Assay of procainamide w/metab at WellSpan Gettysburg Hospital
147 Gettys Street, Gettysburg, PA · Wellspan · · NPI 1265466957
$69.60
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.
$87.00
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.
$16.75 with Johns_Hopkins_HealthCare_Plan vs $97.87 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 | $16.75 | ↓ -76% |
| Blue_Cross_BlueJourney_Medicare | All_Plans | $16.75 | ↓ -76% |
| Highmark_Medicare | All_Plans | $16.92 | ↓ -76% |
| Aetna_Advantra_Medicare | All_Plans | $17.25 | ↓ -75% |
| Aetna_Medicare | All_Plans | $17.25 | ↓ -75% |
| Geisinger_Gold_Medicare | All_Plans | $17.59 | ↓ -75% |
| Devoted_Medicare | All_Plans | $17.59 | ↓ -75% |
| United_Medicare | ISNP_DSNP_Plans | $17.59 | ↓ -75% |
| Highmark_Wholecare_Gateway_Medicare | All_Plans | $17.66 | ↓ -75% |
| Amerihealth_Medicare | All_Plans | $17.67 | ↓ -75% |
| Jefferson_Health_Medicare_Advantage | All_Plans | $18.09 | ↓ -74% |
| PA_Health_&_Wellness_Medicare | All_Plans | $18.09 | ↓ -74% |
| Health_Partners_Medicaid | Kidz_Partners | $18.43 | ↓ -74% |
| Amerihealth_Caritas_Medicaid | All_Plans | $19.50 | ↓ -72% |
| UPMC_Medicare | UPMC_for_Life_Complete_Care | $20.19 | ↓ -71% |
| UPMC_for_Life_Community_HealthChoices | UPMC_for_Life_Complete_Care | $20.19 | ↓ -71% |
| Geisinger_Medicaid | All_Plans | $24.38 | ↓ -65% |
| PA_Health_&_Wellness_Medicaid | All_Plans | $24.38 | ↓ -65% |
| Highmark_Wholecare_Gateway_Medicaid | All_Plans | $24.38 | ↓ -65% |
| UPMC_Medicaid | All_Plans | $24.38 | ↓ -65% |
| Health_Partners_Medicaid | All_Other_Plans | $24.38 | ↓ -65% |
| Highmark | Higmark_Healthy_Kids | $25.13 | ↓ -64% |
| United_Medicaid | Community_Plan_For_Kids | $29.31 | ↓ -58% |
| Blue_Cross | Capital_Blue_Performance_PPO | $41.49 | ↓ -40% |
| Blue_Cross | Capital_Cares_4_kids | $48.83 | ↓ -30% |
| United_Healthcare | All_Plans | $50.25 | ↓ -28% |
| Highmark | My_Priority_Blue_Flex | $58.72 | ↓ -16% |
| Highmark | My_Direct_Blue | $58.72 | ↓ -16% |
| Aetna_Better_Health_Kids | All_Plans | $66.30 | ↓ -5% |
| First_Health_Network | All_Plans | $69.18 | ↓ -1% |
| Aetna | All_Plans | $69.18 | ↓ -1% |
| PHC | All_Plans | $69.60 | ↑ +0% |
| UPMC | Employees_And_Dependents | $69.60 | ↑ +0% |
| UPMC | UPMC_For_Kids | $69.60 | ↑ +0% |
| Blue_Cross | All_Other_Plans | $69.77 | ↑ +0% |
| Cigna | All_Plans | $73.10 | ↑ +5% |
| Highmark | Performance_Blue | $78.30 | ↑ +13% |
| Highmark | Choice_Blue_PPO | $78.30 | ↑ +13% |
| Highmark | Blue_Cross_High_Performance_Network | $78.30 | ↑ +13% |
| WellSpan_Capital_Blue_Cross | All_Plans | $80.04 | ↑ +15% |
| Johns_Hopkins_HealthCare_Plan | All_Other_Plans | $80.91 | ↑ +16% |
| Geisinger | All_Plans | $82.65 | ↑ +19% |
| Highmark | All_Other_Plans | $97.87 | ↑ +41% |
Visitor-reported prices
Comments
Assay of procainamide w/metab at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $61.20 | $13.97 – $86.70 |
| UPMC Community Osteopathic | Harrisburg | $61.20 | $16.58 – $86.70 |
| UPMC Northwest | Seneca | $149.40 | $15.19 – $22.43 |
| UPMC Hanover | Hanover | $61.20 | $16.58 – $26.80 |
| UPMC Kane | Kane | $205.20 | $16.55 – $72.29 |
| UPMC Lititz | Lititz | $61.20 | $16.58 – $26.80 |
| UPMC Memorial | York | $61.20 | $17.32 – $121.19 |
| UPMC Muncy | Muncy | $280.80 | $16.55 – $33.23 |