Canthotomy 67715 at WellSpan Gettysburg Hospital
147 Gettys Street, Gettysburg, PA · Wellspan · · NPI 1265466957
$3,981.60
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.
?
What you pay up front if you don't use insurance.
$4,977.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$107.66 with UPMC_Medicaid vs $13,959.69 with Highmark — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $107.66 | ↓ -97% |
| Highmark_Wholecare_Gateway_Medicaid | All_Plans | $107.66 | ↓ -97% |
| Aetna_Better_Health_Kids | All_Plans | $292.84 | ↓ -93% |
| Johns_Hopkins_HealthCare_Plan | Johns_Hopkins_US_Family_Health | $2,389.09 | ↓ -40% |
| Health_Partners_Medicaid | All_Other_Plans | $2,389.09 | ↓ -40% |
| Blue_Cross_BlueJourney_Medicare | All_Plans | $2,389.09 | ↓ -40% |
| Highmark_Medicare | All_Plans | $2,412.98 | ↓ -39% |
| Aetna_Advantra_Medicare | All_Plans | $2,460.76 | ↓ -38% |
| Aetna_Medicare | All_Plans | $2,460.76 | ↓ -38% |
| Devoted_Medicare | All_Plans | $2,508.54 | ↓ -37% |
| United_Medicare | ISNP_DSNP_Plans | $2,508.54 | ↓ -37% |
| Geisinger_Gold_Medicare | All_Plans | $2,508.54 | ↓ -37% |
| Highmark_Wholecare_Gateway_Medicare | All_Plans | $2,519.30 | ↓ -37% |
| Amerihealth_Medicare | All_Plans | $2,520.49 | ↓ -37% |
| PA_Health_&_Wellness_Medicare | All_Plans | $2,580.22 | ↓ -35% |
| Jefferson_Health_Medicare_Advantage | All_Plans | $2,580.22 | ↓ -35% |
| Health_Partners_Medicaid | Kidz_Partners | $2,628.00 | ↓ -34% |
| Blue_Cross | Capital_Blue_Performance_PPO | $2,792.59 | ↓ -30% |
| Blue_Cross | Capital_Cares_4_kids | $2,793.59 | ↓ -30% |
| UPMC_Medicare | UPMC_for_Life_Complete_Care | $2,880.05 | ↓ -28% |
| UPMC_for_Life_Community_HealthChoices | UPMC_for_Life_Complete_Care | $2,880.05 | ↓ -28% |
| Highmark | Higmark_Healthy_Kids | $3,583.64 | ↓ -10% |
| PHC | All_Plans | $3,981.60 | ↑ +0% |
| UPMC | Employees_And_Dependents | $3,981.60 | ↑ +0% |
| UPMC | UPMC_For_Kids | $3,981.60 | ↑ +0% |
| Blue_Cross | All_Other_Plans | $3,991.06 | ↑ +0% |
| United_Medicaid | Community_Plan_For_Kids | $4,180.91 | ↑ +5% |
| Cigna | All_Plans | $4,476.81 | ↑ +12% |
| Aetna | All_Plans | $4,499.21 | ↑ +13% |
| First_Health_Network | All_Plans | $4,548.98 | ↑ +14% |
| WellSpan_Capital_Blue_Cross | All_Plans | $4,578.84 | ↑ +15% |
| Johns_Hopkins_HealthCare_Plan | All_Other_Plans | $4,628.61 | ↑ +16% |
| United_Healthcare | All_Plans | $4,713.22 | ↑ +18% |
| Geisinger | All_Plans | $4,728.15 | ↑ +19% |
| Highmark | My_Priority_Blue_Flex | $8,375.67 | ↑ +110% |
| Highmark | My_Direct_Blue | $8,375.67 | ↑ +110% |
| Highmark | Blue_Cross_High_Performance_Network | $11,167.80 | ↑ +180% |
| Highmark | Choice_Blue_PPO | $11,167.80 | ↑ +180% |
| Highmark | Performance_Blue | $11,167.80 | ↑ +180% |
| Highmark | All_Other_Plans | $13,959.69 | ↑ +251% |
Visitor-reported prices
Comments
Canthotomy 67715 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $3,228.00 | $257.98 – $4,573.00 |
| UPMC Community Osteopathic | Harrisburg | $3,228.00 | $353.72 – $4,573.00 |
| UPMC Hamot | Erie | $3,141.60 | $322.00 – $3,234.93 |
| UPMC Northwest | Seneca | $3,352.80 | $338.00 – $2,402.14 |
| UPMC Hanover | Hanover | $3,228.00 | $353.72 – $3,565.89 |
| UPMC Lititz | Lititz | $3,228.00 | $257.98 – $3,585.14 |
| UPMC Memorial | York | $3,228.00 | $353.72 – $3,579.33 |
| UPMC Mercy | Pittsburgh | $2,630.40 | $330.44 – $2,446.62 |