Leucovorin calcium 100 mg solution for injection (1 mg rounding) at WellSpan Gettysburg Hospital

147 Gettys Street, Gettysburg, PA · Wellspan · · NPI 1265466957

Source: hospital's published price file ↗ · Published Jan 1, 2026 · Ingested Sep 17, 2026

$502.00

Cash price

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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.

$627.50

Gross charge

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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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$22.53 with Amerihealth_Caritas_Medicaid vs $577.30 with WellSpan_Capital_Blue_Cross — 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 →

Payer
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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
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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 $22.53 ↓ -96%
Highmark_Wholecare_Gateway_Medicaid All_Plans $22.53 ↓ -96%
Health_Partners_Medicaid All_Other_Plans $22.53 ↓ -96%
Geisinger_Medicaid All_Plans $22.53 ↓ -96%
UPMC_Medicaid All_Plans $28.70 ↓ -94%
Aetna All_Plans $68.48 ↓ -86%
First_Health_Network All_Plans $68.48 ↓ -86%
Cigna All_Plans $86.00 ↓ -83%
United_Healthcare All_Plans $88.48 ↓ -82%
Blue_Cross Capital_Cares_4_kids $102.75 ↓ -80%
PHC All_Plans $135.80 ↓ -73%
Blue_Cross All_Other_Plans $146.78 ↓ -71%
UPMC UPMC_For_Kids $157.87 ↓ -69%
Johns_Hopkins_HealthCare_Plan All_Other_Plans $157.87 ↓ -69%
UPMC Employees_And_Dependents $157.87 ↓ -69%
Geisinger All_Plans $161.26 ↓ -68%
Blue_Cross Capital_Blue_Performance_PPO $352.09 ↓ -30%
WellSpan_Capital_Blue_Cross All_Plans $577.30 ↑ +15%

Visitor-reported prices

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Leucovorin calcium 100 mg solution for injection (1 mg rounding) at other Pennsylvania hospitals

Hospital City Cash price Negotiated range
UPMC Altoona Altoona $19.20 $2.03 – $20.67
UPMC Carlisle Carlisle $60.00 $0.27 – $6.30
UPMC Cole Coudersport $39.00 $3.22 – $52.00
UPMC Community Osteopathic Harrisburg $60.00 $0.40 – $34.42
UPMC East Monroeville $168.80 $2.03 – $168.80
UPMC Hamot Erie $202.80 $2.03 – $12.18
UPMC Northwest Seneca $117.00 $2.03 – $30.01
UPMC Hanover Hanover $60.00 $3.22 – $6.30

All Pennsylvania hospitals for this procedure →