Debr musc/fascia 20sq cm/< 11043 at WellSpan Gettysburg Hospital
147 Gettys Street, Gettysburg, PA · Wellspan · · NPI 1265466957
$342.40
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.
$428.00
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.
$41.25 with Health_Partners_Medicaid vs $3,662.81 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 |
|---|---|---|---|
| Health_Partners_Medicaid | All_Other_Plans | $41.25 | ↓ -88% |
| Geisinger_Medicaid | All_Plans | $41.25 | ↓ -88% |
| UPMC_Medicaid | All_Plans | $41.25 | ↓ -88% |
| Highmark_Wholecare_Gateway_Medicaid | All_Plans | $41.25 | ↓ -88% |
| PA_Health_&_Wellness_Medicaid | All_Plans | $41.25 | ↓ -88% |
| Amerihealth_Caritas_Medicaid | All_Plans | $46.86 | ↓ -86% |
| Aetna_Better_Health_Kids | All_Plans | $112.20 | ↓ -67% |
| Blue_Cross | Capital_Blue_Performance_PPO | $240.15 | ↓ -30% |
| Blue_Cross | Capital_Cares_4_kids | $240.24 | ↓ -30% |
| UPMC | Employees_And_Dependents | $342.40 | ↑ +0% |
| PHC | All_Plans | $342.40 | ↑ +0% |
| UPMC | UPMC_For_Kids | $342.40 | ↑ +0% |
| Blue_Cross | All_Other_Plans | $343.21 | ↑ +0% |
| Cigna | All_Plans | $384.99 | ↑ +12% |
| Aetna | All_Plans | $386.91 | ↑ +13% |
| First_Health_Network | All_Plans | $391.19 | ↑ +14% |
| WellSpan_Capital_Blue_Cross | All_Plans | $393.76 | ↑ +15% |
| Johns_Hopkins_HealthCare_Plan | All_Other_Plans | $398.04 | ↑ +16% |
| United_Healthcare | All_Plans | $405.32 | ↑ +18% |
| Geisinger | All_Plans | $406.60 | ↑ +19% |
| Johns_Hopkins_HealthCare_Plan | Johns_Hopkins_US_Family_Health | $626.86 | ↑ +83% |
| Blue_Cross_BlueJourney_Medicare | All_Plans | $626.86 | ↑ +83% |
| Highmark_Medicare | All_Plans | $633.13 | ↑ +85% |
| Aetna_Medicare | All_Plans | $645.67 | ↑ +89% |
| Aetna_Advantra_Medicare | All_Plans | $645.67 | ↑ +89% |
| Geisinger_Gold_Medicare | All_Plans | $658.20 | ↑ +92% |
| Devoted_Medicare | All_Plans | $658.20 | ↑ +92% |
| United_Medicare | ISNP_DSNP_Plans | $658.20 | ↑ +92% |
| Highmark_Wholecare_Gateway_Medicare | All_Plans | $661.02 | ↑ +93% |
| Amerihealth_Medicare | All_Plans | $661.34 | ↑ +93% |
| UPMC_Medicare | UPMC_for_Life_Complete_Care | $661.34 | ↑ +93% |
| UPMC_for_Life_Community_HealthChoices | UPMC_for_Life_Complete_Care | $661.34 | ↑ +93% |
| Jefferson_Health_Medicare_Advantage | All_Plans | $677.01 | ↑ +98% |
| PA_Health_&_Wellness_Medicare | All_Plans | $677.01 | ↑ +98% |
| Health_Partners_Medicaid | Kidz_Partners | $689.55 | ↑ +101% |
| Highmark | Higmark_Healthy_Kids | $940.29 | ↑ +175% |
| United_Medicaid | Community_Plan_For_Kids | $1,097.01 | ↑ +220% |
| Highmark | My_Direct_Blue | $2,197.65 | ↑ +542% |
| Highmark | My_Priority_Blue_Flex | $2,197.65 | ↑ +542% |
| Highmark | Blue_Cross_High_Performance_Network | $2,930.26 | ↑ +756% |
| Highmark | Performance_Blue | $2,930.26 | ↑ +756% |
| Highmark | Choice_Blue_PPO | $2,930.26 | ↑ +756% |
| Highmark | All_Other_Plans | $3,662.81 | ↑ +970% |
Visitor-reported prices
Comments
Debr musc/fascia 20sq cm/< 11043 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $1,656.00 | $33.00 – $2,208.00 |
| UPMC Bedford | Everett | $4,799.40 | $34.65 – $7,199.10 |
| UPMC Carlisle | Carlisle | $1,965.00 | $41.91 – $2,783.75 |
| UPMC Cole | Coudersport | $1,353.00 | $34.65 – $1,041.88 |
| UPMC Community Osteopathic | Harrisburg | $1,965.00 | $41.91 – $2,783.75 |
| UPMC East | Monroeville | $3,734.40 | $36.30 – $4,979.20 |
| UPMC Hamot | Erie | $3,123.00 | $36.30 – $848.80 |
| UPMC Northwest | Seneca | $2,446.20 | $36.30 – $612.77 |