Change of ureter tube/stent at WellSpan Gettysburg Hospital
147 Gettys Street, Gettysburg, PA · Wellspan · · NPI 1265466957
$3,307.20
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.
$4,134.00
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.
$1,536.38 with Highmark_Wholecare_Gateway_Medicaid vs $12,257.66 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 |
|---|---|---|---|
| Highmark_Wholecare_Gateway_Medicaid | All_Plans | $1,536.38 | ↓ -54% |
| Johns_Hopkins_HealthCare_Plan | Johns_Hopkins_US_Family_Health | $2,097.80 | ↓ -37% |
| Blue_Cross_BlueJourney_Medicare | All_Plans | $2,097.80 | ↓ -37% |
| Health_Partners_Medicaid | All_Other_Plans | $2,097.80 | ↓ -37% |
| Highmark_Medicare | All_Plans | $2,118.78 | ↓ -36% |
| Aetna_Advantra_Medicare | All_Plans | $2,160.73 | ↓ -35% |
| Aetna_Medicare | All_Plans | $2,160.73 | ↓ -35% |
| Devoted_Medicare | All_Plans | $2,202.69 | ↓ -33% |
| United_Medicare | ISNP_DSNP_Plans | $2,202.69 | ↓ -33% |
| Geisinger_Gold_Medicare | All_Plans | $2,202.69 | ↓ -33% |
| Highmark_Wholecare_Gateway_Medicare | All_Plans | $2,212.13 | ↓ -33% |
| Amerihealth_Medicare | All_Plans | $2,213.18 | ↓ -33% |
| PA_Health_&_Wellness_Medicare | All_Plans | $2,265.62 | ↓ -31% |
| Jefferson_Health_Medicare_Advantage | All_Plans | $2,265.62 | ↓ -31% |
| Health_Partners_Medicaid | Kidz_Partners | $2,307.58 | ↓ -30% |
| Blue_Cross | Capital_Blue_Performance_PPO | $2,319.59 | ↓ -30% |
| Blue_Cross | Capital_Cares_4_kids | $2,320.41 | ↓ -30% |
| UPMC_Medicare | UPMC_for_Life_Complete_Care | $2,528.90 | ↓ -24% |
| UPMC_for_Life_Community_HealthChoices | UPMC_for_Life_Complete_Care | $2,528.90 | ↓ -24% |
| UPMC_Medicaid | All_Plans | $2,571.35 | ↓ -22% |
| Highmark | Higmark_Healthy_Kids | $3,146.70 | ↓ -5% |
| UPMC | UPMC_For_Kids | $3,307.20 | ↑ +0% |
| PHC | All_Plans | $3,307.20 | ↑ +0% |
| UPMC | Employees_And_Dependents | $3,307.20 | ↑ +0% |
| Blue_Cross | All_Other_Plans | $3,315.05 | ↑ +0% |
| United_Medicaid | Community_Plan_For_Kids | $3,671.15 | ↑ +11% |
| Cigna | All_Plans | $3,718.53 | ↑ +12% |
| Aetna | All_Plans | $3,737.14 | ↑ +13% |
| First_Health_Network | All_Plans | $3,778.48 | ↑ +14% |
| WellSpan_Capital_Blue_Cross | All_Plans | $3,803.28 | ↑ +15% |
| Johns_Hopkins_HealthCare_Plan | All_Other_Plans | $3,844.62 | ↑ +16% |
| United_Healthcare | All_Plans | $3,914.90 | ↑ +18% |
| Geisinger | All_Plans | $3,927.30 | ↑ +19% |
| Highmark | My_Priority_Blue_Flex | $7,354.47 | ↑ +122% |
| Highmark | My_Direct_Blue | $7,354.47 | ↑ +122% |
| Highmark | Blue_Cross_High_Performance_Network | $9,806.17 | ↑ +197% |
| Highmark | Choice_Blue_PPO | $9,806.17 | ↑ +197% |
| Highmark | Performance_Blue | $9,806.17 | ↑ +197% |
| Highmark | All_Other_Plans | $12,257.66 | ↑ +271% |
Visitor-reported prices
Comments
Change of ureter tube/stent at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $3,457.20 | $148.72 – $4,897.70 |
| UPMC Community Osteopathic | Harrisburg | $3,457.20 | $150.33 – $4,897.70 |
| UPMC Hanover | Hanover | $3,457.20 | $150.33 – $3,131.10 |
| UPMC Lititz | Lititz | $3,457.20 | $148.72 – $3,148.02 |
| UPMC Magee | Pittsburgh | $2,680.20 | $155.03 – $2,148.31 |
| UPMC Memorial | York | $3,457.20 | $150.33 – $3,142.91 |
| UPMC Mercy | Pittsburgh | $2,270.40 | $151.47 – $2,148.31 |
| UPMC Presbyterian | Pittsburgh | $4,240.80 | $151.47 – $2,148.31 |