Diagnostic Mammogram (one breast) at WellSpan Gettysburg Hospital
147 Gettys Street, Gettysburg, PA · Wellspan · · NPI 1265466957
$222.00
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.
$449.00
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.
$78.86 with Johns_Hopkins_HealthCare_Plan vs $493.29 with United_Healthcare — 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 |
|---|---|---|---|
| Johns_Hopkins_HealthCare_Plan | Johns_Hopkins_US_Family_Health | $78.86 | ↓ -64% |
| Blue_Cross_BlueJourney_Medicare | All_Plans | $78.86 | ↓ -64% |
| Highmark_Medicare | All_Plans | $79.65 | ↓ -64% |
| Aetna_Medicare | All_Plans | $81.23 | ↓ -63% |
| Aetna_Advantra_Medicare | All_Plans | $81.23 | ↓ -63% |
| Devoted_Medicare | All_Plans | $82.80 | ↓ -63% |
| United_Medicare | ISNP_DSNP_Plans | $82.80 | ↓ -63% |
| Geisinger_Gold_Medicare | All_Plans | $82.80 | ↓ -63% |
| Highmark_Wholecare_Gateway_Medicare | All_Plans | $83.16 | ↓ -63% |
| Amerihealth_Medicare | All_Plans | $83.20 | ↓ -63% |
| PA_Health_&_Wellness_Medicare | All_Plans | $85.17 | ↓ -62% |
| Jefferson_Health_Medicare_Advantage | All_Plans | $85.17 | ↓ -62% |
| Health_Partners_Medicaid | Kidz_Partners | $86.75 | ↓ -61% |
| UPMC_Medicaid | All_Plans | $88.76 | ↓ -60% |
| UPMC_Medicare | UPMC_for_Life_Complete_Care | $95.07 | ↓ -57% |
| UPMC_for_Life_Community_HealthChoices | UPMC_for_Life_Complete_Care | $95.07 | ↓ -57% |
| Highmark | Higmark_Healthy_Kids | $118.29 | ↓ -47% |
| Highmark_Wholecare_Gateway_Medicaid | All_Plans | $128.01 | ↓ -42% |
| Geisinger_Medicaid | All_Plans | $128.01 | ↓ -42% |
| Health_Partners_Medicaid | All_Other_Plans | $128.01 | ↓ -42% |
| PA_Health_&_Wellness_Medicaid | All_Plans | $128.01 | ↓ -42% |
| United_Medicaid | Community_Plan_For_Kids | $138.01 | ↓ -38% |
| Amerihealth_Caritas_Medicaid | All_Plans | $145.42 | ↓ -34% |
| WellSpan_Capital_Blue_Cross | All_Plans | $152.00 | ↓ -32% |
| Blue_Cross | Capital_Blue_Performance_PPO | $194.00 | ↓ -13% |
| Blue_Cross | Capital_Cares_4_kids | $252.02 | ↑ +14% |
| Highmark | My_Direct_Blue | $276.47 | ↑ +25% |
| Highmark | My_Priority_Blue_Flex | $276.47 | ↑ +25% |
| Aetna_Better_Health_Kids | All_Plans | $348.19 | ↑ +57% |
| PHC | All_Plans | $359.20 | ↑ +62% |
| UPMC | Employees_And_Dependents | $359.20 | ↑ +62% |
| UPMC | UPMC_For_Kids | $359.20 | ↑ +62% |
| Blue_Cross | All_Other_Plans | $360.05 | ↑ +62% |
| Highmark | Choice_Blue_PPO | $368.63 | ↑ +66% |
| Highmark | Performance_Blue | $368.63 | ↑ +66% |
| Highmark | Blue_Cross_High_Performance_Network | $368.63 | ↑ +66% |
| Cigna | All_Plans | $386.14 | ↑ +74% |
| Aetna | All_Plans | $405.90 | ↑ +83% |
| First_Health_Network | All_Plans | $410.39 | ↑ +85% |
| Johns_Hopkins_HealthCare_Plan | All_Other_Plans | $417.57 | ↑ +88% |
| Geisinger | All_Plans | $426.55 | ↑ +92% |
| Highmark | All_Other_Plans | $460.79 | ↑ +108% |
| United_Healthcare | All_Plans | $493.29 | ↑ +122% |
Visitor-reported prices
Comments
Diagnostic Mammogram (one breast) at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $475.80 | $57.72 – $634.40 |
| UPMC Bedford | Everett | $502.20 | $107.53 – $753.30 |
| UPMC Carlisle | Carlisle | $243.60 | $19.45 – $479.38 |
| UPMC Cole | Coudersport | $360.00 | $107.53 – $480.00 |
| UPMC Community Osteopathic | Harrisburg | $349.80 | $28.40 – $364.39 |
| UPMC East | Monroeville | $336.60 | $58.27 – $448.80 |
| UPMC Hamot | Erie | $478.80 | $57.72 – $174.53 |
| UPMC Northwest | Seneca | $487.20 | $112.65 – $174.53 |