Skyla, 13.5 mg at WellSpan Gettysburg Hospital
147 Gettys Street, Gettysburg, PA · Wellspan · · NPI 1265466957
$1,701.60
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.
$2,127.00
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.
$737.57 with Amerihealth_Caritas_Medicaid vs $3,883.71 with United_Healthcare — 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 |
|---|---|---|---|
| Amerihealth_Caritas_Medicaid | All_Plans | $737.57 | ↓ -57% |
| Geisinger_Medicaid | All_Plans | $921.96 | ↓ -46% |
| PA_Health_&_Wellness_Medicaid | All_Plans | $921.96 | ↓ -46% |
| Highmark_Wholecare_Gateway_Medicaid | All_Plans | $921.96 | ↓ -46% |
| Health_Partners_Medicaid | All_Other_Plans | $921.96 | ↓ -46% |
| Blue_Cross | Capital_Blue_Performance_PPO | $1,193.46 | ↓ -30% |
| Blue_Cross | Capital_Cares_4_kids | $1,193.89 | ↓ -30% |
| UPMC | Employees_And_Dependents | $1,701.60 | ↑ +0% |
| UPMC | UPMC_For_Kids | $1,701.60 | ↑ +0% |
| PHC | All_Plans | $1,701.60 | ↑ +0% |
| Blue_Cross | All_Other_Plans | $1,705.64 | ↑ +0% |
| Cigna | All_Plans | $1,913.24 | ↑ +12% |
| Aetna | All_Plans | $1,922.81 | ↑ +13% |
| First_Health_Network | All_Plans | $1,944.08 | ↑ +14% |
| WellSpan_Capital_Blue_Cross | All_Plans | $1,956.84 | ↑ +15% |
| Johns_Hopkins_HealthCare_Plan | All_Other_Plans | $1,978.11 | ↑ +16% |
| Geisinger | All_Plans | $2,020.65 | ↑ +19% |
| Aetna_Better_Health_Kids | All_Plans | $2,507.74 | ↑ +47% |
| United_Healthcare | All_Plans | $3,883.71 | ↑ +128% |
Visitor-reported prices
Comments
Skyla, 13.5 mg at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $2,325.00 | $546.84 – $3,467.58 |
| UPMC Northwest | Seneca | $1,426.80 | $1,419.26 – $1,419.26 |
| UPMC Horizon-Greenville | Greenville | $1,260.00 | $1,155.86 – $1,393.67 |
| UPMC Kane | Kane | $1,143.00 | $1,152.98 – $1,907.17 |
| UPMC Magee | Pittsburgh | $2,484.00 | $552.05 – $1,152.98 |
| UPMC Passavant-McCandless | Pittsburgh | $2,343.60 | $552.05 – $1,098.07 |
| UPMC Presbyterian | Pittsburgh | $3,186.00 | $552.05 – $1,152.98 |
| UPMC Wellsboro | Wellsboro | $2,325.00 | $944.09 – $944.09 |