Fl exam g/colon tube w contrast at WellSpan Gettysburg Hospital
147 Gettys Street, Gettysburg, PA · Wellspan · · NPI 1265466957
$435.20
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.
$544.00
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.
$29.67 with UPMC_Medicaid vs $1,446.40 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 | $29.67 | ↓ -93% |
| Health_Partners_Medicaid | All_Other_Plans | $29.68 | ↓ -93% |
| PA_Health_&_Wellness_Medicaid | All_Plans | $29.68 | ↓ -93% |
| Geisinger_Medicaid | All_Plans | $29.68 | ↓ -93% |
| Highmark_Wholecare_Gateway_Medicaid | All_Plans | $29.68 | ↓ -93% |
| Amerihealth_Caritas_Medicaid | All_Plans | $33.71 | ↓ -92% |
| Aetna_Better_Health_Kids | All_Plans | $80.72 | ↓ -81% |
| Blue_Cross_BlueJourney_Medicare | All_Plans | $247.54 | ↓ -43% |
| Johns_Hopkins_HealthCare_Plan | Johns_Hopkins_US_Family_Health | $247.54 | ↓ -43% |
| Highmark_Medicare | All_Plans | $250.02 | ↓ -43% |
| Aetna_Advantra_Medicare | All_Plans | $254.97 | ↓ -41% |
| Aetna_Medicare | All_Plans | $254.97 | ↓ -41% |
| Devoted_Medicare | All_Plans | $259.92 | ↓ -40% |
| United_Medicare | ISNP_DSNP_Plans | $259.92 | ↓ -40% |
| Geisinger_Gold_Medicare | All_Plans | $259.92 | ↓ -40% |
| Highmark_Wholecare_Gateway_Medicare | All_Plans | $261.03 | ↓ -40% |
| Amerihealth_Medicare | All_Plans | $261.15 | ↓ -40% |
| Jefferson_Health_Medicare_Advantage | All_Plans | $267.34 | ↓ -39% |
| PA_Health_&_Wellness_Medicare | All_Plans | $267.34 | ↓ -39% |
| Health_Partners_Medicaid | Kidz_Partners | $272.29 | ↓ -37% |
| UPMC_Medicare | UPMC_for_Life_Complete_Care | $298.41 | ↓ -31% |
| UPMC_for_Life_Community_HealthChoices | UPMC_for_Life_Complete_Care | $298.41 | ↓ -31% |
| Blue_Cross | Capital_Blue_Performance_PPO | $305.24 | ↓ -30% |
| Blue_Cross | Capital_Cares_4_kids | $305.35 | ↓ -30% |
| Highmark | Higmark_Healthy_Kids | $371.31 | ↓ -15% |
| United_Medicaid | Community_Plan_For_Kids | $433.20 | ↓ -0% |
| PHC | All_Plans | $435.20 | ↑ +0% |
| UPMC | Employees_And_Dependents | $435.20 | ↑ +0% |
| UPMC | UPMC_For_Kids | $435.20 | ↑ +0% |
| Blue_Cross | All_Other_Plans | $436.23 | ↑ +0% |
| Cigna | All_Plans | $489.33 | ↑ +12% |
| Aetna | All_Plans | $491.78 | ↑ +13% |
| First_Health_Network | All_Plans | $497.22 | ↑ +14% |
| WellSpan_Capital_Blue_Cross | All_Plans | $500.48 | ↑ +15% |
| Johns_Hopkins_HealthCare_Plan | All_Other_Plans | $505.92 | ↑ +16% |
| United_Healthcare | All_Plans | $515.17 | ↑ +18% |
| Geisinger | All_Plans | $516.80 | ↑ +19% |
| Highmark | My_Direct_Blue | $867.83 | ↑ +99% |
| Highmark | My_Priority_Blue_Flex | $867.83 | ↑ +99% |
| Highmark | Performance_Blue | $1,157.13 | ↑ +166% |
| Highmark | Blue_Cross_High_Performance_Network | $1,157.13 | ↑ +166% |
| Highmark | Choice_Blue_PPO | $1,157.13 | ↑ +166% |
| Highmark | All_Other_Plans | $1,446.40 | ↑ +232% |
Visitor-reported prices
Comments
Fl exam g/colon tube w contrast at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $934.20 | $23.74 – $1,245.60 |
| UPMC Carlisle | Carlisle | $1,728.00 | $30.15 – $2,448.00 |
| UPMC Community Osteopathic | Harrisburg | $1,728.00 | $31.10 – $2,448.00 |
| UPMC East | Monroeville | $1,223.40 | $26.11 – $1,631.20 |
| UPMC Hamot | Erie | $684.60 | $26.11 – $335.18 |
| UPMC Northwest | Seneca | $602.40 | $26.11 – $255.42 |
| UPMC Hanover | Hanover | $1,728.00 | $30.15 – $369.47 |
| UPMC Horizon-Greenville | Greenville | $705.60 | $26.11 – $432.44 |