Covid-19 IV infusion and post admin monitoring tocilizumab 1st dose at WellSpan Waynesboro Hospital
501 E. Main St., Waynesboro, PA · Wellspan · · NPI 1821091059
$500.80
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.
$626.00
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.
$12.05 with Health_Partners_Medicaid vs $1,843.43 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 |
|---|---|---|---|
| Health_Partners_Medicaid | All_Other_Plans | $12.05 | ↓ -98% |
| Highmark_Wholecare_Gateway_Medicaid | All_Plans | $337.88 | ↓ -33% |
| UPMC | UPMC_For_Kids | $375.60 | ↓ -25% |
| Aetna | All_Plans | $420.67 | ↓ -16% |
| Cigna | All_Plans | $458.80 | ↓ -8% |
| Geisinger | All_Plans | $463.24 | ↓ -8% |
| PA_Health_&_Wellness_Medicare | All_Plans | $479.42 | ↓ -4% |
| Blue_Cross_BlueJourney_Medicare | All_Plans | $480.31 | ↓ -4% |
| Highmark | All_Other_Plans | $480.31 | ↓ -4% |
| Jefferson_Health_Medicare_Advantage | All_Plans | $480.31 | ↓ -4% |
| United_Medicaid | Community_Plan_For_Kids | $480.31 | ↓ -4% |
| Cigna | PPO_Plan | $481.71 | ↓ -4% |
| Highmark_Medicare | All_Plans | $485.11 | ↓ -3% |
| Aetna_Advantra_Medicare | All_Plans | $494.72 | ↓ -1% |
| Aetna_Medicare | All_Plans | $494.72 | ↓ -1% |
| United_Medicare | ISNP_DSNP_Plans | $504.33 | ↑ +1% |
| Devoted_Medicare | All_Plans | $504.33 | ↑ +1% |
| Highmark_Wholecare_Gateway_Medicare | All_Plans | $506.49 | ↑ +1% |
| Amerihealth_Medicare | All_Plans | $506.73 | ↑ +1% |
| WellSpan_Capital_Blue_Cross | All_Plans | $563.40 | ↑ +13% |
| First_Health_Network | All_Plans | $594.70 | ↑ +19% |
| United_Healthcare | All_Plans | $597.20 | ↑ +19% |
| Geisinger_Gold_Medicare | All_Plans | $600.39 | ↑ +20% |
| Highmark | Higmark_Healthy_Kids | $734.87 | ↑ +47% |
| Health_Partners_Medicaid | Kidz_Partners | $792.51 | ↑ +58% |
| Highmark | Shared_Cost_Blue_PPO | $1,620.18 | ↑ +224% |
| Highmark | My_Direct_Blue | $1,620.18 | ↑ +224% |
| Highmark | Choice_Blue_PPO | $1,843.43 | ↑ +268% |
| Highmark | Performance_Blue | $1,843.43 | ↑ +268% |
| Highmark | Blue_Cross_High_Performance_Network | $1,843.43 | ↑ +268% |
Visitor-reported prices
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Covid-19 IV infusion and post admin monitoring tocilizumab 1st dose at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $1,020.00 | $438.00 – $1,360.00 |
| UPMC Bedford | Everett | $1,020.00 | $154.96 – $1,530.00 |
| UPMC Hamot | Erie | $1,020.00 | $460.81 – $535.35 |
| UPMC Magee | Pittsburgh | $1,020.00 | $401.97 – $472.45 |
| UPMC Passavant-McCandless | Pittsburgh | $1,020.00 | $399.13 – $535.83 |
| UPMC Wellsboro | Wellsboro | $1,360.00 | $351.76 – $460.81 |
| UPMC Williamsport | Williamsport | $1,020.00 | $351.76 – $509.04 |
| WellSpan Chambersburg Hospital | Chambersburg | $500.80 | $337.88 – $2,071.88 |