | $726.79 | ↓ -16% |
| Aetna_Better_Health_Kids | All_Plans | $769.28 | ↓ -11% |
| First_Health_Network | All_Plans | $856.19 | ↓ -1% |
| Aetna | All_Plans | $856.19 | ↓ -1% |
| PHC | All_Plans | $862.40 | ↑ +0% |
| UPMC | Employees_And_Dependents | $862.40 | ↑ +0% |
| UPMC | UPMC_For_Kids | $862.40 | ↑ +0% |
| Blue_Cross | All_Other_Plans | $864.45 | ↑ +0% |
| Cigna | All_Plans | $905.74 | ↑ +5% |
| Highmark | Performance_Blue | $969.07 | ↑ +12% |
| Highmark | Choice_Blue_PPO | $969.07 | ↑ +12% |
| Highmark | Blue_Cross_High_Performance_Network | $969.07 | ↑ +12% |
| WellSpan_Capital_Blue_Cross | All_Plans | $991.76 | ↑ +15% |
| Johns_Hopkins_HealthCare_Plan | All_Other_Plans | $1,002.54 | ↑ +16% |
| Geisinger | All_Plans | $1,024.10 | ↑ +19% |
| Highmark | All_Other_Plans | $1,211.33 | ↑ +40% |
Visitor-reported prices
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Apl(pml-rara) quant - sendout at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $415.80 | $204.89 – $554.40 |
| UPMC East | Monroeville | $1,189.80 | $204.89 – $1,586.40 |
| UPMC Northwest | Seneca | $2,235.60 | $188.01 – $260.20 |
| UPMC Horizon-Greenville | Greenville | $1,446.00 | $185.60 – $389.02 |
| UPMC Jameson | New Castle | $790.80 | $204.89 – $388.84 |
| UPMC Magee | Pittsburgh | $1,396.80 | $194.02 – $385.73 |
| UPMC Passavant-McCandless | Pittsburgh | $1,812.60 | $192.65 – $385.73 |
| UPMC Presbyterian | Pittsburgh | $765.00 | $204.89 – $385.73 |