Clsd tx/metacarpal fx/sng/w manip 26605 at WellSpan Gettysburg Hospital
147 Gettys Street, Gettysburg, PA · Wellspan · · NPI 1265466957
$452.80
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.
$566.00
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.
$132.50 with Highmark_Wholecare_Gateway_Medicaid vs $1,435.36 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 |
|---|---|---|---|
| Highmark_Wholecare_Gateway_Medicaid | All_Plans | $132.50 | ↓ -71% |
| Geisinger_Medicaid | All_Plans | $132.50 | ↓ -71% |
| PA_Health_&_Wellness_Medicaid | All_Plans | $132.50 | ↓ -71% |
| Health_Partners_Medicaid | All_Other_Plans | $132.50 | ↓ -71% |
| UPMC_Medicaid | All_Plans | $132.50 | ↓ -71% |
| Amerihealth_Caritas_Medicaid | All_Plans | $150.52 | ↓ -67% |
| Blue_Cross_BlueJourney_Medicare | All_Plans | $245.65 | ↓ -46% |
| Johns_Hopkins_HealthCare_Plan | Johns_Hopkins_US_Family_Health | $245.65 | ↓ -46% |
| Highmark_Medicare | All_Plans | $248.11 | ↓ -45% |
| Aetna_Advantra_Medicare | All_Plans | $253.02 | ↓ -44% |
| Aetna_Medicare | All_Plans | $253.02 | ↓ -44% |
| Devoted_Medicare | All_Plans | $257.93 | ↓ -43% |
| United_Medicare | ISNP_DSNP_Plans | $257.93 | ↓ -43% |
| Geisinger_Gold_Medicare | All_Plans | $257.93 | ↓ -43% |
| Highmark_Wholecare_Gateway_Medicare | All_Plans | $259.04 | ↓ -43% |
| Amerihealth_Medicare | All_Plans | $259.16 | ↓ -43% |
| Jefferson_Health_Medicare_Advantage | All_Plans | $265.30 | ↓ -41% |
| PA_Health_&_Wellness_Medicare | All_Plans | $265.30 | ↓ -41% |
| Health_Partners_Medicaid | Kidz_Partners | $270.22 | ↓ -40% |
| UPMC_Medicare | UPMC_for_Life_Complete_Care | $296.13 | ↓ -35% |
| UPMC_for_Life_Community_HealthChoices | UPMC_for_Life_Complete_Care | $296.13 | ↓ -35% |
| Blue_Cross | Capital_Blue_Performance_PPO | $317.58 | ↓ -30% |
| Blue_Cross | Capital_Cares_4_kids | $317.70 | ↓ -30% |
| Aetna_Better_Health_Kids | All_Plans | $360.40 | ↓ -20% |
| Highmark | Higmark_Healthy_Kids | $368.48 | ↓ -19% |
| United_Medicaid | Community_Plan_For_Kids | $429.89 | ↓ -5% |
| UPMC | UPMC_For_Kids | $452.80 | ↑ +0% |
| UPMC | Employees_And_Dependents | $452.80 | ↑ +0% |
| PHC | All_Plans | $452.80 | ↑ +0% |
| Blue_Cross | All_Other_Plans | $453.88 | ↑ +0% |
| Cigna | All_Plans | $509.12 | ↑ +12% |
| Aetna | All_Plans | $511.66 | ↑ +13% |
| First_Health_Network | All_Plans | $517.32 | ↑ +14% |
| WellSpan_Capital_Blue_Cross | All_Plans | $520.72 | ↑ +15% |
| Johns_Hopkins_HealthCare_Plan | All_Other_Plans | $526.38 | ↑ +16% |
| United_Healthcare | All_Plans | $536.00 | ↑ +18% |
| Geisinger | All_Plans | $537.70 | ↑ +19% |
| Highmark | My_Direct_Blue | $861.20 | ↑ +90% |
| Highmark | My_Priority_Blue_Flex | $861.20 | ↑ +90% |
| Highmark | Blue_Cross_High_Performance_Network | $1,148.29 | ↑ +154% |
| Highmark | Choice_Blue_PPO | $1,148.29 | ↑ +154% |
| Highmark | Performance_Blue | $1,148.29 | ↑ +154% |
| Highmark | All_Other_Plans | $1,435.36 | ↑ +217% |
Visitor-reported prices
Comments
Clsd tx/metacarpal fx/sng/w manip 26605 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $3,184.80 | $106.00 – $4,246.40 |
| UPMC Bedford | Everett | $1,626.60 | $82.51 – $2,439.90 |
| UPMC Carlisle | Carlisle | $808.20 | $134.62 – $1,144.95 |
| UPMC Cole | Coudersport | $1,693.20 | $71.52 – $1,041.88 |
| UPMC Community Osteopathic | Harrisburg | $808.20 | $134.62 – $2,315.88 |
| UPMC East | Monroeville | $3,055.20 | $116.60 – $4,073.60 |
| UPMC Hamot | Erie | $3,124.20 | $116.60 – $729.80 |
| UPMC Northwest | Seneca | $4,165.80 | $116.60 – $482.80 |