Abdominal CT scan (with contrast) at WellSpan Waynesboro Hospital
501 E. Main St., Waynesboro, PA · Wellspan · · NPI 1821091059
$468.50
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.
$2,362.00
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.
$37.76 with Health_Partners_Medicaid vs $2,475.05 with Blue_Cross — 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 |
|---|---|---|---|
| Health_Partners_Medicaid | All_Other_Plans | $37.76 | ↓ -92% |
| UPMC_Medicare | UPMC_for_Life_Community_HealthChoices | $156.50 | ↓ -67% |
| UPMC_Medicare | UPMC_for_Life_Complete_Care | $156.50 | ↓ -67% |
| UPMC_Medicaid | All_Plans | $157.25 | ↓ -66% |
| Geisinger_Medicaid | All_Plans | $186.31 | ↓ -60% |
| PA_Health_&_Wellness_Medicaid | All_Plans | $186.31 | ↓ -60% |
| Highmark_Wholecare_Gateway_Medicaid | All_Plans | $186.31 | ↓ -60% |
| PA_Health_&_Wellness_Medicare | All_Plans | $189.45 | ↓ -60% |
| Blue_Cross_BlueJourney_Medicare | All_Plans | $189.80 | ↓ -59% |
| United_Medicaid | Community_Plan_For_Kids | $189.80 | ↓ -59% |
| Highmark | All_Other_Plans | $189.80 | ↓ -59% |
| Jefferson_Health_Medicare_Advantage | All_Plans | $189.80 | ↓ -59% |
| Highmark_Medicare | All_Plans | $191.70 | ↓ -59% |
| Aetna_Advantra_Medicare | All_Plans | $195.49 | ↓ -58% |
| Aetna_Medicare | All_Plans | $195.49 | ↓ -58% |
| United_Medicare | ISNP_DSNP_Plans | $199.29 | ↓ -57% |
| Devoted_Medicare | All_Plans | $199.29 | ↓ -57% |
| Highmark_Wholecare_Gateway_Medicare | All_Plans | $200.14 | ↓ -57% |
| Amerihealth_Medicare | All_Plans | $200.24 | ↓ -57% |
| Amerihealth_Caritas_Medicaid | All_Plans | $211.65 | ↓ -55% |
| Geisinger_Gold_Medicare | All_Plans | $237.25 | ↓ -49% |
| Highmark | Higmark_Healthy_Kids | $290.39 | ↓ -38% |
| Health_Partners_Medicaid | Kidz_Partners | $313.17 | ↓ -33% |
| WellSpan_Capital_Blue_Cross | All_Plans | $428.00 | ↓ -9% |
| Highmark | My_Direct_Blue | $640.23 | ↑ +37% |
| Highmark | Shared_Cost_Blue_PPO | $640.23 | ↑ +37% |
| Aetna_Better_Health_Kids | All_Plans | $645.32 | ↑ +38% |
| Highmark | Blue_Cross_High_Performance_Network | $728.45 | ↑ +55% |
| Highmark | Performance_Blue | $728.45 | ↑ +55% |
| Highmark | Choice_Blue_PPO | $728.45 | ↑ +55% |
| United_Healthcare | All_Plans | $1,006.60 | ↑ +115% |
| UPMC | UPMC_For_Kids | $1,417.20 | ↑ +202% |
| Cigna | All_Plans | $1,520.42 | ↑ +225% |
| Aetna | All_Plans | $1,587.26 | ↑ +239% |
| Cigna | PPO_Plan | $1,596.48 | ↑ +241% |
| Blue_Cross | Capital_Cares_4_kids | $1,732.53 | ↑ +270% |
| Geisinger | All_Plans | $1,747.88 | ↑ +273% |
| First_Health_Network | All_Plans | $2,243.90 | ↑ +379% |
| Blue_Cross | All_Other_Plans | $2,475.05 | ↑ +428% |
Visitor-reported prices
Comments
Abdominal CT scan (with contrast) at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $1,383.00 | $90.00 – $1,844.00 |
| UPMC Bedford | Everett | $957.60 | $61.23 – $1,436.40 |
| UPMC Carlisle | Carlisle | $1,424.40 | $117.90 – $2,017.90 |
| UPMC Cole | Coudersport | $754.20 | $156.50 – $1,005.60 |
| UPMC Community Osteopathic | Harrisburg | $1,424.40 | $83.40 – $1,176.50 |
| UPMC East | Monroeville | $2,917.20 | $163.96 – $3,889.60 |
| UPMC Hamot | Erie | $4,104.00 | $146.43 – $801.40 |
| UPMC Northwest | Seneca | $1,368.00 | $153.92 – $743.85 |