Aluminum - quest at WellSpan Waynesboro Hospital
501 E. Main St., Waynesboro, PA · Wellspan · · NPI 1821091059
$127.20
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.
?
What you pay up front if you don't use insurance.
$159.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$25.48 with Blue_Cross_BlueJourney_Medicare vs $299.36 with Health_Partners_Medicaid — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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_BlueJourney_Medicare | All_Plans | $25.48 | ↓ -80% |
| Highmark_Medicare | All_Plans | $25.73 | ↓ -80% |
| Aetna_Advantra_Medicare | All_Plans | $26.24 | ↓ -79% |
| Aetna_Medicare | All_Plans | $26.24 | ↓ -79% |
| United_Medicare | ISNP_DSNP_Plans | $26.75 | ↓ -79% |
| Devoted_Medicare | All_Plans | $26.75 | ↓ -79% |
| Highmark_Wholecare_Gateway_Medicare | All_Plans | $26.87 | ↓ -79% |
| Amerihealth_Medicare | All_Plans | $26.88 | ↓ -79% |
| Jefferson_Health_Medicare_Advantage | All_Plans | $27.52 | ↓ -78% |
| PA_Health_&_Wellness_Medicare | All_Plans | $27.52 | ↓ -78% |
| Geisinger_Gold_Medicare | All_Plans | $31.85 | ↓ -75% |
| UPMC_Medicare | UPMC_for_Life_Community_HealthChoices | $36.98 | ↓ -71% |
| UPMC_Medicare | UPMC_for_Life_Complete_Care | $36.98 | ↓ -71% |
| UPMC_Medicaid | All_Plans | $37.16 | ↓ -71% |
| Highmark | Higmark_Healthy_Kids | $38.98 | ↓ -69% |
| Health_Partners_Medicaid | Kidz_Partners | $42.04 | ↓ -67% |
| PA_Health_&_Wellness_Medicaid | All_Plans | $44.03 | ↓ -65% |
| Highmark_Wholecare_Gateway_Medicaid | All_Plans | $44.03 | ↓ -65% |
| Geisinger_Medicaid | All_Plans | $44.03 | ↓ -65% |
| United_Medicaid | Community_Plan_For_Kids | $44.59 | ↓ -65% |
| Amerihealth_Caritas_Medicaid | All_Plans | $50.01 | ↓ -61% |
| United_Healthcare | All_Plans | $76.44 | ↓ -40% |
| Highmark | Shared_Cost_Blue_PPO | $85.95 | ↓ -32% |
| Highmark | My_Direct_Blue | $85.95 | ↓ -32% |
| Aetna_Better_Health_Kids | All_Plans | $86.63 | ↓ -32% |
| UPMC | UPMC_For_Kids | $95.40 | ↓ -25% |
| Highmark | Performance_Blue | $97.79 | ↓ -23% |
| Highmark | Choice_Blue_PPO | $97.79 | ↓ -23% |
| Highmark | Blue_Cross_High_Performance_Network | $97.79 | ↓ -23% |
| Aetna | All_Plans | $105.23 | ↓ -17% |
| Highmark | All_Other_Plans | $109.88 | ↓ -14% |
| Cigna | All_Plans | $116.53 | ↓ -8% |
| Geisinger | All_Plans | $117.66 | ↓ -8% |
| Cigna | PPO_Plan | $122.35 | ↓ -4% |
| WellSpan_Capital_Blue_Cross | All_Plans | $143.10 | ↑ +13% |
| First_Health_Network | All_Plans | $151.05 | ↑ +19% |
| Blue_Cross | Capital_Cares_4_kids | $168.11 | ↑ +32% |
| Blue_Cross | All_Other_Plans | $240.16 | ↑ +89% |
| Health_Partners_Medicaid | All_Other_Plans | $299.36 | ↑ +135% |
Visitor-reported prices
Comments
Aluminum - quest at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $319.20 | $25.18 – $425.60 |
| UPMC Bedford | Everett | $316.20 | $9.19 – $474.30 |
| UPMC Carlisle | Carlisle | $128.40 | $25.23 – $181.90 |
| UPMC Community Osteopathic | Harrisburg | $128.40 | $25.23 – $181.90 |
| UPMC East | Monroeville | $380.40 | $25.18 – $507.20 |
| UPMC Hamot | Erie | $307.80 | $25.18 – $49.24 |
| UPMC Northwest | Seneca | $168.00 | $23.11 – $40.50 |
| UPMC Hanover | Hanover | $128.40 | $25.23 – $47.97 |