Macro exam dissect molec study ea at WellSpan Gettysburg Hospital
147 Gettys Street, Gettysburg, PA · Wellspan · · NPI 1265466957
$368.00
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.
$460.00
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.
$7.69 with UPMC_Medicaid vs $437.00 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 | $7.69 | ↓ -98% |
| United_Healthcare | All_Plans | $21.60 | ↓ -94% |
| Amerihealth_Caritas_Medicaid | All_Plans | $31.03 | ↓ -92% |
| Health_Partners_Medicaid | All_Other_Plans | $38.79 | ↓ -89% |
| PA_Health_&_Wellness_Medicaid | All_Plans | $38.79 | ↓ -89% |
| Geisinger_Medicaid | All_Plans | $38.79 | ↓ -89% |
| Highmark_Wholecare_Gateway_Medicaid | All_Plans | $38.79 | ↓ -89% |
| Aetna | All_Plans | $137.61 | ↓ -63% |
| First_Health_Network | All_Plans | $137.61 | ↓ -63% |
| Blue_Cross | Capital_Blue_Performance_PPO | $219.37 | ↓ -40% |
| Blue_Cross | Capital_Cares_4_kids | $258.20 | ↓ -30% |
| PHC | All_Plans | $368.00 | ↑ +0% |
| UPMC | UPMC_For_Kids | $368.00 | ↑ +0% |
| UPMC | Employees_And_Dependents | $368.00 | ↑ +0% |
| Blue_Cross | All_Other_Plans | $368.87 | ↑ +0% |
| Cigna | All_Plans | $386.49 | ↑ +5% |
| WellSpan_Capital_Blue_Cross | All_Plans | $423.20 | ↑ +15% |
| Johns_Hopkins_HealthCare_Plan | All_Other_Plans | $427.80 | ↑ +16% |
| Geisinger | All_Plans | $437.00 | ↑ +19% |
Visitor-reported prices
Comments
Macro exam dissect molec study ea at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| WellSpan Ephrata Community Hospital | Ephrata | $368.00 | $7.69 – $151.27 |
| WellSpan Good Samaritan Hospital | Lebanon | $368.00 | $21.60 – $151.27 |