Abdominal paracentesis w/image guidance at WellSpan Waynesboro Hospital
501 E. Main St., Waynesboro, PA · Wellspan · · NPI 1821091059
$2,604.80
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.
$3,256.00
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.
$59.38 with Health_Partners_Medicaid vs $3,836.50 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 |
|---|---|---|---|
| Health_Partners_Medicaid | All_Other_Plans | $59.38 | ↓ -98% |
| UPMC_Medicare | UPMC_for_Life_Community_HealthChoices | $88.55 | ↓ -97% |
| UPMC_Medicare | UPMC_for_Life_Complete_Care | $88.55 | ↓ -97% |
| UPMC_Medicaid | All_Plans | $88.97 | ↓ -97% |
| PA_Health_&_Wellness_Medicaid | All_Plans | $105.41 | ↓ -96% |
| Geisinger_Medicaid | All_Plans | $105.41 | ↓ -96% |
| Highmark_Wholecare_Gateway_Medicaid | All_Plans | $105.41 | ↓ -96% |
| Amerihealth_Caritas_Medicaid | All_Plans | $119.75 | ↓ -95% |
| PA_Health_&_Wellness_Medicare | All_Plans | $997.75 | ↓ -62% |
| Blue_Cross_BlueJourney_Medicare | All_Plans | $999.61 | ↓ -62% |
| Highmark | All_Other_Plans | $999.61 | ↓ -62% |
| Jefferson_Health_Medicare_Advantage | All_Plans | $999.61 | ↓ -62% |
| United_Medicaid | Community_Plan_For_Kids | $999.61 | ↓ -62% |
| Highmark_Medicare | All_Plans | $1,009.61 | ↓ -61% |
| Aetna_Advantra_Medicare | All_Plans | $1,029.60 | ↓ -60% |
| Aetna_Medicare | All_Plans | $1,029.60 | ↓ -60% |
| Devoted_Medicare | All_Plans | $1,049.59 | ↓ -60% |
| United_Medicare | ISNP_DSNP_Plans | $1,049.59 | ↓ -60% |
| Highmark_Wholecare_Gateway_Medicare | All_Plans | $1,054.09 | ↓ -60% |
| Amerihealth_Medicare | All_Plans | $1,054.59 | ↓ -60% |
| Geisinger_Gold_Medicare | All_Plans | $1,249.51 | ↓ -52% |
| Highmark | Higmark_Healthy_Kids | $1,529.40 | ↓ -41% |
| Health_Partners_Medicaid | Kidz_Partners | $1,649.36 | ↓ -37% |
| UPMC | UPMC_For_Kids | $1,953.60 | ↓ -25% |
| Aetna | All_Plans | $2,188.03 | ↓ -16% |
| Cigna | All_Plans | $2,386.32 | ↓ -8% |
| Geisinger | All_Plans | $2,409.44 | ↓ -8% |
| Cigna | PPO_Plan | $2,505.49 | ↓ -4% |
| WellSpan_Capital_Blue_Cross | All_Plans | $2,930.40 | ↑ +13% |
| First_Health_Network | All_Plans | $3,093.20 | ↑ +19% |
| United_Healthcare | All_Plans | $3,106.22 | ↑ +19% |
| Highmark | My_Direct_Blue | $3,371.88 | ↑ +29% |
| Highmark | Shared_Cost_Blue_PPO | $3,371.88 | ↑ +29% |
| Aetna_Better_Health_Kids | All_Plans | $3,398.67 | ↑ +30% |
| Highmark | Blue_Cross_High_Performance_Network | $3,836.50 | ↑ +47% |
| Highmark | Choice_Blue_PPO | $3,836.50 | ↑ +47% |
| Highmark | Performance_Blue | $3,836.50 | ↑ +47% |
Visitor-reported prices
Comments
Abdominal paracentesis w/image guidance at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $2,179.80 | $84.33 – $2,906.40 |
| UPMC Bedford | Everett | $2,008.20 | $88.55 – $3,012.30 |
| UPMC Carlisle | Carlisle | $1,225.20 | $107.10 – $1,735.70 |
| UPMC Cole | Coudersport | $1,693.20 | $57.93 – $1,041.88 |
| UPMC Community Osteopathic | Harrisburg | $1,225.20 | $113.85 – $3,102.01 |
| UPMC East | Monroeville | $2,540.40 | $92.76 – $3,387.20 |
| UPMC Hamot | Erie | $2,052.60 | $92.76 – $1,300.05 |
| UPMC Northwest | Seneca | $1,898.40 | $92.76 – $938.54 |