Enzyme histochemistry at WellSpan Gettysburg Hospital
147 Gettys Street, Gettysburg, PA · Wellspan · · NPI 1265466957
$252.80
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.
$316.00
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.
$9.26 with UPMC_Medicaid vs $4,888.05 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 |
|---|---|---|---|
| UPMC_Medicaid | All_Plans | $9.26 | ↓ -96% |
| Amerihealth_Caritas_Medicaid | All_Plans | $117.05 | ↓ -54% |
| Highmark_Wholecare_Gateway_Medicaid | All_Plans | $146.31 | ↓ -42% |
| Geisinger_Medicaid | All_Plans | $146.31 | ↓ -42% |
| PA_Health_&_Wellness_Medicaid | All_Plans | $146.31 | ↓ -42% |
| Health_Partners_Medicaid | All_Other_Plans | $146.31 | ↓ -42% |
| Blue_Cross | Capital_Blue_Performance_PPO | $150.70 | ↓ -40% |
| Blue_Cross | Capital_Cares_4_kids | $177.37 | ↓ -30% |
| UPMC | Employees_And_Dependents | $252.80 | ↑ +0% |
| PHC | All_Plans | $252.80 | ↑ +0% |
| UPMC | UPMC_For_Kids | $252.80 | ↑ +0% |
| Blue_Cross | All_Other_Plans | $253.40 | ↑ +0% |
| Cigna | All_Plans | $265.50 | ↑ +5% |
| Aetna | All_Plans | $285.66 | ↑ +13% |
| First_Health_Network | All_Plans | $288.82 | ↑ +14% |
| WellSpan_Capital_Blue_Cross | All_Plans | $290.72 | ↑ +15% |
| Johns_Hopkins_HealthCare_Plan | All_Other_Plans | $293.88 | ↑ +16% |
| Geisinger | All_Plans | $300.20 | ↑ +19% |
| Aetna_Better_Health_Kids | All_Plans | $397.97 | ↑ +57% |
| Johns_Hopkins_HealthCare_Plan | Johns_Hopkins_US_Family_Health | $836.55 | ↑ +231% |
| Blue_Cross_BlueJourney_Medicare | All_Plans | $836.55 | ↑ +231% |
| Highmark_Medicare | All_Plans | $844.92 | ↑ +234% |
| Aetna_Medicare | All_Plans | $861.65 | ↑ +241% |
| Aetna_Advantra_Medicare | All_Plans | $861.65 | ↑ +241% |
| Devoted_Medicare | All_Plans | $878.38 | ↑ +247% |
| Geisinger_Gold_Medicare | All_Plans | $878.38 | ↑ +247% |
| United_Medicare | ISNP_DSNP_Plans | $878.38 | ↑ +247% |
| Highmark_Wholecare_Gateway_Medicare | All_Plans | $882.14 | ↑ +249% |
| Amerihealth_Medicare | All_Plans | $882.56 | ↑ +249% |
| PA_Health_&_Wellness_Medicare | All_Plans | $903.47 | ↑ +257% |
| Jefferson_Health_Medicare_Advantage | All_Plans | $903.47 | ↑ +257% |
| Health_Partners_Medicaid | Kidz_Partners | $920.21 | ↑ +264% |
| UPMC_for_Life_Community_HealthChoices | UPMC_for_Life_Complete_Care | $1,008.46 | ↑ +299% |
| UPMC_Medicare | UPMC_for_Life_Complete_Care | $1,008.46 | ↑ +299% |
| Highmark | Higmark_Healthy_Kids | $1,254.83 | ↑ +396% |
| United_Medicaid | Community_Plan_For_Kids | $1,463.96 | ↑ +479% |
| United_Healthcare | All_Plans | $2,457.87 | ↑ +872% |
| Highmark | My_Direct_Blue | $2,932.78 | ↑ +1060% |
| Highmark | My_Priority_Blue_Flex | $2,932.78 | ↑ +1060% |
| Highmark | Choice_Blue_PPO | $3,910.45 | ↑ +1447% |
| Highmark | Performance_Blue | $3,910.45 | ↑ +1447% |
| Highmark | Blue_Cross_High_Performance_Network | $3,910.45 | ↑ +1447% |
| Highmark | All_Other_Plans | $4,888.05 | ↑ +1834% |
Visitor-reported prices
Comments
Enzyme histochemistry at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $471.60 | $7.41 – $628.80 |
| UPMC Carlisle | Carlisle | $1,472.40 | $9.71 – $2,085.90 |
| UPMC Community Osteopathic | Harrisburg | $1,472.40 | $9.71 – $2,085.90 |
| UPMC East | Monroeville | $797.40 | $78.95 – $1,063.20 |
| UPMC Hamot | Erie | $652.20 | $23.43 – $970.76 |
| UPMC Northwest | Seneca | $573.60 | $79.68 – $817.76 |
| UPMC Hanover | Hanover | $1,472.40 | $9.71 – $1,248.61 |
| UPMC Horizon-Greenville | Greenville | $456.60 | $79.94 – $841.13 |