Brain MRI (without contrast) at WellSpan Waynesboro Hospital
501 E. Main St., Waynesboro, PA · Wellspan · · NPI 1821091059
$455.00
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.
$2,225.00
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.
$172.59 with Health_Partners_Medicaid vs $2,891.02 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 | $172.59 | ↓ -62% |
| PA_Health_&_Wellness_Medicare | All_Plans | $257.24 | ↓ -43% |
| Jefferson_Health_Medicare_Advantage | All_Plans | $257.72 | ↓ -43% |
| United_Medicaid | Community_Plan_For_Kids | $257.72 | ↓ -43% |
| Blue_Cross_BlueJourney_Medicare | All_Plans | $257.72 | ↓ -43% |
| Highmark | All_Other_Plans | $257.72 | ↓ -43% |
| Highmark_Medicare | All_Plans | $260.30 | ↓ -43% |
| Aetna_Advantra_Medicare | All_Plans | $265.45 | ↓ -42% |
| Aetna_Medicare | All_Plans | $265.45 | ↓ -42% |
| Devoted_Medicare | All_Plans | $270.61 | ↓ -41% |
| United_Medicare | ISNP_DSNP_Plans | $270.61 | ↓ -41% |
| Highmark_Wholecare_Gateway_Medicare | All_Plans | $271.77 | ↓ -40% |
| Amerihealth_Medicare | All_Plans | $271.89 | ↓ -40% |
| Geisinger_Gold_Medicare | All_Plans | $322.15 | ↓ -29% |
| UPMC_Medicare | UPMC_for_Life_Complete_Care | $354.49 | ↓ -22% |
| UPMC_Medicare | UPMC_for_Life_Community_HealthChoices | $354.49 | ↓ -22% |
| UPMC_Medicaid | All_Plans | $356.18 | ↓ -22% |
| Highmark | Higmark_Healthy_Kids | $394.31 | ↓ -13% |
| Geisinger_Medicaid | All_Plans | $422.01 | ↓ -7% |
| PA_Health_&_Wellness_Medicaid | All_Plans | $422.01 | ↓ -7% |
| Highmark_Wholecare_Gateway_Medicaid | All_Plans | $422.01 | ↓ -7% |
| Health_Partners_Medicaid | Kidz_Partners | $425.24 | ↓ -7% |
| WellSpan_Capital_Blue_Cross | All_Plans | $466.00 | ↑ +2% |
| Amerihealth_Caritas_Medicaid | All_Plans | $479.41 | ↑ +5% |
| Highmark | My_Direct_Blue | $869.34 | ↑ +91% |
| Highmark | Shared_Cost_Blue_PPO | $869.34 | ↑ +91% |
| Aetna_Better_Health_Kids | All_Plans | $876.25 | ↑ +93% |
| Highmark | Blue_Cross_High_Performance_Network | $989.13 | ↑ +117% |
| Highmark | Performance_Blue | $989.13 | ↑ +117% |
| Highmark | Choice_Blue_PPO | $989.13 | ↑ +117% |
| UPMC | UPMC_For_Kids | $1,335.00 | ↑ +193% |
| United_Healthcare | All_Plans | $1,342.45 | ↑ +195% |
| Cigna | All_Plans | $1,432.23 | ↑ +215% |
| Aetna | All_Plans | $1,495.20 | ↑ +229% |
| Cigna | PPO_Plan | $1,503.88 | ↑ +231% |
| Geisinger | All_Plans | $1,646.50 | ↑ +262% |
| Blue_Cross | Capital_Cares_4_kids | $2,023.71 | ↑ +345% |
| First_Health_Network | All_Plans | $2,113.75 | ↑ +365% |
| Blue_Cross | All_Other_Plans | $2,891.02 | ↑ +535% |
Visitor-reported prices
Comments
Brain MRI (without contrast) at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $1,699.20 | $269.00 – $2,265.60 |
| UPMC Bedford | Everett | $1,705.20 | $83.15 – $2,557.80 |
| UPMC Carlisle | Carlisle | $1,741.80 | $40.14 – $1,177.72 |
| UPMC Cole | Coudersport | $977.40 | $230.42 – $1,303.20 |
| UPMC Community Osteopathic | Harrisburg | $1,741.80 | $58.60 – $1,801.18 |
| UPMC East | Monroeville | $3,940.80 | $231.07 – $5,254.40 |
| UPMC Hamot | Erie | $5,178.60 | $182.96 – $1,232.72 |
| UPMC Northwest | Seneca | $2,205.00 | $209.00 – $1,142.59 |