Borrelia burgdorferi (lyme disease) antibody nonspecific at WellSpan Waynesboro Hospital
501 E. Main St., Waynesboro, PA · Wellspan · · NPI 1821091059
$84.80
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.
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What you pay up front if you don't use insurance.
$106.00
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.
$7.50 with Health_Partners_Medicaid vs $160.56 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 | $7.50 | ↓ -91% |
| Blue_Cross_BlueJourney_Medicare | All_Plans | $17.03 | ↓ -80% |
| Highmark_Medicare | All_Plans | $17.20 | ↓ -80% |
| Aetna_Medicare | All_Plans | $17.54 | ↓ -79% |
| Aetna_Advantra_Medicare | All_Plans | $17.54 | ↓ -79% |
| Devoted_Medicare | All_Plans | $17.88 | ↓ -79% |
| United_Medicare | ISNP_DSNP_Plans | $17.88 | ↓ -79% |
| Highmark_Wholecare_Gateway_Medicare | All_Plans | $17.96 | ↓ -79% |
| Amerihealth_Medicare | All_Plans | $17.97 | ↓ -79% |
| Jefferson_Health_Medicare_Advantage | All_Plans | $18.39 | ↓ -78% |
| PA_Health_&_Wellness_Medicare | All_Plans | $18.39 | ↓ -78% |
| Geisinger_Gold_Medicare | All_Plans | $21.29 | ↓ -75% |
| UPMC_Medicare | UPMC_for_Life_Complete_Care | $24.72 | ↓ -71% |
| UPMC_Medicare | UPMC_for_Life_Community_HealthChoices | $24.72 | ↓ -71% |
| UPMC_Medicaid | All_Plans | $24.83 | ↓ -71% |
| Highmark | Higmark_Healthy_Kids | $26.06 | ↓ -69% |
| Health_Partners_Medicaid | Kidz_Partners | $28.10 | ↓ -67% |
| PA_Health_&_Wellness_Medicaid | All_Plans | $29.43 | ↓ -65% |
| Geisinger_Medicaid | All_Plans | $29.43 | ↓ -65% |
| Highmark_Wholecare_Gateway_Medicaid | All_Plans | $29.43 | ↓ -65% |
| United_Medicaid | Community_Plan_For_Kids | $29.80 | ↓ -65% |
| Amerihealth_Caritas_Medicaid | All_Plans | $33.43 | ↓ -61% |
| United_Healthcare | All_Plans | $51.09 | ↓ -40% |
| Highmark | Shared_Cost_Blue_PPO | $57.45 | ↓ -32% |
| Highmark | My_Direct_Blue | $57.45 | ↓ -32% |
| Aetna_Better_Health_Kids | All_Plans | $57.90 | ↓ -32% |
| UPMC | UPMC_For_Kids | $63.60 | ↓ -25% |
| Highmark | Blue_Cross_High_Performance_Network | $65.36 | ↓ -23% |
| Highmark | Choice_Blue_PPO | $65.36 | ↓ -23% |
| Highmark | Performance_Blue | $65.36 | ↓ -23% |
| Aetna | All_Plans | $70.33 | ↓ -17% |
| Highmark | All_Other_Plans | $73.44 | ↓ -13% |
| Cigna | All_Plans | $77.69 | ↓ -8% |
| Geisinger | All_Plans | $78.44 | ↓ -8% |
| Cigna | PPO_Plan | $81.57 | ↓ -4% |
| WellSpan_Capital_Blue_Cross | All_Plans | $95.40 | ↑ +13% |
| First_Health_Network | All_Plans | $100.70 | ↑ +19% |
| Blue_Cross | Capital_Cares_4_kids | $112.39 | ↑ +33% |
| Blue_Cross | All_Other_Plans | $160.56 | ↑ +89% |
Visitor-reported prices
Comments
Borrelia burgdorferi (lyme disease) antibody nonspecific at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $238.20 | $16.83 – $317.60 |
| UPMC Bedford | Everett | $91.20 | $6.14 – $136.80 |
| UPMC Carlisle | Carlisle | $94.80 | $16.86 – $134.30 |
| UPMC Cole | Coudersport | $80.40 | $11.07 – $107.20 |
| UPMC Community Osteopathic | Harrisburg | $94.80 | $16.86 – $134.30 |
| UPMC East | Monroeville | $253.80 | $16.83 – $338.40 |
| UPMC Hamot | Erie | $603.00 | $16.83 – $32.90 |
| UPMC Northwest | Seneca | $99.00 | $15.44 – $27.07 |