Pretreat rbc w enzyme reference at WellSpan Gettysburg Hospital
147 Gettys Street, Gettysburg, PA · Wellspan · · NPI 1265466957
$1,348.80
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.
$1,686.00
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.
$128.52 with Highmark_Wholecare_Gateway_Medicaid vs $1,601.70 with Geisinger — 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 | $128.52 | ↓ -90% |
| Health_Partners_Medicaid | All_Other_Plans | $175.48 | ↓ -87% |
| Johns_Hopkins_HealthCare_Plan | Johns_Hopkins_US_Family_Health | $175.48 | ↓ -87% |
| Blue_Cross_BlueJourney_Medicare | All_Plans | $175.48 | ↓ -87% |
| Highmark_Medicare | All_Plans | $177.23 | ↓ -87% |
| Aetna_Medicare | All_Plans | $180.74 | ↓ -87% |
| Aetna_Advantra_Medicare | All_Plans | $180.74 | ↓ -87% |
| Geisinger_Gold_Medicare | All_Plans | $184.25 | ↓ -86% |
| United_Medicare | ISNP_DSNP_Plans | $184.25 | ↓ -86% |
| Devoted_Medicare | All_Plans | $184.25 | ↓ -86% |
| Highmark_Wholecare_Gateway_Medicare | All_Plans | $185.04 | ↓ -86% |
| Amerihealth_Medicare | All_Plans | $185.13 | ↓ -86% |
| PA_Health_&_Wellness_Medicare | All_Plans | $189.52 | ↓ -86% |
| Jefferson_Health_Medicare_Advantage | All_Plans | $189.52 | ↓ -86% |
| Health_Partners_Medicaid | Kidz_Partners | $193.03 | ↓ -86% |
| UPMC_for_Life_Community_HealthChoices | UPMC_for_Life_Complete_Care | $211.54 | ↓ -84% |
| UPMC_Medicare | UPMC_for_Life_Complete_Care | $211.54 | ↓ -84% |
| Highmark | Higmark_Healthy_Kids | $263.22 | ↓ -80% |
| United_Medicaid | Community_Plan_For_Kids | $307.09 | ↓ -77% |
| United_Healthcare | All_Plans | $488.22 | ↓ -64% |
| Highmark | My_Priority_Blue_Flex | $615.20 | ↓ -54% |
| Highmark | My_Direct_Blue | $615.20 | ↓ -54% |
| Blue_Cross | Capital_Blue_Performance_PPO | $804.05 | ↓ -40% |
| Highmark | Blue_Cross_High_Performance_Network | $820.28 | ↓ -39% |
| Highmark | Performance_Blue | $820.28 | ↓ -39% |
| Highmark | Choice_Blue_PPO | $820.28 | ↓ -39% |
| Blue_Cross | Capital_Cares_4_kids | $946.35 | ↓ -30% |
| Highmark | All_Other_Plans | $1,025.35 | ↓ -24% |
| UPMC_Medicaid | All_Plans | $1,048.69 | ↓ -22% |
| UPMC | Employees_And_Dependents | $1,348.80 | ↑ +0% |
| UPMC | UPMC_For_Kids | $1,348.80 | ↑ +0% |
| PHC | All_Plans | $1,348.80 | ↑ +0% |
| Blue_Cross | All_Other_Plans | $1,352.00 | ↑ +0% |
| Cigna | All_Plans | $1,416.58 | ↑ +5% |
| Aetna | All_Plans | $1,524.14 | ↑ +13% |
| First_Health_Network | All_Plans | $1,541.00 | ↑ +14% |
| WellSpan_Capital_Blue_Cross | All_Plans | $1,551.12 | ↑ +15% |
| Johns_Hopkins_HealthCare_Plan | All_Other_Plans | $1,567.98 | ↑ +16% |
| Geisinger | All_Plans | $1,601.70 | ↑ +19% |
Visitor-reported prices
Comments
Pretreat rbc w enzyme reference at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $105.00 | $59.04 – $176.44 |
| UPMC Bedford | Everett | $141.00 | $45.09 – $211.50 |
| UPMC East | Monroeville | $322.20 | $44.47 – $429.60 |
| UPMC Horizon-Greenville | Greenville | $181.80 | $45.03 – $176.44 |
| UPMC Jameson | New Castle | $181.80 | $1.76 – $227.37 |
| UPMC Magee | Pittsburgh | $225.60 | $47.06 – $179.71 |
| UPMC McKeesport | Mckeesport | $238.80 | $45.65 – $179.71 |
| UPMC Mercy | Pittsburgh | $222.60 | $44.60 – $179.71 |