Injection radioactive tracer sentinel node (both sides) at WellSpan Gettysburg Hospital
147 Gettys Street, Gettysburg, PA · Wellspan · · NPI 1265466957
$381.60
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.
$477.00
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.
$200.92 with Amerihealth_Caritas_Medicaid vs $2,404.44 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 |
|---|---|---|---|
| Amerihealth_Caritas_Medicaid | All_Plans | $200.92 | ↓ -47% |
| Blue_Cross | Capital_Blue_Performance_PPO | $267.64 | ↓ -30% |
| Blue_Cross | Capital_Cares_4_kids | $267.74 | ↓ -30% |
| UPMC_Medicaid | All_Plans | $296.69 | ↓ -22% |
| Highmark_Wholecare_Gateway_Medicaid | All_Plans | $301.37 | ↓ -21% |
| UPMC | UPMC_For_Kids | $381.60 | ↑ +0% |
| UPMC | Employees_And_Dependents | $381.60 | ↑ +0% |
| PHC | All_Plans | $381.60 | ↑ +0% |
| Blue_Cross | All_Other_Plans | $382.51 | ↑ +0% |
| Health_Partners_Medicaid | All_Other_Plans | $411.50 | ↑ +8% |
| Blue_Cross_BlueJourney_Medicare | All_Plans | $411.50 | ↑ +8% |
| Johns_Hopkins_HealthCare_Plan | Johns_Hopkins_US_Family_Health | $411.50 | ↑ +8% |
| Highmark_Medicare | All_Plans | $415.62 | ↑ +9% |
| Aetna_Medicare | All_Plans | $423.85 | ↑ +11% |
| Aetna_Advantra_Medicare | All_Plans | $423.85 | ↑ +11% |
| Cigna | All_Plans | $429.06 | ↑ +12% |
| Aetna | All_Plans | $431.21 | ↑ +13% |
| Devoted_Medicare | All_Plans | $432.08 | ↑ +13% |
| Geisinger_Gold_Medicare | All_Plans | $432.08 | ↑ +13% |
| United_Medicare | ISNP_DSNP_Plans | $432.08 | ↑ +13% |
| Highmark_Wholecare_Gateway_Medicare | All_Plans | $433.93 | ↑ +14% |
| Amerihealth_Medicare | All_Plans | $434.13 | ↑ +14% |
| First_Health_Network | All_Plans | $435.98 | ↑ +14% |
| WellSpan_Capital_Blue_Cross | All_Plans | $438.84 | ↑ +15% |
| Johns_Hopkins_HealthCare_Plan | All_Other_Plans | $443.61 | ↑ +16% |
| Jefferson_Health_Medicare_Advantage | All_Plans | $444.42 | ↑ +16% |
| PA_Health_&_Wellness_Medicare | All_Plans | $444.42 | ↑ +16% |
| United_Healthcare | All_Plans | $451.72 | ↑ +18% |
| Health_Partners_Medicaid | Kidz_Partners | $452.65 | ↑ +19% |
| Geisinger | All_Plans | $453.15 | ↑ +19% |
| UPMC_for_Life_Community_HealthChoices | UPMC_for_Life_Complete_Care | $496.06 | ↑ +30% |
| UPMC_Medicare | UPMC_for_Life_Complete_Care | $496.06 | ↑ +30% |
| Highmark | Higmark_Healthy_Kids | $617.25 | ↑ +62% |
| United_Medicaid | Community_Plan_For_Kids | $720.13 | ↑ +89% |
| Highmark | My_Priority_Blue_Flex | $1,442.64 | ↑ +278% |
| Highmark | My_Direct_Blue | $1,442.64 | ↑ +278% |
| Highmark | Performance_Blue | $1,923.56 | ↑ +404% |
| Highmark | Choice_Blue_PPO | $1,923.56 | ↑ +404% |
| Highmark | Blue_Cross_High_Performance_Network | $1,923.56 | ↑ +404% |
| Highmark | All_Other_Plans | $2,404.44 | ↑ +530% |
Visitor-reported prices
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Injection radioactive tracer sentinel node (both sides) at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $483.60 | $68.42 – $644.80 |
| UPMC Carlisle | Carlisle | $837.60 | $191.25 – $1,186.60 |
| UPMC Cole | Coudersport | $80.40 | $37.14 – $771.51 |
| UPMC Community Osteopathic | Harrisburg | $837.60 | $279.20 – $1,439.54 |
| UPMC East | Monroeville | $389.40 | $69.07 – $519.20 |
| UPMC Hamot | Erie | $1,941.00 | $68.42 – $557.18 |
| UPMC Hanover | Hanover | $837.60 | $310.59 – $1,439.54 |
| UPMC Jameson | New Castle | $672.00 | $69.63 – $517.18 |