Polysomnography sleep staging >=4 parameters age >=6 years w/cpap bipap at WellSpan Gettysburg Hospital
147 Gettys Street, Gettysburg, PA · Wellspan · · NPI 1265466957
$4,164.80
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.
$5,206.00
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.
$647.09 with UPMC_Medicaid vs $6,087.75 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 |
|---|---|---|---|
| UPMC_Medicaid | All_Plans | $647.09 | ↓ -84% |
| Highmark_Wholecare_Gateway_Medicaid | All_Plans | $809.45 | ↓ -81% |
| Geisinger_Medicaid | All_Plans | $809.45 | ↓ -81% |
| PA_Health_&_Wellness_Medicaid | All_Plans | $809.45 | ↓ -81% |
| Health_Partners_Medicaid | All_Other_Plans | $809.45 | ↓ -81% |
| Amerihealth_Caritas_Medicaid | All_Plans | $919.54 | ↓ -78% |
| Johns_Hopkins_HealthCare_Plan | Johns_Hopkins_US_Family_Health | $1,041.87 | ↓ -75% |
| Blue_Cross_BlueJourney_Medicare | All_Plans | $1,041.87 | ↓ -75% |
| Highmark_Medicare | All_Plans | $1,052.29 | ↓ -75% |
| Aetna_Advantra_Medicare | All_Plans | $1,073.13 | ↓ -74% |
| Aetna_Medicare | All_Plans | $1,073.13 | ↓ -74% |
| Devoted_Medicare | All_Plans | $1,093.96 | ↓ -74% |
| United_Medicare | ISNP_DSNP_Plans | $1,093.96 | ↓ -74% |
| Geisinger_Gold_Medicare | All_Plans | $1,093.96 | ↓ -74% |
| Highmark_Wholecare_Gateway_Medicare | All_Plans | $1,098.65 | ↓ -74% |
| Amerihealth_Medicare | All_Plans | $1,099.17 | ↓ -74% |
| Jefferson_Health_Medicare_Advantage | All_Plans | $1,125.22 | ↓ -73% |
| PA_Health_&_Wellness_Medicare | All_Plans | $1,125.22 | ↓ -73% |
| Health_Partners_Medicaid | Kidz_Partners | $1,146.06 | ↓ -72% |
| UPMC_Medicare | UPMC_for_Life_Complete_Care | $1,255.97 | ↓ -70% |
| UPMC_for_Life_Community_HealthChoices | UPMC_for_Life_Complete_Care | $1,255.97 | ↓ -70% |
| Highmark | Higmark_Healthy_Kids | $1,562.81 | ↓ -62% |
| United_Medicaid | Community_Plan_For_Kids | $1,823.27 | ↓ -56% |
| Aetna_Better_Health_Kids | All_Plans | $2,201.70 | ↓ -47% |
| Blue_Cross | Capital_Blue_Performance_PPO | $2,921.09 | ↓ -30% |
| Blue_Cross | Capital_Cares_4_kids | $2,922.13 | ↓ -30% |
| Highmark | My_Direct_Blue | $3,652.59 | ↓ -12% |
| Highmark | My_Priority_Blue_Flex | $3,652.59 | ↓ -12% |
| UPMC | UPMC_For_Kids | $4,164.80 | ↑ +0% |
| UPMC | Employees_And_Dependents | $4,164.80 | ↑ +0% |
| PHC | All_Plans | $4,164.80 | ↑ +0% |
| Blue_Cross | All_Other_Plans | $4,174.69 | ↑ +0% |
| Cigna | All_Plans | $4,682.80 | ↑ +12% |
| Aetna | All_Plans | $4,706.22 | ↑ +13% |
| First_Health_Network | All_Plans | $4,758.28 | ↑ +14% |
| WellSpan_Capital_Blue_Cross | All_Plans | $4,789.52 | ↑ +15% |
| Johns_Hopkins_HealthCare_Plan | All_Other_Plans | $4,841.58 | ↑ +16% |
| Highmark | Blue_Cross_High_Performance_Network | $4,870.22 | ↑ +17% |
| Highmark | Performance_Blue | $4,870.22 | ↑ +17% |
| Highmark | Choice_Blue_PPO | $4,870.22 | ↑ +17% |
| United_Healthcare | All_Plans | $4,930.08 | ↑ +18% |
| Geisinger | All_Plans | $4,945.70 | ↑ +19% |
| Highmark | All_Other_Plans | $6,087.75 | ↑ +46% |
Visitor-reported prices
Comments
Polysomnography sleep staging >=4 parameters age >=6 years w/cpap bipap at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $2,547.00 | $517.67 – $3,396.00 |
| UPMC Bedford | Everett | $3,496.20 | $349.96 – $5,244.30 |
| UPMC Carlisle | Carlisle | $4,898.40 | $678.15 – $6,939.40 |
| UPMC Hamot | Erie | $2,308.20 | $292.41 – $1,349.45 |
| UPMC Hanover | Hanover | $4,898.40 | $678.15 – $1,555.06 |
| UPMC Horizon-Greenville | Greenville | $3,305.40 | $679.94 – $1,375.62 |
| UPMC Jameson | New Castle | $3,108.60 | $577.18 – $1,212.45 |
| UPMC Lititz | Lititz | $4,898.40 | $678.15 – $1,563.46 |