Bone biopsy open superficial at WellSpan Waynesboro Hospital
501 E. Main St., Waynesboro, PA · Wellspan · · NPI 1821091059
$4,673.60
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.
$5,842.00
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.
$99.75 with UPMC_Medicare vs $11,711.50 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 |
|---|---|---|---|
| UPMC_Medicare | UPMC_for_Life_Community_HealthChoices | $99.75 | ↓ -98% |
| UPMC_Medicare | UPMC_for_Life_Complete_Care | $99.75 | ↓ -98% |
| UPMC_Medicaid | All_Plans | $100.23 | ↓ -98% |
| Highmark_Wholecare_Gateway_Medicaid | All_Plans | $118.75 | ↓ -97% |
| Geisinger_Medicaid | All_Plans | $118.75 | ↓ -97% |
| PA_Health_&_Wellness_Medicaid | All_Plans | $118.75 | ↓ -97% |
| Amerihealth_Caritas_Medicaid | All_Plans | $134.90 | ↓ -97% |
| Health_Partners_Medicaid | All_Other_Plans | $298.75 | ↓ -94% |
| PA_Health_&_Wellness_Medicare | All_Plans | $3,045.79 | ↓ -35% |
| Highmark | All_Other_Plans | $3,051.46 | ↓ -35% |
| Jefferson_Health_Medicare_Advantage | All_Plans | $3,051.46 | ↓ -35% |
| Blue_Cross_BlueJourney_Medicare | All_Plans | $3,051.46 | ↓ -35% |
| United_Medicaid | Community_Plan_For_Kids | $3,051.46 | ↓ -35% |
| Highmark_Medicare | All_Plans | $3,081.97 | ↓ -34% |
| Aetna_Advantra_Medicare | All_Plans | $3,143.00 | ↓ -33% |
| Aetna_Medicare | All_Plans | $3,143.00 | ↓ -33% |
| United_Medicare | ISNP_DSNP_Plans | $3,204.03 | ↓ -31% |
| Devoted_Medicare | All_Plans | $3,204.03 | ↓ -31% |
| Highmark_Wholecare_Gateway_Medicare | All_Plans | $3,217.76 | ↓ -31% |
| Amerihealth_Medicare | All_Plans | $3,219.29 | ↓ -31% |
| UPMC | UPMC_For_Kids | $3,505.20 | ↓ -25% |
| Geisinger_Gold_Medicare | All_Plans | $3,814.33 | ↓ -18% |
| Aetna | All_Plans | $3,925.82 | ↓ -16% |
| Cigna | All_Plans | $4,281.60 | ↓ -8% |
| Geisinger | All_Plans | $4,323.08 | ↓ -8% |
| Cigna | PPO_Plan | $4,495.42 | ↓ -4% |
| Highmark | Higmark_Healthy_Kids | $4,668.73 | ↓ -0% |
| Health_Partners_Medicaid | Kidz_Partners | $5,034.91 | ↑ +8% |
| WellSpan_Capital_Blue_Cross | All_Plans | $5,257.80 | ↑ +13% |
| First_Health_Network | All_Plans | $5,549.90 | ↑ +19% |
| United_Healthcare | All_Plans | $5,573.27 | ↑ +19% |
| Blue_Cross | Capital_Blue_Performance_PPO | $6,357.00 | ↑ +36% |
| Blue_Cross | Capital_Cares_4_kids | $8,444.00 | ↑ +81% |
| Blue_Cross | All_Other_Plans | $8,444.00 | ↑ +81% |
| Highmark | My_Direct_Blue | $10,293.18 | ↑ +120% |
| Highmark | Shared_Cost_Blue_PPO | $10,293.18 | ↑ +120% |
| Aetna_Better_Health_Kids | All_Plans | $10,374.96 | ↑ +122% |
| Highmark | Performance_Blue | $11,711.50 | ↑ +151% |
| Highmark | Blue_Cross_High_Performance_Network | $11,711.50 | ↑ +151% |
| Highmark | Choice_Blue_PPO | $11,711.50 | ↑ +151% |
Visitor-reported prices
Comments
Bone biopsy open superficial at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $5,980.80 | $120.65 – $8,472.80 |
| UPMC Cole | Coudersport | $515.40 | $99.75 – $1,041.88 |
| UPMC Hamot | Erie | $4,461.00 | $104.50 – $3,968.58 |
| UPMC Hanover | Hanover | $5,980.80 | $120.65 – $4,374.59 |
| UPMC Lititz | Lititz | $5,980.80 | $120.65 – $4,398.21 |
| UPMC Magee | Pittsburgh | $3,453.60 | $104.50 – $2,946.91 |
| UPMC Passavant-McCandless | Pittsburgh | $5,396.40 | $104.50 – $3,001.48 |
| UPMC Wellsboro | Wellsboro | $5,752.80 | $104.50 – $1,077.76 |