Inj proc myelogram lumbar at WellSpan Gettysburg Hospital
147 Gettys Street, Gettysburg, PA · Wellspan · · NPI 1265466957
$4,736.80
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.
$5,921.00
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.
$99.42 with UPMC_Medicaid vs $5,624.95 with Geisinger — 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 | $99.42 | ↓ -98% |
| PA_Health_&_Wellness_Medicaid | All_Plans | $99.43 | ↓ -98% |
| Highmark_Wholecare_Gateway_Medicaid | All_Plans | $99.43 | ↓ -98% |
| Health_Partners_Medicaid | All_Other_Plans | $99.43 | ↓ -98% |
| Geisinger_Medicaid | All_Plans | $99.43 | ↓ -98% |
| Amerihealth_Caritas_Medicaid | All_Plans | $112.95 | ↓ -98% |
| Blue_Cross | Capital_Blue_Performance_PPO | $3,322.27 | ↓ -30% |
| Blue_Cross | Capital_Cares_4_kids | $3,323.46 | ↓ -30% |
| UPMC | Employees_And_Dependents | $4,736.80 | ↑ +0% |
| PHC | All_Plans | $4,736.80 | ↑ +0% |
| UPMC | UPMC_For_Kids | $4,736.80 | ↑ +0% |
| Blue_Cross | All_Other_Plans | $4,748.05 | ↑ +0% |
| Cigna | All_Plans | $5,325.94 | ↑ +12% |
| Aetna | All_Plans | $5,352.58 | ↑ +13% |
| First_Health_Network | All_Plans | $5,411.79 | ↑ +14% |
| WellSpan_Capital_Blue_Cross | All_Plans | $5,447.32 | ↑ +15% |
| Johns_Hopkins_HealthCare_Plan | All_Other_Plans | $5,506.53 | ↑ +16% |
| United_Healthcare | All_Plans | $5,607.19 | ↑ +18% |
| Geisinger | All_Plans | $5,624.95 | ↑ +19% |
Visitor-reported prices
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Inj proc myelogram lumbar at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $922.80 | $79.54 – $1,230.40 |
| UPMC Carlisle | Carlisle | $518.40 | $101.02 – $9,539.00 |
| UPMC Community Osteopathic | Harrisburg | $518.40 | $107.38 – $1,381.10 |
| UPMC Hanover | Hanover | $518.40 | $101.02 – $780.76 |
| UPMC Kane | Kane | $307.20 | $87.49 – $796.30 |
| UPMC Lititz | Lititz | $518.40 | $72.66 – $780.76 |
| UPMC Magee | Pittsburgh | $1,068.00 | $79.93 – $448.22 |
| UPMC McKeesport | Mckeesport | $1,349.40 | $79.93 – $448.22 |