Cllr miami j sm at WellSpan Waynesboro Hospital
501 E. Main St., Waynesboro, PA · Wellspan · · NPI 1821091059
$19.20
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.
$24.00
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.
$14.40 with UPMC vs $1,334.57 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 | UPMC_For_Kids | $14.40 | ↓ -25% |
| Aetna | All_Plans | $16.13 | ↓ -16% |
| Cigna | All_Plans | $17.59 | ↓ -8% |
| Geisinger | All_Plans | $17.76 | ↓ -8% |
| Cigna | PPO_Plan | $18.47 | ↓ -4% |
| WellSpan_Capital_Blue_Cross | All_Plans | $21.60 | ↑ +13% |
| First_Health_Network | All_Plans | $22.80 | ↑ +19% |
| United_Healthcare | All_Plans | $22.90 | ↑ +19% |
| Health_Partners_Medicaid | All_Other_Plans | $31.59 | ↑ +65% |
| Highmark_Wholecare_Gateway_Medicaid | All_Plans | $177.98 | ↑ +827% |
| Blue_Cross_BlueJourney_Medicare | All_Plans | $309.48 | ↑ +1512% |
| Highmark_Medicare | All_Plans | $312.57 | ↑ +1528% |
| Aetna_Medicare | All_Plans | $318.76 | ↑ +1560% |
| Aetna_Advantra_Medicare | All_Plans | $318.76 | ↑ +1560% |
| United_Medicare | ISNP_DSNP_Plans | $324.95 | ↑ +1592% |
| Devoted_Medicare | All_Plans | $324.95 | ↑ +1592% |
| Highmark_Wholecare_Gateway_Medicare | All_Plans | $326.35 | ↑ +1600% |
| Amerihealth_Medicare | All_Plans | $326.50 | ↑ +1601% |
| Jefferson_Health_Medicare_Advantage | All_Plans | $334.24 | ↑ +1641% |
| PA_Health_&_Wellness_Medicare | All_Plans | $334.24 | ↑ +1641% |
| Geisinger_Gold_Medicare | All_Plans | $386.85 | ↑ +1915% |
| Highmark | Higmark_Healthy_Kids | $473.50 | ↑ +2366% |
| Health_Partners_Medicaid | Kidz_Partners | $510.64 | ↑ +2560% |
| United_Medicaid | Community_Plan_For_Kids | $541.59 | ↑ +2721% |
| Highmark | Shared_Cost_Blue_PPO | $1,043.94 | ↑ +5337% |
| Highmark | My_Direct_Blue | $1,043.94 | ↑ +5337% |
| Aetna_Better_Health_Kids | All_Plans | $1,052.23 | ↑ +5380% |
| Highmark | Blue_Cross_High_Performance_Network | $1,187.78 | ↑ +6086% |
| Highmark | Choice_Blue_PPO | $1,187.78 | ↑ +6086% |
| Highmark | Performance_Blue | $1,187.78 | ↑ +6086% |
| Highmark | All_Other_Plans | $1,334.57 | ↑ +6851% |
Visitor-reported prices
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Cllr miami j sm at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| WellSpan Ephrata Community Hospital | Ephrata | $248.80 | $177.98 – $541.59 |
| WellSpan Surgery & Rehabilitation Hospital | York PA 17403 | $188.66 | $309.48 – $541.59 |