Med genetics&genetic counseling svcs each 30 min at WellSpan Gettysburg Hospital
147 Gettys Street, Gettysburg, PA · Wellspan · · NPI 1265466957
$243.20
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.
$304.00
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.
$46.46 with Health_Partners_Medicaid vs $771.11 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 |
|---|---|---|---|
| Health_Partners_Medicaid | All_Other_Plans | $46.46 | ↓ -81% |
| PA_Health_&_Wellness_Medicaid | All_Plans | $46.46 | ↓ -81% |
| Geisinger_Medicaid | All_Plans | $46.46 | ↓ -81% |
| Highmark_Wholecare_Gateway_Medicaid | All_Plans | $46.46 | ↓ -81% |
| UPMC_Medicaid | All_Plans | $46.47 | ↓ -81% |
| Amerihealth_Caritas_Medicaid | All_Plans | $52.78 | ↓ -78% |
| Aetna_Better_Health_Kids | All_Plans | $126.38 | ↓ -48% |
| Johns_Hopkins_HealthCare_Plan | Johns_Hopkins_US_Family_Health | $131.97 | ↓ -46% |
| Blue_Cross_BlueJourney_Medicare | All_Plans | $131.97 | ↓ -46% |
| Highmark_Medicare | All_Plans | $133.29 | ↓ -45% |
| Aetna_Advantra_Medicare | All_Plans | $135.93 | ↓ -44% |
| Aetna_Medicare | All_Plans | $135.93 | ↓ -44% |
| Devoted_Medicare | All_Plans | $138.57 | ↓ -43% |
| United_Medicare | ISNP_DSNP_Plans | $138.57 | ↓ -43% |
| Geisinger_Gold_Medicare | All_Plans | $138.57 | ↓ -43% |
| Highmark_Wholecare_Gateway_Medicare | All_Plans | $139.16 | ↓ -43% |
| Amerihealth_Medicare | All_Plans | $139.23 | ↓ -43% |
| Jefferson_Health_Medicare_Advantage | All_Plans | $142.53 | ↓ -41% |
| PA_Health_&_Wellness_Medicare | All_Plans | $142.53 | ↓ -41% |
| Health_Partners_Medicaid | Kidz_Partners | $145.17 | ↓ -40% |
| UPMC_Medicare | UPMC_for_Life_Complete_Care | $159.09 | ↓ -35% |
| UPMC_for_Life_Community_HealthChoices | UPMC_for_Life_Complete_Care | $159.09 | ↓ -35% |
| Blue_Cross | Capital_Blue_Performance_PPO | $170.57 | ↓ -30% |
| Blue_Cross | Capital_Cares_4_kids | $170.64 | ↓ -30% |
| Highmark | Higmark_Healthy_Kids | $197.96 | ↓ -19% |
| United_Medicaid | Community_Plan_For_Kids | $230.95 | ↓ -5% |
| PHC | All_Plans | $243.20 | ↑ +0% |
| UPMC | Employees_And_Dependents | $243.20 | ↑ +0% |
| UPMC | UPMC_For_Kids | $243.20 | ↑ +0% |
| Blue_Cross | All_Other_Plans | $243.78 | ↑ +0% |
| Cigna | All_Plans | $273.45 | ↑ +12% |
| Aetna | All_Plans | $274.82 | ↑ +13% |
| First_Health_Network | All_Plans | $277.86 | ↑ +14% |
| WellSpan_Capital_Blue_Cross | All_Plans | $279.68 | ↑ +15% |
| Johns_Hopkins_HealthCare_Plan | All_Other_Plans | $282.72 | ↑ +16% |
| United_Healthcare | All_Plans | $287.89 | ↑ +18% |
| Geisinger | All_Plans | $288.80 | ↑ +19% |
| Highmark | My_Direct_Blue | $462.66 | ↑ +90% |
| Highmark | My_Priority_Blue_Flex | $462.66 | ↑ +90% |
| Highmark | Performance_Blue | $616.89 | ↑ +154% |
| Highmark | Blue_Cross_High_Performance_Network | $616.89 | ↑ +154% |
| Highmark | Choice_Blue_PPO | $616.89 | ↑ +154% |
| Highmark | All_Other_Plans | $771.11 | ↑ +217% |
Visitor-reported prices
Comments
Med genetics&genetic counseling svcs each 30 min at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $251.40 | $44.52 – $276.25 |
| UPMC Community Osteopathic | Harrisburg | $251.40 | $47.21 – $276.25 |
| UPMC Magee | Pittsburgh | $138.00 | $40.89 – $63.35 |
| UPMC Memorial | York | $251.40 | $13.33 – $54.14 |
| UPMC Somerset | Somerset | $251.40 | $16.19 – $51.66 |
| WellSpan Ephrata Community Hospital | Ephrata | $242.40 | $46.46 – $217.81 |
| Uniontown Hospital | Uniontown | $70.00 | $34.74 – $46.46 |