Facial bones <3 at WellSpan Gettysburg Hospital
147 Gettys Street, Gettysburg, PA · Wellspan · · NPI 1265466957
$224.00
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.
$280.00
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.
$22.64 with UPMC_Medicaid vs $526.87 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 | $22.64 | ↓ -90% |
| Health_Partners_Medicaid | All_Other_Plans | $34.30 | ↓ -85% |
| PA_Health_&_Wellness_Medicaid | All_Plans | $34.30 | ↓ -85% |
| Geisinger_Medicaid | All_Plans | $34.30 | ↓ -85% |
| Highmark_Wholecare_Gateway_Medicaid | All_Plans | $34.30 | ↓ -85% |
| Amerihealth_Caritas_Medicaid | All_Plans | $38.96 | ↓ -83% |
| Blue_Cross_BlueJourney_Medicare | All_Plans | $90.17 | ↓ -60% |
| Johns_Hopkins_HealthCare_Plan | Johns_Hopkins_US_Family_Health | $90.17 | ↓ -60% |
| Highmark_Medicare | All_Plans | $91.07 | ↓ -59% |
| Aetna_Advantra_Medicare | All_Plans | $92.88 | ↓ -59% |
| Aetna_Medicare | All_Plans | $92.88 | ↓ -59% |
| Aetna_Better_Health_Kids | All_Plans | $93.30 | ↓ -58% |
| Devoted_Medicare | All_Plans | $94.68 | ↓ -58% |
| United_Medicare | ISNP_DSNP_Plans | $94.68 | ↓ -58% |
| Geisinger_Gold_Medicare | All_Plans | $94.68 | ↓ -58% |
| Highmark_Wholecare_Gateway_Medicare | All_Plans | $95.08 | ↓ -58% |
| Amerihealth_Medicare | All_Plans | $95.13 | ↓ -58% |
| Jefferson_Health_Medicare_Advantage | All_Plans | $97.38 | ↓ -57% |
| PA_Health_&_Wellness_Medicare | All_Plans | $97.38 | ↓ -57% |
| Health_Partners_Medicaid | Kidz_Partners | $99.19 | ↓ -56% |
| UPMC_Medicare | UPMC_for_Life_Complete_Care | $108.70 | ↓ -51% |
| UPMC_for_Life_Community_HealthChoices | UPMC_for_Life_Complete_Care | $108.70 | ↓ -51% |
| WellSpan_Capital_Blue_Cross | All_Plans | $110.00 | ↓ -51% |
| Blue_Cross | Capital_Blue_Performance_PPO | $133.53 | ↓ -40% |
| Highmark | Higmark_Healthy_Kids | $135.26 | ↓ -40% |
| Blue_Cross | Capital_Cares_4_kids | $157.16 | ↓ -30% |
| United_Medicaid | Community_Plan_For_Kids | $157.80 | ↓ -30% |
| PHC | All_Plans | $224.00 | ↑ +0% |
| UPMC | Employees_And_Dependents | $224.00 | ↑ +0% |
| UPMC | UPMC_For_Kids | $224.00 | ↑ +0% |
| Blue_Cross | All_Other_Plans | $224.53 | ↑ +0% |
| Cigna | All_Plans | $251.86 | ↑ +12% |
| Aetna | All_Plans | $253.12 | ↑ +13% |
| First_Health_Network | All_Plans | $255.92 | ↑ +14% |
| Johns_Hopkins_HealthCare_Plan | All_Other_Plans | $260.40 | ↑ +16% |
| Geisinger | All_Plans | $266.00 | ↑ +19% |
| Highmark | My_Priority_Blue_Flex | $316.12 | ↑ +41% |
| Highmark | My_Direct_Blue | $316.12 | ↑ +41% |
| Highmark | Performance_Blue | $421.50 | ↑ +88% |
| Highmark | Blue_Cross_High_Performance_Network | $421.50 | ↑ +88% |
| Highmark | Choice_Blue_PPO | $421.50 | ↑ +88% |
| United_Healthcare | All_Plans | $497.84 | ↑ +122% |
| Highmark | All_Other_Plans | $526.87 | ↑ +135% |
Visitor-reported prices
Comments
Facial bones <3 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $188.40 | $23.72 – $266.90 |
| UPMC Cole | Coudersport | $145.80 | $28.81 – $194.40 |
| UPMC Community Osteopathic | Harrisburg | $188.40 | $23.72 – $266.90 |
| UPMC East | Monroeville | $436.20 | $30.18 – $581.60 |
| UPMC Hamot | Erie | $340.20 | $23.94 – $118.50 |
| UPMC Northwest | Seneca | $288.60 | $30.18 – $88.15 |
| UPMC Hanover | Hanover | $188.40 | $23.72 – $134.58 |
| UPMC Horizon-Greenville | Greenville | $189.00 | $28.81 – $90.67 |