Ghs IV thrombolytics - cerebral at WellSpan Waynesboro Hospital
501 E. Main St., Waynesboro, PA · Wellspan · · NPI 1821091059
$804.00
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.
$1,005.00
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.
$128.13 with Health_Partners_Medicaid vs $1,357.27 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 | $128.13 | ↓ -84% |
| Highmark_Wholecare_Gateway_Medicaid | All_Plans | $248.77 | ↓ -69% |
| PA_Health_&_Wellness_Medicare | All_Plans | $352.98 | ↓ -56% |
| Blue_Cross_BlueJourney_Medicare | All_Plans | $353.64 | ↓ -56% |
| United_Medicaid | Community_Plan_For_Kids | $353.64 | ↓ -56% |
| Highmark | All_Other_Plans | $353.64 | ↓ -56% |
| Jefferson_Health_Medicare_Advantage | All_Plans | $353.64 | ↓ -56% |
| Highmark_Medicare | All_Plans | $357.18 | ↓ -56% |
| Aetna_Medicare | All_Plans | $364.25 | ↓ -55% |
| Aetna_Advantra_Medicare | All_Plans | $364.25 | ↓ -55% |
| United_Medicare | ISNP_DSNP_Plans | $371.32 | ↓ -54% |
| Devoted_Medicare | All_Plans | $371.32 | ↓ -54% |
| Highmark_Wholecare_Gateway_Medicare | All_Plans | $372.91 | ↓ -54% |
| Amerihealth_Medicare | All_Plans | $373.09 | ↓ -54% |
| Geisinger_Gold_Medicare | All_Plans | $442.05 | ↓ -45% |
| Highmark | Higmark_Healthy_Kids | $541.07 | ↓ -33% |
| Health_Partners_Medicaid | Kidz_Partners | $583.51 | ↓ -27% |
| UPMC | UPMC_For_Kids | $603.00 | ↓ -25% |
| Aetna | All_Plans | $675.36 | ↓ -16% |
| Cigna | All_Plans | $736.56 | ↓ -8% |
| Geisinger | All_Plans | $743.70 | ↓ -8% |
| Cigna | PPO_Plan | $773.35 | ↓ -4% |
| WellSpan_Capital_Blue_Cross | All_Plans | $904.50 | ↑ +13% |
| First_Health_Network | All_Plans | $954.75 | ↑ +19% |
| United_Healthcare | All_Plans | $958.77 | ↑ +19% |
| Highmark | My_Direct_Blue | $1,192.90 | ↑ +48% |
| Highmark | Shared_Cost_Blue_PPO | $1,192.90 | ↑ +48% |
| Highmark | Blue_Cross_High_Performance_Network | $1,357.27 | ↑ +69% |
| Highmark | Choice_Blue_PPO | $1,357.27 | ↑ +69% |
| Highmark | Performance_Blue | $1,357.27 | ↑ +69% |
Visitor-reported prices
Comments
Ghs IV thrombolytics - cerebral at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $544.20 | $322.49 – $725.60 |
| UPMC Bedford | Everett | $3,883.80 | $114.10 – $5,825.70 |
| UPMC Carlisle | Carlisle | $1,295.40 | $174.51 – $1,835.15 |
| UPMC Community Osteopathic | Harrisburg | $1,295.40 | $265.80 – $1,835.15 |
| UPMC East | Monroeville | $2,286.00 | $250.33 – $3,048.00 |
| UPMC Hamot | Erie | $3,456.60 | $364.97 – $642.37 |
| UPMC Northwest | Seneca | $1,635.60 | $286.79 – $642.37 |
| UPMC Hanover | Hanover | $1,295.40 | $265.80 – $672.25 |