Bx breast pq tomo guide at WellSpan Gettysburg Hospital
147 Gettys Street, Gettysburg, PA · Wellspan · · NPI 1265466957
$1,493.60
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.
$1,867.00
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.
$490.40 with Blue_Cross vs $22,913.19 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 |
|---|---|---|---|
| Blue_Cross | Capital_Blue_Performance_PPO | $490.40 | ↓ -67% |
| Blue_Cross | Capital_Cares_4_kids | $490.58 | ↓ -67% |
| UPMC_Medicaid | All_Plans | $543.63 | ↓ -64% |
| PHC | All_Plans | $699.20 | ↓ -53% |
| UPMC | UPMC_For_Kids | $699.20 | ↓ -53% |
| UPMC | Employees_And_Dependents | $699.20 | ↓ -53% |
| Blue_Cross | All_Other_Plans | $700.86 | ↓ -53% |
| Cigna | All_Plans | $786.16 | ↓ -47% |
| Aetna | All_Plans | $790.10 | ↓ -47% |
| First_Health_Network | All_Plans | $798.84 | ↓ -47% |
| WellSpan_Capital_Blue_Cross | All_Plans | $804.08 | ↓ -46% |
| Johns_Hopkins_HealthCare_Plan | All_Other_Plans | $812.82 | ↓ -46% |
| United_Healthcare | All_Plans | $827.68 | ↓ -45% |
| Geisinger | All_Plans | $830.30 | ↓ -44% |
| Highmark_Wholecare_Gateway_Medicaid | All_Plans | $2,871.96 | ↑ +92% |
| Blue_Cross_BlueJourney_Medicare | All_Plans | $3,921.41 | ↑ +163% |
| Johns_Hopkins_HealthCare_Plan | Johns_Hopkins_US_Family_Health | $3,921.41 | ↑ +163% |
| Health_Partners_Medicaid | All_Other_Plans | $3,921.41 | ↑ +163% |
| Highmark_Medicare | All_Plans | $3,960.62 | ↑ +165% |
| Aetna_Medicare | All_Plans | $4,039.05 | ↑ +170% |
| Aetna_Advantra_Medicare | All_Plans | $4,039.05 | ↑ +170% |
| Devoted_Medicare | All_Plans | $4,117.48 | ↑ +176% |
| Geisinger_Gold_Medicare | All_Plans | $4,117.48 | ↑ +176% |
| United_Medicare | ISNP_DSNP_Plans | $4,117.48 | ↑ +176% |
| Highmark_Wholecare_Gateway_Medicare | All_Plans | $4,135.13 | ↑ +177% |
| Amerihealth_Medicare | All_Plans | $4,137.09 | ↑ +177% |
| Jefferson_Health_Medicare_Advantage | All_Plans | $4,235.12 | ↑ +184% |
| PA_Health_&_Wellness_Medicare | All_Plans | $4,235.12 | ↑ +184% |
| Health_Partners_Medicaid | Kidz_Partners | $4,313.55 | ↑ +189% |
| UPMC_Medicare | UPMC_for_Life_Complete_Care | $4,727.26 | ↑ +217% |
| UPMC_for_Life_Community_HealthChoices | UPMC_for_Life_Complete_Care | $4,727.26 | ↑ +217% |
| Highmark | Higmark_Healthy_Kids | $5,882.12 | ↑ +294% |
| United_Medicaid | Community_Plan_For_Kids | $6,862.47 | ↑ +359% |
| Highmark | My_Priority_Blue_Flex | $13,747.68 | ↑ +820% |
| Highmark | My_Direct_Blue | $13,747.68 | ↑ +820% |
| Highmark | Choice_Blue_PPO | $18,330.63 | ↑ +1127% |
| Highmark | Blue_Cross_High_Performance_Network | $18,330.63 | ↑ +1127% |
| Highmark | Performance_Blue | $18,330.63 | ↑ +1127% |
| Highmark | All_Other_Plans | $22,913.19 | ↑ +1434% |
Visitor-reported prices
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Bx breast pq tomo guide at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $7,249.80 | $47.21 – $10,270.55 |
| UPMC Community Osteopathic | Harrisburg | $7,249.80 | $47.21 – $10,270.55 |
| UPMC Hanover | Hanover | $7,249.80 | $47.21 – $5,852.98 |
| UPMC Lititz | Lititz | $7,249.80 | $47.21 – $5,884.59 |
| UPMC Memorial | York | $7,249.80 | $15.15 – $5,875.04 |
| UPMC Somerset | Somerset | $7,249.80 | $18.40 – $3,942.46 |
| WellSpan Ephrata Community Hospital | Ephrata | $2,424.80 | $2,871.96 – $2,871.96 |
| WellSpan Evangelical Community Hospital | Lewisburg | $9,758.40 | $86.34 – $86.34 |