ER Visit (level 4) at WellSpan Waynesboro Hospital
501 E. Main St., Waynesboro, PA · Wellspan · · NPI 1821091059
$1,796.80
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.
$2,246.00
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.
$83.13 with Health_Partners_Medicaid vs $3,359.00 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 | $83.13 | ↓ -95% |
| UPMC_Medicare | UPMC_for_Life_Community_HealthChoices | $129.15 | ↓ -93% |
| UPMC_Medicare | UPMC_for_Life_Complete_Care | $129.15 | ↓ -93% |
| UPMC_Medicaid | All_Plans | $129.77 | ↓ -93% |
| PA_Health_&_Wellness_Medicaid | All_Plans | $153.75 | ↓ -91% |
| Geisinger_Medicaid | All_Plans | $153.75 | ↓ -91% |
| Highmark_Wholecare_Gateway_Medicaid | All_Plans | $153.75 | ↓ -91% |
| Amerihealth_Caritas_Medicaid | All_Plans | $174.66 | ↓ -90% |
| PA_Health_&_Wellness_Medicare | All_Plans | $453.16 | ↓ -75% |
| Highmark | All_Other_Plans | $454.00 | ↓ -75% |
| Blue_Cross_BlueJourney_Medicare | All_Plans | $454.00 | ↓ -75% |
| Jefferson_Health_Medicare_Advantage | All_Plans | $454.00 | ↓ -75% |
| Highmark_Medicare | All_Plans | $458.54 | ↓ -74% |
| Aetna_Advantra_Medicare | All_Plans | $467.62 | ↓ -74% |
| Aetna_Medicare | All_Plans | $467.62 | ↓ -74% |
| United_Medicare | ISNP_DSNP_Plans | $476.70 | ↓ -73% |
| Devoted_Medicare | All_Plans | $476.70 | ↓ -73% |
| Highmark_Wholecare_Gateway_Medicare | All_Plans | $478.74 | ↓ -73% |
| Amerihealth_Medicare | All_Plans | $478.97 | ↓ -73% |
| Geisinger_Gold_Medicare | All_Plans | $567.50 | ↓ -68% |
| Highmark | Higmark_Healthy_Kids | $694.62 | ↓ -61% |
| Health_Partners_Medicaid | Kidz_Partners | $749.10 | ↓ -58% |
| Cigna | All_Plans | $1,250.00 | ↓ -30% |
| Cigna | PPO_Plan | $1,313.00 | ↓ -27% |
| UPMC | UPMC_For_Kids | $1,347.60 | ↓ -25% |
| Aetna | All_Plans | $1,509.31 | ↓ -16% |
| Aetna_Better_Health_Kids | All_Plans | $1,543.60 | ↓ -14% |
| Highmark | My_Direct_Blue | $1,620.55 | ↓ -10% |
| Highmark | Shared_Cost_Blue_PPO | $1,620.55 | ↓ -10% |
| Highmark | Blue_Cross_High_Performance_Network | $1,648.34 | ↓ -8% |
| Highmark | Performance_Blue | $1,648.34 | ↓ -8% |
| Highmark | Choice_Blue_PPO | $1,648.34 | ↓ -8% |
| Geisinger | All_Plans | $1,662.04 | ↓ -8% |
| United_Medicaid | Community_Plan_For_Kids | $1,835.00 | ↑ +2% |
| United_Healthcare | All_Plans | $1,835.00 | ↑ +2% |
| WellSpan_Capital_Blue_Cross | All_Plans | $2,021.40 | ↑ +13% |
| First_Health_Network | All_Plans | $2,133.70 | ↑ +19% |
| Blue_Cross | Capital_Cares_4_kids | $2,351.30 | ↑ +31% |
| Blue_Cross | All_Other_Plans | $3,359.00 | ↑ +87% |
Visitor-reported prices
Comments
ER Visit (level 4) at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $1,012.20 | $123.00 – $1,349.60 |
| UPMC Bedford | Everett | $645.60 | $100.10 – $968.40 |
| UPMC Carlisle | Carlisle | $1,320.00 | $65.00 – $1,870.00 |
| UPMC Cole | Coudersport | $357.00 | $56.38 – $432.27 |
| UPMC Community Osteopathic | Harrisburg | $1,320.00 | $65.00 – $448.50 |
| UPMC East | Monroeville | $1,120.20 | $104.86 – $1,493.60 |
| UPMC Hamot | Erie | $1,581.00 | $104.86 – $506.02 |
| UPMC Northwest | Seneca | $570.00 | $104.86 – $426.27 |