Amino acid screen, urine at WellSpan Waynesboro Hospital
501 E. Main St., Waynesboro, PA · Wellspan · · NPI 1821091059
$68.80
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.
?
What you pay up front if you don't use insurance.
$86.00
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.
$8.40 with UPMC_Medicare vs $130.67 with Blue_Cross — 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 |
|---|---|---|---|
| UPMC_Medicare | UPMC_for_Life_Complete_Care | $8.40 | ↓ -88% |
| UPMC_Medicare | UPMC_for_Life_Community_HealthChoices | $8.40 | ↓ -88% |
| UPMC_Medicaid | All_Plans | $8.44 | ↓ -88% |
| PA_Health_&_Wellness_Medicaid | All_Plans | $10.00 | ↓ -85% |
| Highmark_Wholecare_Gateway_Medicaid | All_Plans | $10.00 | ↓ -85% |
| Geisinger_Medicaid | All_Plans | $10.00 | ↓ -85% |
| Amerihealth_Caritas_Medicaid | All_Plans | $11.36 | ↓ -83% |
| Blue_Cross_BlueJourney_Medicare | All_Plans | $13.87 | ↓ -80% |
| Highmark_Medicare | All_Plans | $14.01 | ↓ -80% |
| Aetna_Medicare | All_Plans | $14.29 | ↓ -79% |
| Aetna_Advantra_Medicare | All_Plans | $14.29 | ↓ -79% |
| Devoted_Medicare | All_Plans | $14.56 | ↓ -79% |
| United_Medicare | ISNP_DSNP_Plans | $14.56 | ↓ -79% |
| Amerihealth_Medicare | All_Plans | $14.63 | ↓ -79% |
| Highmark_Wholecare_Gateway_Medicare | All_Plans | $14.63 | ↓ -79% |
| PA_Health_&_Wellness_Medicare | All_Plans | $14.98 | ↓ -78% |
| Jefferson_Health_Medicare_Advantage | All_Plans | $14.98 | ↓ -78% |
| Geisinger_Gold_Medicare | All_Plans | $17.34 | ↓ -75% |
| Highmark | Higmark_Healthy_Kids | $21.22 | ↓ -69% |
| Health_Partners_Medicaid | Kidz_Partners | $22.89 | ↓ -67% |
| United_Medicaid | Community_Plan_For_Kids | $24.27 | ↓ -65% |
| United_Healthcare | All_Plans | $41.61 | ↓ -40% |
| Highmark | Shared_Cost_Blue_PPO | $46.79 | ↓ -32% |
| Highmark | My_Direct_Blue | $46.79 | ↓ -32% |
| Aetna_Better_Health_Kids | All_Plans | $47.16 | ↓ -31% |
| Health_Partners_Medicaid | All_Other_Plans | $49.71 | ↓ -28% |
| UPMC | UPMC_For_Kids | $51.60 | ↓ -25% |
| Highmark | Choice_Blue_PPO | $53.23 | ↓ -23% |
| Highmark | Performance_Blue | $53.23 | ↓ -23% |
| Highmark | Blue_Cross_High_Performance_Network | $53.23 | ↓ -23% |
| Aetna | All_Plans | $57.28 | ↓ -17% |
| Highmark | All_Other_Plans | $59.81 | ↓ -13% |
| Cigna | All_Plans | $63.03 | ↓ -8% |
| Geisinger | All_Plans | $63.64 | ↓ -8% |
| Cigna | PPO_Plan | $66.18 | ↓ -4% |
| WellSpan_Capital_Blue_Cross | All_Plans | $77.40 | ↑ +13% |
| First_Health_Network | All_Plans | $81.70 | ↑ +19% |
| Blue_Cross | Capital_Cares_4_kids | $91.47 | ↑ +33% |
| Blue_Cross | All_Other_Plans | $130.67 | ↑ +90% |
Visitor-reported prices
Comments
Amino acid screen, urine at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Cole | Coudersport | $133.80 | $8.40 – $178.40 |
| WellSpan Chambersburg Hospital | Chambersburg | $68.80 | $8.00 – $61.92 |
| WellSpan Ephrata Community Hospital | Ephrata | $57.60 | $8.00 – $62.97 |
| WellSpan Evangelical Community Hospital | Lewisburg | $143.60 | $8.80 – $80.56 |
| WellSpan Good Samaritan Hospital | Lebanon | $68.80 | $10.00 – $62.97 |
| WellSpan Gettysburg Hospital | Gettysburg | $56.00 | $8.00 – $57.28 |