Diagnostic anoscopy spx 46600 at WellSpan Gettysburg Hospital

147 Gettys Street, Gettysburg, PA · Wellspan · · NPI 1265466957

Source: hospital's published price file ↗ · Published Jan 1, 2026 · Ingested Sep 17, 2026

$211.20

Cash price

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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.

$264.00

Gross charge

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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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$25.00 with Health_Partners_Medicaid vs $771.29 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 →

Payer
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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
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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 $25.00 ↓ -88%
UPMC_Medicaid All_Plans $25.00 ↓ -88%
PA_Health_&_Wellness_Medicaid All_Plans $25.00 ↓ -88%
Geisinger_Medicaid All_Plans $25.00 ↓ -88%
Highmark_Wholecare_Gateway_Medicaid All_Plans $25.00 ↓ -88%
Amerihealth_Caritas_Medicaid All_Plans $28.40 ↓ -87%
Aetna_Better_Health_Kids All_Plans $68.00 ↓ -68%
Johns_Hopkins_HealthCare_Plan Johns_Hopkins_US_Family_Health $132.00 ↓ -38%
Blue_Cross_BlueJourney_Medicare All_Plans $132.00 ↓ -38%
Highmark_Medicare All_Plans $133.32 ↓ -37%
Aetna_Medicare All_Plans $135.96 ↓ -36%
Aetna_Advantra_Medicare All_Plans $135.96 ↓ -36%
Devoted_Medicare All_Plans $138.60 ↓ -34%
United_Medicare ISNP_DSNP_Plans $138.60 ↓ -34%
Geisinger_Gold_Medicare All_Plans $138.60 ↓ -34%
Highmark_Wholecare_Gateway_Medicare All_Plans $139.19 ↓ -34%
Amerihealth_Medicare All_Plans $139.26 ↓ -34%
PA_Health_&_Wellness_Medicare All_Plans $142.56 ↓ -33%
Jefferson_Health_Medicare_Advantage All_Plans $142.56 ↓ -33%
Health_Partners_Medicaid Kidz_Partners $145.20 ↓ -31%
Blue_Cross Capital_Blue_Performance_PPO $148.13 ↓ -30%
Blue_Cross Capital_Cares_4_kids $148.18 ↓ -30%
UPMC_Medicare UPMC_for_Life_Complete_Care $159.13 ↓ -25%
UPMC_for_Life_Community_HealthChoices UPMC_for_Life_Complete_Care $159.13 ↓ -25%
Highmark Higmark_Healthy_Kids $198.00 ↓ -6%
UPMC Employees_And_Dependents $211.20 ↑ +0%
UPMC UPMC_For_Kids $211.20 ↑ +0%
PHC All_Plans $211.20 ↑ +0%
Blue_Cross All_Other_Plans $211.70 ↑ +0%
United_Medicaid Community_Plan_For_Kids $231.00 ↑ +9%
Cigna All_Plans $237.47 ↑ +12%
Aetna All_Plans $238.66 ↑ +13%
First_Health_Network All_Plans $241.30 ↑ +14%
WellSpan_Capital_Blue_Cross All_Plans $242.88 ↑ +15%
Johns_Hopkins_HealthCare_Plan All_Other_Plans $245.52 ↑ +16%
United_Healthcare All_Plans $250.01 ↑ +18%
Geisinger All_Plans $250.80 ↑ +19%
Highmark My_Direct_Blue $462.77 ↑ +119%
Highmark My_Priority_Blue_Flex $462.77 ↑ +119%
Highmark Blue_Cross_High_Performance_Network $617.03 ↑ +192%
Highmark Choice_Blue_PPO $617.03 ↑ +192%
Highmark Performance_Blue $617.03 ↑ +192%
Highmark All_Other_Plans $771.29 ↑ +265%

Visitor-reported prices

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Diagnostic anoscopy spx 46600 at other Pennsylvania hospitals

Hospital City Cash price Negotiated range
UPMC Altoona Altoona $42.00 $20.00 – $92.94
UPMC Carlisle Carlisle $432.60 $25.40 – $612.85
UPMC Cole Coudersport $264.00 $21.00 – $208.80
UPMC Community Osteopathic Harrisburg $432.60 $25.40 – $612.85
UPMC East Monroeville $389.40 $22.00 – $519.20
UPMC Hamot Erie $384.60 $22.00 – $178.73
UPMC Northwest Seneca $463.20 $22.00 – $129.03
UPMC Hanover Hanover $432.60 $25.40 – $197.02

All Pennsylvania hospitals for this procedure →