CT uppr extremity w/o&w/dye at WellSpan Waynesboro Hospital
501 E. Main St., Waynesboro, PA · Wellspan · · NPI 1821091059
$572.00
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.
$2,645.00
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.
$75.14 with Health_Partners_Medicaid vs $2,829.57 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 | $75.14 | ↓ -87% |
| UPMC_Medicare | UPMC_for_Life_Community_HealthChoices | $156.50 | ↓ -73% |
| UPMC_Medicare | UPMC_for_Life_Complete_Care | $156.50 | ↓ -73% |
| UPMC_Medicaid | All_Plans | $157.25 | ↓ -73% |
| Geisinger_Medicaid | All_Plans | $186.31 | ↓ -67% |
| PA_Health_&_Wellness_Medicaid | All_Plans | $186.31 | ↓ -67% |
| Highmark_Wholecare_Gateway_Medicaid | All_Plans | $186.31 | ↓ -67% |
| PA_Health_&_Wellness_Medicare | All_Plans | $189.45 | ↓ -67% |
| Blue_Cross_BlueJourney_Medicare | All_Plans | $189.80 | ↓ -67% |
| United_Medicaid | Community_Plan_For_Kids | $189.80 | ↓ -67% |
| Highmark | All_Other_Plans | $189.80 | ↓ -67% |
| Jefferson_Health_Medicare_Advantage | All_Plans | $189.80 | ↓ -67% |
| Highmark_Medicare | All_Plans | $191.70 | ↓ -66% |
| Aetna_Advantra_Medicare | All_Plans | $195.49 | ↓ -66% |
| Aetna_Medicare | All_Plans | $195.49 | ↓ -66% |
| United_Medicare | ISNP_DSNP_Plans | $199.29 | ↓ -65% |
| Devoted_Medicare | All_Plans | $199.29 | ↓ -65% |
| Highmark_Wholecare_Gateway_Medicare | All_Plans | $200.14 | ↓ -65% |
| Amerihealth_Medicare | All_Plans | $200.24 | ↓ -65% |
| Amerihealth_Caritas_Medicaid | All_Plans | $211.65 | ↓ -63% |
| Geisinger_Gold_Medicare | All_Plans | $237.25 | ↓ -59% |
| Highmark | Higmark_Healthy_Kids | $290.39 | ↓ -49% |
| Health_Partners_Medicaid | Kidz_Partners | $313.17 | ↓ -45% |
| WellSpan_Capital_Blue_Cross | All_Plans | $534.00 | ↓ -7% |
| Highmark | My_Direct_Blue | $640.23 | ↑ +12% |
| Highmark | Shared_Cost_Blue_PPO | $640.23 | ↑ +12% |
| Aetna_Better_Health_Kids | All_Plans | $645.32 | ↑ +13% |
| Highmark | Blue_Cross_High_Performance_Network | $728.45 | ↑ +27% |
| Highmark | Performance_Blue | $728.45 | ↑ +27% |
| Highmark | Choice_Blue_PPO | $728.45 | ↑ +27% |
| United_Healthcare | All_Plans | $1,006.60 | ↑ +76% |
| UPMC | UPMC_For_Kids | $1,587.00 | ↑ +177% |
| Cigna | All_Plans | $1,702.59 | ↑ +198% |
| Aetna | All_Plans | $1,777.44 | ↑ +211% |
| Cigna | PPO_Plan | $1,787.76 | ↑ +213% |
| Geisinger | All_Plans | $1,957.30 | ↑ +242% |
| Blue_Cross | Capital_Cares_4_kids | $1,980.70 | ↑ +246% |
| First_Health_Network | All_Plans | $2,512.75 | ↑ +339% |
| Blue_Cross | All_Other_Plans | $2,829.57 | ↑ +395% |
Visitor-reported prices
Comments
CT uppr extremity w/o&w/dye at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $1,464.00 | $240.00 – $1,952.00 |
| UPMC Carlisle | Carlisle | $1,424.40 | $121.17 – $2,017.90 |
| UPMC Cole | Coudersport | $1,299.60 | $248.43 – $1,732.80 |
| UPMC Community Osteopathic | Harrisburg | $1,424.40 | $121.17 – $2,017.90 |
| UPMC East | Monroeville | $3,242.40 | $170.18 – $4,323.20 |
| UPMC Hamot | Erie | $2,199.00 | $140.66 – $847.96 |
| UPMC Northwest | Seneca | $1,240.20 | $153.92 – $786.68 |
| UPMC Hanover | Hanover | $1,424.40 | $121.17 – $1,833.00 |