Bx breast add lesion Ultrasound imag at WellSpan Waynesboro Hospital
501 E. Main St., Waynesboro, PA · Wellspan · · NPI 1821091059
$2,744.00
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.
$3,430.00
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.
$69.76 with UPMC_Medicaid vs $3,272.22 with United_Healthcare — 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_Medicaid | All_Plans | $69.76 | ↓ -97% |
| PA_Health_&_Wellness_Medicaid | All_Plans | $82.65 | ↓ -97% |
| Geisinger_Medicaid | All_Plans | $82.65 | ↓ -97% |
| Highmark_Wholecare_Gateway_Medicaid | All_Plans | $82.65 | ↓ -97% |
| Amerihealth_Caritas_Medicaid | All_Plans | $93.89 | ↓ -97% |
| UPMC | UPMC_For_Kids | $2,058.00 | ↓ -25% |
| Aetna | All_Plans | $2,304.96 | ↓ -16% |
| Cigna | All_Plans | $2,513.85 | ↓ -8% |
| Geisinger | All_Plans | $2,538.20 | ↓ -8% |
| Cigna | PPO_Plan | $2,639.39 | ↓ -4% |
| WellSpan_Capital_Blue_Cross | All_Plans | $3,087.00 | ↑ +13% |
| First_Health_Network | All_Plans | $3,258.50 | ↑ +19% |
| United_Healthcare | All_Plans | $3,272.22 | ↑ +19% |
Visitor-reported prices
Comments
Bx breast add lesion Ultrasound imag at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $1,945.20 | $66.12 – $2,593.60 |
| UPMC Bedford | Everett | $2,620.20 | $69.43 – $3,930.30 |
| UPMC Carlisle | Carlisle | $1,042.80 | $83.97 – $9,539.00 |
| UPMC Cole | Coudersport | $334.20 | $69.43 – $1,041.88 |
| UPMC Community Osteopathic | Harrisburg | $1,042.80 | $86.62 – $1,540.47 |
| UPMC Hamot | Erie | $4,324.20 | $72.73 – $710.72 |
| UPMC Northwest | Seneca | $2,792.40 | $72.73 – $968.57 |
| UPMC Hanover | Hanover | $1,042.80 | $83.97 – $743.78 |