_afb org id by sequencing rflx ast-sendout at WellSpan Waynesboro Hospital
501 E. Main St., Waynesboro, PA · Wellspan · · NPI 1821091059
$480.00
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.
$600.00
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.
$34.18 with Health_Partners_Medicaid vs $1,066.64 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 | $34.18 | ↓ -93% |
| Blue_Cross_BlueJourney_Medicare | All_Plans | $115.36 | ↓ -76% |
| Highmark_Medicare | All_Plans | $116.51 | ↓ -76% |
| Aetna_Medicare | All_Plans | $118.82 | ↓ -75% |
| Aetna_Advantra_Medicare | All_Plans | $118.82 | ↓ -75% |
| Devoted_Medicare | All_Plans | $121.13 | ↓ -75% |
| United_Medicare | ISNP_DSNP_Plans | $121.13 | ↓ -75% |
| Highmark_Wholecare_Gateway_Medicare | All_Plans | $121.65 | ↓ -75% |
| Amerihealth_Medicare | All_Plans | $121.70 | ↓ -75% |
| Jefferson_Health_Medicare_Advantage | All_Plans | $124.59 | ↓ -74% |
| PA_Health_&_Wellness_Medicare | All_Plans | $124.59 | ↓ -74% |
| UPMC_Medicare | UPMC_for_Life_Complete_Care | $138.79 | ↓ -71% |
| UPMC_Medicare | UPMC_for_Life_Community_HealthChoices | $138.79 | ↓ -71% |
| UPMC_Medicaid | All_Plans | $139.45 | ↓ -71% |
| Geisinger_Gold_Medicare | All_Plans | $144.20 | ↓ -70% |
| PA_Health_&_Wellness_Medicaid | All_Plans | $165.23 | ↓ -66% |
| Geisinger_Medicaid | All_Plans | $165.23 | ↓ -66% |
| Highmark_Wholecare_Gateway_Medicaid | All_Plans | $165.23 | ↓ -66% |
| Highmark | Higmark_Healthy_Kids | $176.50 | ↓ -63% |
| Amerihealth_Caritas_Medicaid | All_Plans | $187.70 | ↓ -61% |
| Health_Partners_Medicaid | Kidz_Partners | $190.34 | ↓ -60% |
| United_Medicaid | Community_Plan_For_Kids | $201.88 | ↓ -58% |
| United_Healthcare | All_Plans | $346.08 | ↓ -28% |
| UPMC | UPMC_For_Kids | $360.00 | ↓ -25% |
| Highmark | My_Direct_Blue | $389.13 | ↓ -19% |
| Highmark | Shared_Cost_Blue_PPO | $389.13 | ↓ -19% |
| Aetna_Better_Health_Kids | All_Plans | $392.22 | ↓ -18% |
| Cigna | All_Plans | $439.74 | ↓ -8% |
| Highmark | Blue_Cross_High_Performance_Network | $442.75 | ↓ -8% |
| Highmark | Choice_Blue_PPO | $442.75 | ↓ -8% |
| Highmark | Performance_Blue | $442.75 | ↓ -8% |
| Aetna | All_Plans | $442.80 | ↓ -8% |
| Geisinger | All_Plans | $444.00 | ↓ -8% |
| Cigna | PPO_Plan | $461.70 | ↓ -4% |
| Highmark | All_Other_Plans | $497.47 | ↑ +4% |
| WellSpan_Capital_Blue_Cross | All_Plans | $540.00 | ↑ +13% |
| First_Health_Network | All_Plans | $570.00 | ↑ +19% |
| Blue_Cross | Capital_Cares_4_kids | $746.65 | ↑ +56% |
| Blue_Cross | All_Other_Plans | $1,066.64 | ↑ +122% |
Visitor-reported prices
Comments
_afb org id by sequencing rflx ast-sendout at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $1,507.80 | $114.02 – $2,010.40 |
| UPMC Bedford | Everett | $1,939.20 | $41.62 – $2,908.80 |
| UPMC Carlisle | Carlisle | $642.60 | $9.29 – $910.35 |
| UPMC Community Osteopathic | Harrisburg | $642.60 | $114.21 – $910.35 |
| UPMC East | Monroeville | $1,253.40 | $50.88 – $1,671.20 |
| UPMC Northwest | Seneca | $1,823.40 | $51.36 – $152.01 |
| UPMC Hanover | Hanover | $642.60 | $9.29 – $184.58 |
| UPMC Horizon-Greenville | Greenville | $1,105.80 | $51.52 – $216.47 |