Nuclear rx IV admin at WellSpan Gettysburg Hospital
147 Gettys Street, Gettysburg, PA · Wellspan · · NPI 1265466957
$1,092.00
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.
$1,365.00
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.
$46.53 with UPMC_Medicaid vs $1,362.98 with United_Healthcare — 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 | $46.53 | ↓ -96% |
| Highmark_Wholecare_Gateway_Medicaid | All_Plans | $143.66 | ↓ -87% |
| Geisinger_Medicaid | All_Plans | $143.66 | ↓ -87% |
| PA_Health_&_Wellness_Medicaid | All_Plans | $143.66 | ↓ -87% |
| Health_Partners_Medicaid | All_Other_Plans | $143.66 | ↓ -87% |
| Amerihealth_Caritas_Medicaid | All_Plans | $163.20 | ↓ -85% |
| Johns_Hopkins_HealthCare_Plan | Johns_Hopkins_US_Family_Health | $229.52 | ↓ -79% |
| Blue_Cross_BlueJourney_Medicare | All_Plans | $229.52 | ↓ -79% |
| Highmark_Medicare | All_Plans | $231.82 | ↓ -79% |
| Aetna_Advantra_Medicare | All_Plans | $236.41 | ↓ -78% |
| Aetna_Medicare | All_Plans | $236.41 | ↓ -78% |
| Devoted_Medicare | All_Plans | $241.00 | ↓ -78% |
| United_Medicare | ISNP_DSNP_Plans | $241.00 | ↓ -78% |
| Geisinger_Gold_Medicare | All_Plans | $241.00 | ↓ -78% |
| Highmark_Wholecare_Gateway_Medicare | All_Plans | $242.03 | ↓ -78% |
| Amerihealth_Medicare | All_Plans | $242.14 | ↓ -78% |
| Jefferson_Health_Medicare_Advantage | All_Plans | $247.88 | ↓ -77% |
| PA_Health_&_Wellness_Medicare | All_Plans | $247.88 | ↓ -77% |
| Health_Partners_Medicaid | Kidz_Partners | $252.47 | ↓ -77% |
| UPMC_Medicare | UPMC_for_Life_Complete_Care | $276.69 | ↓ -75% |
| UPMC_for_Life_Community_HealthChoices | UPMC_for_Life_Complete_Care | $276.69 | ↓ -75% |
| Highmark | Higmark_Healthy_Kids | $344.28 | ↓ -68% |
| Aetna_Better_Health_Kids | All_Plans | $390.76 | ↓ -64% |
| United_Medicaid | Community_Plan_For_Kids | $401.66 | ↓ -63% |
| Blue_Cross | Capital_Blue_Performance_PPO | $650.97 | ↓ -40% |
| Blue_Cross | Capital_Cares_4_kids | $766.17 | ↓ -30% |
| Highmark | My_Priority_Blue_Flex | $804.65 | ↓ -26% |
| Highmark | My_Direct_Blue | $804.65 | ↓ -26% |
| Highmark | Performance_Blue | $1,072.89 | ↓ -2% |
| Highmark | Choice_Blue_PPO | $1,072.89 | ↓ -2% |
| Highmark | Blue_Cross_High_Performance_Network | $1,072.89 | ↓ -2% |
| UPMC | UPMC_For_Kids | $1,092.00 | ↑ +0% |
| UPMC | Employees_And_Dependents | $1,092.00 | ↑ +0% |
| PHC | All_Plans | $1,092.00 | ↑ +0% |
| Blue_Cross | All_Other_Plans | $1,094.59 | ↑ +0% |
| Cigna | All_Plans | $1,173.90 | ↑ +8% |
| Aetna | All_Plans | $1,233.96 | ↑ +13% |
| First_Health_Network | All_Plans | $1,247.61 | ↑ +14% |
| WellSpan_Capital_Blue_Cross | All_Plans | $1,255.80 | ↑ +15% |
| Johns_Hopkins_HealthCare_Plan | All_Other_Plans | $1,269.45 | ↑ +16% |
| Geisinger | All_Plans | $1,296.75 | ↑ +19% |
| Highmark | All_Other_Plans | $1,341.11 | ↑ +23% |
| United_Healthcare | All_Plans | $1,362.98 | ↑ +25% |
Visitor-reported prices
Comments
Nuclear rx IV admin at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $791.40 | $48.77 – $1,121.15 |
| UPMC Community Osteopathic | Harrisburg | $791.40 | $48.77 – $1,121.15 |
| UPMC Hamot | Erie | $710.40 | $109.74 – $357.04 |
| UPMC Hanover | Hanover | $791.40 | $48.77 – $373.64 |
| UPMC Horizon-Greenville | Greenville | $477.00 | $126.42 – $357.04 |
| UPMC Lititz | Lititz | $791.40 | $48.77 – $373.64 |
| UPMC Magee | Pittsburgh | $763.20 | $110.79 – $357.04 |
| UPMC McKeesport | Mckeesport | $486.60 | $110.79 – $357.04 |