X-ray surgical specimen at WellSpan Gettysburg Hospital
147 Gettys Street, Gettysburg, PA · Wellspan · · NPI 1265466957
$446.40
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.
$558.00
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.
$13.27 with UPMC_Medicaid vs $3,280.84 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 |
|---|---|---|---|
| UPMC_Medicaid | All_Plans | $13.27 | ↓ -97% |
| Highmark_Wholecare_Gateway_Medicaid | All_Plans | $23.39 | ↓ -95% |
| Geisinger_Medicaid | All_Plans | $23.39 | ↓ -95% |
| Health_Partners_Medicaid | All_Other_Plans | $23.39 | ↓ -95% |
| PA_Health_&_Wellness_Medicaid | All_Plans | $23.39 | ↓ -95% |
| Amerihealth_Caritas_Medicaid | All_Plans | $26.57 | ↓ -94% |
| Aetna_Better_Health_Kids | All_Plans | $63.61 | ↓ -86% |
| Blue_Cross | Capital_Blue_Performance_PPO | $266.11 | ↓ -40% |
| Blue_Cross | Capital_Cares_4_kids | $313.21 | ↓ -30% |
| UPMC | Employees_And_Dependents | $446.40 | ↑ +0% |
| PHC | All_Plans | $446.40 | ↑ +0% |
| UPMC | UPMC_For_Kids | $446.40 | ↑ +0% |
| Blue_Cross | All_Other_Plans | $447.46 | ↑ +0% |
| Cigna | All_Plans | $501.92 | ↑ +12% |
| Aetna | All_Plans | $504.43 | ↑ +13% |
| First_Health_Network | All_Plans | $510.01 | ↑ +14% |
| WellSpan_Capital_Blue_Cross | All_Plans | $513.36 | ↑ +15% |
| Johns_Hopkins_HealthCare_Plan | All_Other_Plans | $518.94 | ↑ +16% |
| Geisinger | All_Plans | $530.10 | ↑ +19% |
| Blue_Cross_BlueJourney_Medicare | All_Plans | $561.49 | ↑ +26% |
| Johns_Hopkins_HealthCare_Plan | Johns_Hopkins_US_Family_Health | $561.49 | ↑ +26% |
| Highmark_Medicare | All_Plans | $567.10 | ↑ +27% |
| Aetna_Medicare | All_Plans | $578.33 | ↑ +30% |
| Aetna_Advantra_Medicare | All_Plans | $578.33 | ↑ +30% |
| Devoted_Medicare | All_Plans | $589.56 | ↑ +32% |
| Geisinger_Gold_Medicare | All_Plans | $589.56 | ↑ +32% |
| United_Medicare | ISNP_DSNP_Plans | $589.56 | ↑ +32% |
| Highmark_Wholecare_Gateway_Medicare | All_Plans | $592.09 | ↑ +33% |
| Amerihealth_Medicare | All_Plans | $592.37 | ↑ +33% |
| PA_Health_&_Wellness_Medicare | All_Plans | $606.41 | ↑ +36% |
| Jefferson_Health_Medicare_Advantage | All_Plans | $606.41 | ↑ +36% |
| Health_Partners_Medicaid | Kidz_Partners | $617.64 | ↑ +38% |
| UPMC_for_Life_Community_HealthChoices | UPMC_for_Life_Complete_Care | $676.88 | ↑ +52% |
| UPMC_Medicare | UPMC_for_Life_Complete_Care | $676.88 | ↑ +52% |
| Highmark | Higmark_Healthy_Kids | $842.24 | ↑ +89% |
| United_Medicaid | Community_Plan_For_Kids | $982.61 | ↑ +120% |
| Highmark | My_Priority_Blue_Flex | $1,968.47 | ↑ +341% |
| Highmark | My_Direct_Blue | $1,968.47 | ↑ +341% |
| Highmark | Choice_Blue_PPO | $2,624.69 | ↑ +488% |
| Highmark | Performance_Blue | $2,624.69 | ↑ +488% |
| Highmark | Blue_Cross_High_Performance_Network | $2,624.69 | ↑ +488% |
| United_Healthcare | All_Plans | $3,022.37 | ↑ +577% |
| Highmark | All_Other_Plans | $3,280.84 | ↑ +635% |
Visitor-reported prices
Comments
X-ray surgical specimen at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $190.20 | $10.62 – $253.60 |
| UPMC Bedford | Everett | $540.60 | $19.65 – $810.90 |
| UPMC Carlisle | Carlisle | $1,129.80 | $13.91 – $1,600.55 |
| UPMC Cole | Coudersport | $80.40 | $19.65 – $107.20 |
| UPMC Community Osteopathic | Harrisburg | $1,129.80 | $13.91 – $1,600.55 |
| UPMC East | Monroeville | $4,123.80 | $20.58 – $5,498.40 |
| UPMC Hamot | Erie | $562.20 | $20.58 – $714.96 |
| UPMC Northwest | Seneca | $536.40 | $20.58 – $548.88 |