Diabetes (HbA1c) Test at WellSpan Waynesboro Hospital
501 E. Main St., Waynesboro, PA · Wellspan · · NPI 1821091059
$25.00
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.
$75.00
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.
$7.35 with UPMC_Medicare vs $91.48 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 |
|---|---|---|---|
| UPMC_Medicare | UPMC_for_Life_Community_HealthChoices | $7.35 | ↓ -71% |
| UPMC_Medicare | UPMC_for_Life_Complete_Care | $7.35 | ↓ -71% |
| UPMC_Medicaid | All_Plans | $7.39 | ↓ -70% |
| Geisinger_Medicaid | All_Plans | $8.75 | ↓ -65% |
| PA_Health_&_Wellness_Medicaid | All_Plans | $8.75 | ↓ -65% |
| Highmark_Wholecare_Gateway_Medicaid | All_Plans | $8.75 | ↓ -65% |
| Blue_Cross_BlueJourney_Medicare | All_Plans | $9.71 | ↓ -61% |
| Highmark_Medicare | All_Plans | $9.81 | ↓ -61% |
| Amerihealth_Caritas_Medicaid | All_Plans | $9.94 | ↓ -60% |
| Aetna_Medicare | All_Plans | $10.00 | ↓ -60% |
| Aetna_Advantra_Medicare | All_Plans | $10.00 | ↓ -60% |
| Devoted_Medicare | All_Plans | $10.20 | ↓ -59% |
| United_Medicare | ISNP_DSNP_Plans | $10.20 | ↓ -59% |
| Highmark_Wholecare_Gateway_Medicare | All_Plans | $10.24 | ↓ -59% |
| Amerihealth_Medicare | All_Plans | $10.24 | ↓ -59% |
| Jefferson_Health_Medicare_Advantage | All_Plans | $10.49 | ↓ -58% |
| PA_Health_&_Wellness_Medicare | All_Plans | $10.49 | ↓ -58% |
| Geisinger_Gold_Medicare | All_Plans | $12.14 | ↓ -51% |
| Highmark | Higmark_Healthy_Kids | $14.86 | ↓ -41% |
| Health_Partners_Medicaid | Kidz_Partners | $16.02 | ↓ -36% |
| United_Medicaid | Community_Plan_For_Kids | $16.99 | ↓ -32% |
| WellSpan_Capital_Blue_Cross | All_Plans | $26.00 | ↑ +4% |
| United_Healthcare | All_Plans | $29.13 | ↑ +17% |
| Health_Partners_Medicaid | All_Other_Plans | $31.25 | ↑ +25% |
| Highmark | Shared_Cost_Blue_PPO | $32.75 | ↑ +31% |
| Highmark | My_Direct_Blue | $32.75 | ↑ +31% |
| Aetna_Better_Health_Kids | All_Plans | $33.01 | ↑ +32% |
| Highmark | Choice_Blue_PPO | $37.27 | ↑ +49% |
| Highmark | Performance_Blue | $37.27 | ↑ +49% |
| Highmark | Blue_Cross_High_Performance_Network | $37.27 | ↑ +49% |
| Aetna | All_Plans | $40.10 | ↑ +60% |
| Highmark | All_Other_Plans | $41.87 | ↑ +67% |
| UPMC | UPMC_For_Kids | $45.00 | ↑ +80% |
| Cigna | All_Plans | $54.97 | ↑ +120% |
| Geisinger | All_Plans | $55.50 | ↑ +122% |
| Cigna | PPO_Plan | $57.71 | ↑ +131% |
| Blue_Cross | Capital_Cares_4_kids | $64.04 | ↑ +156% |
| First_Health_Network | All_Plans | $71.25 | ↑ +185% |
| Blue_Cross | All_Other_Plans | $91.48 | ↑ +266% |
Visitor-reported prices
Comments
Diabetes (HbA1c) Test at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $86.40 | $7.00 – $115.20 |
| UPMC Bedford | Everett | $66.60 | $3.50 – $99.90 |
| UPMC Carlisle | Carlisle | $49.20 | $7.00 – $69.70 |
| UPMC Cole | Coudersport | $75.00 | $6.31 – $100.00 |
| UPMC Community Osteopathic | Harrisburg | $49.20 | $7.00 – $67.98 |
| UPMC East | Monroeville | $158.40 | $7.00 – $211.20 |
| UPMC Hamot | Erie | $125.40 | $7.00 – $20.60 |
| UPMC Northwest | Seneca | $74.40 | $7.70 – $10.49 |