Pretreat rbc w chem/drugs reference at WellSpan Gettysburg Hospital
147 Gettys Street, Gettysburg, PA · Wellspan · · NPI 1265466957
$221.60
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.
$277.00
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.
$44.55 with Highmark_Wholecare_Gateway_Medicaid vs $355.44 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 | $44.55 | ↓ -80% |
| Johns_Hopkins_HealthCare_Plan | Johns_Hopkins_US_Family_Health | $60.83 | ↓ -73% |
| Blue_Cross_BlueJourney_Medicare | All_Plans | $60.83 | ↓ -73% |
| Health_Partners_Medicaid | All_Other_Plans | $60.83 | ↓ -73% |
| Highmark_Medicare | All_Plans | $61.44 | ↓ -72% |
| Aetna_Medicare | All_Plans | $62.65 | ↓ -72% |
| Aetna_Advantra_Medicare | All_Plans | $62.65 | ↓ -72% |
| Geisinger_Gold_Medicare | All_Plans | $63.87 | ↓ -71% |
| Devoted_Medicare | All_Plans | $63.87 | ↓ -71% |
| United_Medicare | ISNP_DSNP_Plans | $63.87 | ↓ -71% |
| Highmark_Wholecare_Gateway_Medicare | All_Plans | $64.15 | ↓ -71% |
| Amerihealth_Medicare | All_Plans | $64.18 | ↓ -71% |
| PA_Health_&_Wellness_Medicare | All_Plans | $65.70 | ↓ -70% |
| Jefferson_Health_Medicare_Advantage | All_Plans | $65.70 | ↓ -70% |
| Health_Partners_Medicaid | Kidz_Partners | $66.91 | ↓ -70% |
| UPMC_Medicare | UPMC_for_Life_Complete_Care | $73.33 | ↓ -67% |
| UPMC_for_Life_Community_HealthChoices | UPMC_for_Life_Complete_Care | $73.33 | ↓ -67% |
| Highmark | Higmark_Healthy_Kids | $91.25 | ↓ -59% |
| United_Medicaid | Community_Plan_For_Kids | $106.45 | ↓ -52% |
| Blue_Cross | Capital_Blue_Performance_PPO | $132.10 | ↓ -40% |
| Blue_Cross | Capital_Cares_4_kids | $155.48 | ↓ -30% |
| UPMC_Medicaid | All_Plans | $172.29 | ↓ -22% |
| United_Healthcare | All_Plans | $174.84 | ↓ -21% |
| Highmark | My_Priority_Blue_Flex | $213.26 | ↓ -4% |
| Highmark | My_Direct_Blue | $213.26 | ↓ -4% |
| UPMC | UPMC_For_Kids | $221.60 | ↑ +0% |
| UPMC | Employees_And_Dependents | $221.60 | ↑ +0% |
| PHC | All_Plans | $221.60 | ↑ +0% |
| Blue_Cross | All_Other_Plans | $222.13 | ↑ +0% |
| Cigna | All_Plans | $232.74 | ↑ +5% |
| Aetna | All_Plans | $250.41 | ↑ +13% |
| First_Health_Network | All_Plans | $253.18 | ↑ +14% |
| WellSpan_Capital_Blue_Cross | All_Plans | $254.84 | ↑ +15% |
| Johns_Hopkins_HealthCare_Plan | All_Other_Plans | $257.61 | ↑ +16% |
| Geisinger | All_Plans | $263.15 | ↑ +19% |
| Highmark | Choice_Blue_PPO | $284.35 | ↑ +28% |
| Highmark | Blue_Cross_High_Performance_Network | $284.35 | ↑ +28% |
| Highmark | Performance_Blue | $284.35 | ↑ +28% |
| Highmark | All_Other_Plans | $355.44 | ↑ +60% |
Visitor-reported prices
Comments
Pretreat rbc w chem/drugs reference at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $359.40 | $48.24 – $479.20 |
| UPMC Bedford | Everett | $125.40 | $20.43 – $188.10 |
| UPMC Carlisle | Carlisle | $48.00 | $10.96 – $90.91 |
| UPMC Community Osteopathic | Harrisburg | $48.00 | $16.00 – $131.88 |
| UPMC East | Monroeville | $371.40 | $36.28 – $495.20 |
| UPMC Northwest | Seneca | $298.80 | $36.62 – $61.16 |
| UPMC Hanover | Hanover | $48.00 | $27.14 – $131.88 |
| UPMC Horizon-Greenville | Greenville | $165.00 | $36.73 – $78.00 |