Factor ix recombinant nos at WellSpan Waynesboro Hospital
501 E. Main St., Waynesboro, PA · Wellspan · · NPI 1821091059
$2,557.20
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.
$3,196.50
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.
$2.18 with WellSpan_Capital_Blue_Cross vs $3,548.23 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 |
|---|---|---|---|
| WellSpan_Capital_Blue_Cross | All_Plans | $2.18 | ↓ -100% |
| Health_Partners_Medicaid | All_Other_Plans | $4.10 | ↓ -100% |
| Blue_Cross | Capital_Cares_4_kids | $703.50 | ↓ -72% |
| Highmark | All_Other_Plans | $924.50 | ↓ -64% |
| Health_Partners_Medicaid | Kidz_Partners | $924.50 | ↓ -64% |
| Blue_Cross_BlueJourney_Medicare | All_Plans | $924.50 | ↓ -64% |
| Jefferson_Health_Medicare_Advantage | All_Plans | $924.50 | ↓ -64% |
| Highmark_Medicare | All_Plans | $933.75 | ↓ -63% |
| Aetna_Medicare | All_Plans | $952.24 | ↓ -63% |
| Aetna_Advantra_Medicare | All_Plans | $952.24 | ↓ -63% |
| Devoted_Medicare | All_Plans | $970.73 | ↓ -62% |
| United_Medicare | ISNP_DSNP_Plans | $970.73 | ↓ -62% |
| Highmark_Wholecare_Gateway_Medicare | All_Plans | $974.89 | ↓ -62% |
| Amerihealth_Medicare | All_Plans | $975.35 | ↓ -62% |
| PA_Health_&_Wellness_Medicare | All_Plans | $998.46 | ↓ -61% |
| Blue_Cross | All_Other_Plans | $1,005.00 | ↓ -61% |
| Geisinger_Gold_Medicare | All_Plans | $1,155.63 | ↓ -55% |
| Highmark | Higmark_Healthy_Kids | $1,414.49 | ↓ -45% |
| United_Medicaid | Community_Plan_For_Kids | $1,617.88 | ↓ -37% |
| UPMC | UPMC_For_Kids | $1,917.90 | ↓ -25% |
| United_Healthcare | All_Plans | $2,016.00 | ↓ -21% |
| Cigna | All_Plans | $2,342.71 | ↓ -8% |
| Aetna | All_Plans | $2,359.02 | ↓ -8% |
| Geisinger | All_Plans | $2,365.41 | ↓ -8% |
| Cigna | PPO_Plan | $2,459.71 | ↓ -4% |
| First_Health_Network | All_Plans | $3,036.68 | ↑ +19% |
| Highmark | My_Direct_Blue | $3,118.52 | ↑ +22% |
| Highmark | Shared_Cost_Blue_PPO | $3,118.52 | ↑ +22% |
| Aetna_Better_Health_Kids | All_Plans | $3,143.30 | ↑ +23% |
| Highmark | Performance_Blue | $3,548.23 | ↑ +39% |
| Highmark | Choice_Blue_PPO | $3,548.23 | ↑ +39% |
| Highmark | Blue_Cross_High_Performance_Network | $3,548.23 | ↑ +39% |
Visitor-reported prices
Comments
Factor ix recombinant nos at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Horizon-Greenville | Greenville | $11.40 | $1.17 – $3.47 |
| UPMC Magee | Pittsburgh | $34.65 | $1.17 – $2.10 |
| UPMC Mercy | Pittsburgh | $15.40 | $1.17 – $2.08 |
| UPMC Passavant-McCandless | Pittsburgh | $34.65 | $1.17 – $2.10 |
| UPMC Presbyterian | Pittsburgh | $34.65 | $1.17 – $2.10 |
| UPMC Western Psychiatric | Pittsburgh | $34.65 | $1.85 – $2.06 |
| UPMC Northwest | Seneca | not published | $1.17 – $2.00 |
| UPMC St. Margaret | Pittsburgh | not published | $1.17 – $2.10 |