Albumin (human), 5%, 250 ml at WellSpan Waynesboro Hospital
501 E. Main St., Waynesboro, PA · Wellspan · · NPI 1821091059
$157.40
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.
$196.75
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.
$40.31 with Blue_Cross vs $203.72 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 |
|---|---|---|---|
| Blue_Cross | Capital_Cares_4_kids | $40.31 | ↓ -74% |
| Blue_Cross_BlueJourney_Medicare | All_Plans | $53.08 | ↓ -66% |
| Jefferson_Health_Medicare_Advantage | All_Plans | $53.08 | ↓ -66% |
| Health_Partners_Medicaid | Kidz_Partners | $53.08 | ↓ -66% |
| Highmark | All_Other_Plans | $53.08 | ↓ -66% |
| Highmark_Medicare | All_Plans | $53.61 | ↓ -66% |
| Aetna_Medicare | All_Plans | $54.67 | ↓ -65% |
| Aetna_Advantra_Medicare | All_Plans | $54.67 | ↓ -65% |
| Devoted_Medicare | All_Plans | $55.73 | ↓ -65% |
| United_Medicare | ISNP_DSNP_Plans | $55.73 | ↓ -65% |
| Highmark_Wholecare_Gateway_Medicare | All_Plans | $55.97 | ↓ -64% |
| Amerihealth_Medicare | All_Plans | $56.00 | ↓ -64% |
| PA_Health_&_Wellness_Medicare | All_Plans | $57.32 | ↓ -64% |
| Blue_Cross | All_Other_Plans | $57.58 | ↓ -63% |
| WellSpan_Capital_Blue_Cross | All_Plans | $62.59 | ↓ -60% |
| Geisinger_Gold_Medicare | All_Plans | $66.35 | ↓ -58% |
| Health_Partners_Medicaid | All_Other_Plans | $70.58 | ↓ -55% |
| Highmark | Higmark_Healthy_Kids | $81.21 | ↓ -48% |
| United_Medicaid | Community_Plan_For_Kids | $92.88 | ↓ -41% |
| UPMC | UPMC_For_Kids | $118.05 | ↓ -25% |
| Cigna | All_Plans | $144.20 | ↓ -8% |
| Aetna | All_Plans | $145.20 | ↓ -8% |
| Geisinger | All_Plans | $145.60 | ↓ -7% |
| Cigna | PPO_Plan | $151.40 | ↓ -4% |
| United_Healthcare | All_Plans | $169.86 | ↑ +8% |
| Highmark | My_Direct_Blue | $179.05 | ↑ +14% |
| Highmark | Shared_Cost_Blue_PPO | $179.05 | ↑ +14% |
| Aetna_Better_Health_Kids | All_Plans | $180.47 | ↑ +15% |
| First_Health_Network | All_Plans | $186.91 | ↑ +19% |
| Highmark | Blue_Cross_High_Performance_Network | $203.72 | ↑ +29% |
| Highmark | Choice_Blue_PPO | $203.72 | ↑ +29% |
| Highmark | Performance_Blue | $203.72 | ↑ +29% |
Visitor-reported prices
Comments
Albumin (human), 5%, 250 ml at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $1,314.40 | $33.51 – $658.40 |
| UPMC Bedford | Everett | $474.40 | $19.15 – $533.70 |
| UPMC Cole | Coudersport | $63.00 | $29.11 – $84.00 |
| UPMC East | Monroeville | $922.40 | $33.51 – $707.20 |
| UPMC Hamot | Erie | $1,196.00 | $33.51 – $57.33 |
| UPMC Northwest | Seneca | $717.60 | $33.51 – $57.33 |
| UPMC Horizon-Greenville | Greenville | $536.00 | $33.51 – $99.60 |
| UPMC Jameson | New Castle | $259.20 | $33.51 – $157.25 |