Enzyme histochemistry at WellSpan Waynesboro Hospital
501 E. Main St., Waynesboro, PA · Wellspan · · NPI 1821091059
$707.20
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.
$884.00
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.
$6.50 with Health_Partners_Medicaid vs $3,342.74 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 | $6.50 | ↓ -99% |
| UPMC_Medicare | UPMC_for_Life_Community_HealthChoices | $122.90 | ↓ -83% |
| UPMC_Medicare | UPMC_for_Life_Complete_Care | $122.90 | ↓ -83% |
| UPMC_Medicaid | All_Plans | $123.49 | ↓ -83% |
| Highmark_Wholecare_Gateway_Medicaid | All_Plans | $146.31 | ↓ -79% |
| Geisinger_Medicaid | All_Plans | $146.31 | ↓ -79% |
| PA_Health_&_Wellness_Medicaid | All_Plans | $146.31 | ↓ -79% |
| Amerihealth_Caritas_Medicaid | All_Plans | $166.21 | ↓ -76% |
| Blue_Cross | Capital_Cares_4_kids | $461.85 | ↓ -35% |
| UPMC | UPMC_For_Kids | $530.40 | ↓ -25% |
| Aetna | All_Plans | $532.40 | ↓ -25% |
| Cigna | All_Plans | $647.88 | ↓ -8% |
| Geisinger | All_Plans | $654.16 | ↓ -8% |
| Blue_Cross | All_Other_Plans | $659.79 | ↓ -7% |
| Cigna | PPO_Plan | $680.24 | ↓ -4% |
| WellSpan_Capital_Blue_Cross | All_Plans | $795.60 | ↑ +13% |
| First_Health_Network | All_Plans | $839.80 | ↑ +19% |
| PA_Health_&_Wellness_Medicare | All_Plans | $869.34 | ↑ +23% |
| Blue_Cross_BlueJourney_Medicare | All_Plans | $870.96 | ↑ +23% |
| United_Medicaid | Community_Plan_For_Kids | $870.96 | ↑ +23% |
| Highmark | All_Other_Plans | $870.96 | ↑ +23% |
| Jefferson_Health_Medicare_Advantage | All_Plans | $870.96 | ↑ +23% |
| Highmark_Medicare | All_Plans | $879.67 | ↑ +24% |
| Aetna_Advantra_Medicare | All_Plans | $897.09 | ↑ +27% |
| Aetna_Medicare | All_Plans | $897.09 | ↑ +27% |
| United_Medicare | ISNP_DSNP_Plans | $914.51 | ↑ +29% |
| Devoted_Medicare | All_Plans | $914.51 | ↑ +29% |
| Highmark_Wholecare_Gateway_Medicare | All_Plans | $918.43 | ↑ +30% |
| Amerihealth_Medicare | All_Plans | $918.86 | ↑ +30% |
| Geisinger_Gold_Medicare | All_Plans | $1,088.70 | ↑ +54% |
| Highmark | Higmark_Healthy_Kids | $1,332.57 | ↑ +88% |
| Health_Partners_Medicaid | Kidz_Partners | $1,437.08 | ↑ +103% |
| United_Healthcare | All_Plans | $2,457.87 | ↑ +248% |
| Highmark | Shared_Cost_Blue_PPO | $2,937.92 | ↑ +315% |
| Highmark | My_Direct_Blue | $2,937.92 | ↑ +315% |
| Aetna_Better_Health_Kids | All_Plans | $2,961.26 | ↑ +319% |
| Highmark | Blue_Cross_High_Performance_Network | $3,342.74 | ↑ +373% |
| Highmark | Choice_Blue_PPO | $3,342.74 | ↑ +373% |
| Highmark | Performance_Blue | $3,342.74 | ↑ +373% |
Visitor-reported prices
Comments
Enzyme histochemistry at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $471.60 | $7.41 – $628.80 |
| UPMC Carlisle | Carlisle | $1,472.40 | $9.71 – $2,085.90 |
| UPMC Community Osteopathic | Harrisburg | $1,472.40 | $9.71 – $2,085.90 |
| UPMC East | Monroeville | $797.40 | $78.95 – $1,063.20 |
| UPMC Hamot | Erie | $652.20 | $23.43 – $970.76 |
| UPMC Northwest | Seneca | $573.60 | $79.68 – $817.76 |
| UPMC Hanover | Hanover | $1,472.40 | $9.71 – $1,248.61 |
| UPMC Horizon-Greenville | Greenville | $456.60 | $79.94 – $841.13 |