Removal/replacement ppm generator dual lead system at WellSpan Gettysburg Hospital
147 Gettys Street, Gettysburg, PA · Wellspan · · NPI 1265466957
$11,138.40
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.
$13,923.00
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.
$351.68 with Highmark_Wholecare_Gateway_Medicaid vs $62,621.26 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 | $351.68 | ↓ -97% |
| Aetna_Better_Health_Kids | All_Plans | $956.56 | ↓ -91% |
| Blue_Cross | Capital_Blue_Performance_PPO | $7,812.20 | ↓ -30% |
| Blue_Cross | Capital_Cares_4_kids | $7,814.98 | ↓ -30% |
| Health_Partners_Medicaid | All_Other_Plans | $10,465.33 | ↓ -6% |
| Johns_Hopkins_HealthCare_Plan | Johns_Hopkins_US_Family_Health | $10,717.13 | ↓ -4% |
| Blue_Cross_BlueJourney_Medicare | All_Plans | $10,717.13 | ↓ -4% |
| Highmark_Medicare | All_Plans | $10,824.30 | ↓ -3% |
| Aetna_Medicare | All_Plans | $11,038.64 | ↓ -1% |
| Aetna_Advantra_Medicare | All_Plans | $11,038.64 | ↓ -1% |
| UPMC | Employees_And_Dependents | $11,138.40 | ↑ +0% |
| PHC | All_Plans | $11,138.40 | ↑ +0% |
| UPMC | UPMC_For_Kids | $11,138.40 | ↑ +0% |
| Blue_Cross | All_Other_Plans | $11,164.85 | ↑ +0% |
| United_Medicare | ISNP_DSNP_Plans | $11,252.99 | ↑ +1% |
| Geisinger_Gold_Medicare | All_Plans | $11,252.99 | ↑ +1% |
| Devoted_Medicare | All_Plans | $11,252.99 | ↑ +1% |
| Highmark_Wholecare_Gateway_Medicare | All_Plans | $11,301.21 | ↑ +1% |
| Amerihealth_Medicare | All_Plans | $11,306.57 | ↑ +2% |
| Jefferson_Health_Medicare_Advantage | All_Plans | $11,574.50 | ↑ +4% |
| PA_Health_&_Wellness_Medicare | All_Plans | $11,574.50 | ↑ +4% |
| Health_Partners_Medicaid | Kidz_Partners | $11,788.84 | ↑ +6% |
| Cigna | All_Plans | $12,523.74 | ↑ +12% |
| Aetna | All_Plans | $12,586.39 | ↑ +13% |
| First_Health_Network | All_Plans | $12,725.62 | ↑ +14% |
| WellSpan_Capital_Blue_Cross | All_Plans | $12,809.16 | ↑ +15% |
| UPMC_for_Life_Community_HealthChoices | UPMC_for_Life_Complete_Care | $12,919.50 | ↑ +16% |
| UPMC_Medicare | UPMC_for_Life_Complete_Care | $12,919.50 | ↑ +16% |
| Johns_Hopkins_HealthCare_Plan | All_Other_Plans | $12,948.39 | ↑ +16% |
| United_Healthcare | All_Plans | $13,185.08 | ↑ +18% |
| Geisinger | All_Plans | $13,226.85 | ↑ +19% |
| Highmark | Higmark_Healthy_Kids | $16,075.70 | ↑ +44% |
| United_Medicaid | Community_Plan_For_Kids | $18,754.98 | ↑ +68% |
| Highmark | My_Direct_Blue | $37,572.11 | ↑ +237% |
| Highmark | My_Priority_Blue_Flex | $37,572.11 | ↑ +237% |
| Highmark | Performance_Blue | $50,097.22 | ↑ +350% |
| Highmark | Choice_Blue_PPO | $50,097.22 | ↑ +350% |
| Highmark | Blue_Cross_High_Performance_Network | $50,097.22 | ↑ +350% |
| Highmark | All_Other_Plans | $62,621.26 | ↑ +462% |
Visitor-reported prices
Comments
Removal/replacement ppm generator dual lead system at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $5,816.40 | $447.93 – $10,775.64 |
| UPMC Carlisle | Carlisle | $19,161.00 | $542.62 – $27,144.75 |
| UPMC Cole | Coudersport | $7,452.00 | $294.11 – $3,477.60 |
| UPMC Community Osteopathic | Harrisburg | $19,161.00 | $542.62 – $27,144.75 |
| UPMC East | Monroeville | $30,141.60 | $452.20 – $40,188.80 |
| UPMC Hamot | Erie | $9,586.80 | $447.93 – $14,511.47 |
| UPMC Hanover | Hanover | $19,161.00 | $542.62 – $26,238.52 |
| UPMC Jameson | New Castle | $13,717.80 | $455.84 – $13,469.54 |