Pq kyphplsty 1 bdy lumb w/img at WellSpan Gettysburg Hospital
147 Gettys Street, Gettysburg, PA · Wellspan · · NPI 1265466957
$10,656.00
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.
$13,320.00
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.
$509.29 with Highmark_Wholecare_Gateway_Medicaid vs $42,745.84 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 |
|---|---|---|---|
| Highmark_Wholecare_Gateway_Medicaid | All_Plans | $509.29 | ↓ -95% |
| Health_Partners_Medicaid | All_Other_Plans | $970.00 | ↓ -91% |
| UPMC_Medicaid | All_Plans | $970.00 | ↓ -91% |
| Geisinger_Medicaid | All_Plans | $970.00 | ↓ -91% |
| PA_Health_&_Wellness_Medicaid | All_Plans | $970.00 | ↓ -91% |
| Amerihealth_Caritas_Medicaid | All_Plans | $1,101.92 | ↓ -90% |
| Aetna_Better_Health_Kids | All_Plans | $1,385.26 | ↓ -87% |
| Blue_Cross_BlueJourney_Medicare | All_Plans | $7,315.61 | ↓ -31% |
| Johns_Hopkins_HealthCare_Plan | Johns_Hopkins_US_Family_Health | $7,315.61 | ↓ -31% |
| Highmark_Medicare | All_Plans | $7,388.77 | ↓ -31% |
| Blue_Cross | Capital_Blue_Performance_PPO | $7,473.85 | ↓ -30% |
| Blue_Cross | Capital_Cares_4_kids | $7,476.52 | ↓ -30% |
| Aetna_Advantra_Medicare | All_Plans | $7,535.08 | ↓ -29% |
| Aetna_Medicare | All_Plans | $7,535.08 | ↓ -29% |
| Devoted_Medicare | All_Plans | $7,681.39 | ↓ -28% |
| United_Medicare | ISNP_DSNP_Plans | $7,681.39 | ↓ -28% |
| Geisinger_Gold_Medicare | All_Plans | $7,681.39 | ↓ -28% |
| Highmark_Wholecare_Gateway_Medicare | All_Plans | $7,714.31 | ↓ -28% |
| UPMC_Medicare | UPMC_for_Life_Complete_Care | $7,717.97 | ↓ -28% |
| Amerihealth_Medicare | All_Plans | $7,717.97 | ↓ -28% |
| UPMC_for_Life_Community_HealthChoices | UPMC_for_Life_Complete_Care | $7,717.97 | ↓ -28% |
| Jefferson_Health_Medicare_Advantage | All_Plans | $7,900.86 | ↓ -26% |
| PA_Health_&_Wellness_Medicare | All_Plans | $7,900.86 | ↓ -26% |
| Health_Partners_Medicaid | Kidz_Partners | $8,047.17 | ↓ -24% |
| UPMC | Employees_And_Dependents | $10,656.00 | ↑ +0% |
| UPMC | UPMC_For_Kids | $10,656.00 | ↑ +0% |
| PHC | All_Plans | $10,656.00 | ↑ +0% |
| Blue_Cross | All_Other_Plans | $10,681.31 | ↑ +0% |
| Highmark | Higmark_Healthy_Kids | $10,973.42 | ↑ +3% |
| Cigna | All_Plans | $11,981.34 | ↑ +12% |
| Aetna | All_Plans | $12,041.28 | ↑ +13% |
| First_Health_Network | All_Plans | $12,174.48 | ↑ +14% |
| WellSpan_Capital_Blue_Cross | All_Plans | $12,254.40 | ↑ +15% |
| Johns_Hopkins_HealthCare_Plan | All_Other_Plans | $12,387.60 | ↑ +16% |
| United_Healthcare | All_Plans | $12,614.04 | ↑ +18% |
| Geisinger | All_Plans | $12,654.00 | ↑ +19% |
| United_Medicaid | Community_Plan_For_Kids | $12,802.32 | ↑ +20% |
| Highmark | My_Direct_Blue | $25,647.07 | ↑ +141% |
| Highmark | My_Priority_Blue_Flex | $25,647.07 | ↑ +141% |
| Highmark | Choice_Blue_PPO | $34,196.82 | ↑ +221% |
| Highmark | Blue_Cross_High_Performance_Network | $34,196.82 | ↑ +221% |
| Highmark | Performance_Blue | $34,196.82 | ↑ +221% |
| Highmark | All_Other_Plans | $42,745.84 | ↑ +301% |
Visitor-reported prices
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Pq kyphplsty 1 bdy lumb w/img at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $18,813.00 | $1,016.56 – $26,400.15 |
| UPMC Cole | Coudersport | $866.40 | $400.28 – $9,456.32 |
| UPMC Community Osteopathic | Harrisburg | $18,813.00 | $1,016.56 – $26,400.15 |
| UPMC East | Monroeville | $24,137.40 | $4,719.92 – $32,183.20 |
| UPMC Hamot | Erie | $17,721.00 | $4,675.40 – $9,905.66 |
| UPMC Hanover | Hanover | $18,813.00 | $1,016.56 – $11,433.07 |
| UPMC Lititz | Lititz | $18,813.00 | $1,016.56 – $11,433.07 |
| UPMC Memorial | York | $18,813.00 | $1,016.56 – $11,433.07 |