Clsd tx fx radius/ulna dist w/manip 25605 at WellSpan Waynesboro Hospital
501 E. Main St., Waynesboro, PA · Wellspan · · NPI 1821091059
$2,334.40
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.
$2,918.00
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.
$174.30 with UPMC_Medicare vs $6,548.89 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 | $174.30 | ↓ -93% |
| UPMC_Medicare | UPMC_for_Life_Complete_Care | $174.30 | ↓ -93% |
| UPMC_Medicaid | All_Plans | $175.13 | ↓ -92% |
| PA_Health_&_Wellness_Medicaid | All_Plans | $207.50 | ↓ -91% |
| Geisinger_Medicaid | All_Plans | $207.50 | ↓ -91% |
| Highmark_Wholecare_Gateway_Medicaid | All_Plans | $207.50 | ↓ -91% |
| Amerihealth_Caritas_Medicaid | All_Plans | $235.72 | ↓ -90% |
| Health_Partners_Medicaid | All_Other_Plans | $970.00 | ↓ -58% |
| PA_Health_&_Wellness_Medicare | All_Plans | $1,703.16 | ↓ -27% |
| Blue_Cross_BlueJourney_Medicare | All_Plans | $1,706.33 | ↓ -27% |
| United_Medicaid | Community_Plan_For_Kids | $1,706.33 | ↓ -27% |
| Highmark | All_Other_Plans | $1,706.33 | ↓ -27% |
| Jefferson_Health_Medicare_Advantage | All_Plans | $1,706.33 | ↓ -27% |
| Highmark_Medicare | All_Plans | $1,723.39 | ↓ -26% |
| UPMC | UPMC_For_Kids | $1,750.80 | ↓ -25% |
| Aetna_Advantra_Medicare | All_Plans | $1,757.52 | ↓ -25% |
| Aetna_Medicare | All_Plans | $1,757.52 | ↓ -25% |
| United_Medicare | ISNP_DSNP_Plans | $1,791.65 | ↓ -23% |
| Devoted_Medicare | All_Plans | $1,791.65 | ↓ -23% |
| Highmark_Wholecare_Gateway_Medicare | All_Plans | $1,799.32 | ↓ -23% |
| Amerihealth_Medicare | All_Plans | $1,800.18 | ↓ -23% |
| Aetna | All_Plans | $1,960.90 | ↓ -16% |
| Geisinger_Gold_Medicare | All_Plans | $2,132.91 | ↓ -9% |
| Cigna | All_Plans | $2,138.60 | ↓ -8% |
| Geisinger | All_Plans | $2,159.32 | ↓ -8% |
| Cigna | PPO_Plan | $2,245.40 | ↓ -4% |
| Highmark | Higmark_Healthy_Kids | $2,610.68 | ↑ +12% |
| WellSpan_Capital_Blue_Cross | All_Plans | $2,626.20 | ↑ +13% |
| Blue_Cross | Capital_Blue_Performance_PPO | $2,685.00 | ↑ +15% |
| First_Health_Network | All_Plans | $2,772.10 | ↑ +19% |
| United_Healthcare | All_Plans | $2,783.77 | ↑ +19% |
| Health_Partners_Medicaid | Kidz_Partners | $2,815.44 | ↑ +21% |
| Blue_Cross | Capital_Cares_4_kids | $3,566.00 | ↑ +53% |
| Blue_Cross | All_Other_Plans | $3,566.00 | ↑ +53% |
| Highmark | My_Direct_Blue | $5,755.79 | ↑ +147% |
| Highmark | Shared_Cost_Blue_PPO | $5,755.79 | ↑ +147% |
| Aetna_Better_Health_Kids | All_Plans | $5,801.52 | ↑ +149% |
| Highmark | Performance_Blue | $6,548.89 | ↑ +181% |
| Highmark | Blue_Cross_High_Performance_Network | $6,548.89 | ↑ +181% |
| Highmark | Choice_Blue_PPO | $6,548.89 | ↑ +181% |
Visitor-reported prices
Comments
Clsd tx fx radius/ulna dist w/manip 25605 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $3,637.80 | $166.00 – $4,850.40 |
| UPMC Bedford | Everett | $1,863.00 | $174.30 – $2,794.50 |
| UPMC Carlisle | Carlisle | $2,055.00 | $210.82 – $2,911.25 |
| UPMC Cole | Coudersport | $1,941.60 | $132.50 – $1,192.92 |
| UPMC Community Osteopathic | Harrisburg | $2,055.00 | $210.82 – $2,911.25 |
| UPMC East | Monroeville | $3,504.60 | $182.60 – $4,672.80 |
| UPMC Hamot | Erie | $3,582.60 | $182.60 – $2,219.16 |
| UPMC Northwest | Seneca | $2,509.80 | $182.60 – $1,602.09 |