Rmvl pm gen w/rplc pm gen mlt lead sys 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.
?
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.
?
The hospital's undiscounted list price — almost no one pays this.
$366.28 with Highmark_Wholecare_Gateway_Medicaid vs $114,115.80 with Highmark — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $366.28 | ↓ -97% |
| Aetna_Better_Health_Kids | All_Plans | $996.27 | ↓ -91% |
| Blue_Cross | Capital_Blue_Performance_PPO | $7,812.20 | ↓ -30% |
| Blue_Cross | Capital_Cares_4_kids | $7,814.98 | ↓ -30% |
| PHC | All_Plans | $11,138.40 | ↑ +0% |
| UPMC | Employees_And_Dependents | $11,138.40 | ↑ +0% |
| UPMC | UPMC_For_Kids | $11,138.40 | ↑ +0% |
| Blue_Cross | All_Other_Plans | $11,164.85 | ↑ +0% |
| 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% |
| 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% |
| Health_Partners_Medicaid | All_Other_Plans | $19,071.16 | ↑ +71% |
| Blue_Cross_BlueJourney_Medicare | All_Plans | $19,530.01 | ↑ +75% |
| Johns_Hopkins_HealthCare_Plan | Johns_Hopkins_US_Family_Health | $19,530.01 | ↑ +75% |
| Highmark_Medicare | All_Plans | $19,725.31 | ↑ +77% |
| Aetna_Medicare | All_Plans | $20,115.91 | ↑ +81% |
| Aetna_Advantra_Medicare | All_Plans | $20,115.91 | ↑ +81% |
| Devoted_Medicare | All_Plans | $20,506.51 | ↑ +84% |
| Geisinger_Gold_Medicare | All_Plans | $20,506.51 | ↑ +84% |
| United_Medicare | ISNP_DSNP_Plans | $20,506.51 | ↑ +84% |
| Highmark_Wholecare_Gateway_Medicare | All_Plans | $20,594.40 | ↑ +85% |
| Amerihealth_Medicare | All_Plans | $20,604.16 | ↑ +85% |
| PA_Health_&_Wellness_Medicare | All_Plans | $21,092.41 | ↑ +89% |
| Jefferson_Health_Medicare_Advantage | All_Plans | $21,092.41 | ↑ +89% |
| Health_Partners_Medicaid | Kidz_Partners | $21,483.01 | ↑ +93% |
| UPMC_Medicare | UPMC_for_Life_Complete_Care | $23,543.43 | ↑ +111% |
| UPMC_for_Life_Community_HealthChoices | UPMC_for_Life_Complete_Care | $23,543.43 | ↑ +111% |
| Highmark | Higmark_Healthy_Kids | $29,295.02 | ↑ +163% |
| United_Medicaid | Community_Plan_For_Kids | $34,177.52 | ↑ +207% |
| Highmark | My_Priority_Blue_Flex | $68,468.31 | ↑ +515% |
| Highmark | My_Direct_Blue | $68,468.31 | ↑ +515% |
| Highmark | Blue_Cross_High_Performance_Network | $91,293.03 | ↑ +720% |
| Highmark | Choice_Blue_PPO | $91,293.03 | ↑ +720% |
| Highmark | Performance_Blue | $91,293.03 | ↑ +720% |
| Highmark | All_Other_Plans | $114,115.80 | ↑ +925% |
Visitor-reported prices
Comments
Rmvl pm gen w/rplc pm gen mlt lead sys at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $5,816.40 | $466.50 – $19,636.62 |
| UPMC Carlisle | Carlisle | $27,759.00 | $565.13 – $39,325.25 |
| UPMC Community Osteopathic | Harrisburg | $27,759.00 | $565.13 – $39,325.25 |
| UPMC East | Monroeville | $30,141.60 | $470.95 – $40,188.80 |
| UPMC Hamot | Erie | $9,586.80 | $466.50 – $26,444.52 |
| UPMC Hanover | Hanover | $27,759.00 | $565.13 – $29,149.89 |
| UPMC Lititz | Lititz | $27,759.00 | $400.92 – $1,016.56 |
| UPMC Memorial | York | $27,759.00 | $380.22 – $1,016.56 |