Ghs musc test done w/n test comp at WellSpan Waynesboro Hospital
501 E. Main St., Waynesboro, PA · Wellspan · · NPI 1821091059
$548.00
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.
?
What you pay up front if you don't use insurance.
$685.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$69.94 with UPMC_Medicaid vs $653.49 with United_Healthcare — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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_Medicaid | All_Plans | $69.94 | ↓ -87% |
| PA_Health_&_Wellness_Medicaid | All_Plans | $82.86 | ↓ -85% |
| Geisinger_Medicaid | All_Plans | $82.86 | ↓ -85% |
| Highmark_Wholecare_Gateway_Medicaid | All_Plans | $82.86 | ↓ -85% |
| Amerihealth_Caritas_Medicaid | All_Plans | $94.13 | ↓ -83% |
| UPMC | UPMC_For_Kids | $411.00 | ↓ -25% |
| Aetna | All_Plans | $460.32 | ↓ -16% |
| Cigna | All_Plans | $502.04 | ↓ -8% |
| Geisinger | All_Plans | $506.90 | ↓ -8% |
| Cigna | PPO_Plan | $527.11 | ↓ -4% |
| WellSpan_Capital_Blue_Cross | All_Plans | $616.50 | ↑ +13% |
| First_Health_Network | All_Plans | $650.75 | ↑ +19% |
| United_Healthcare | All_Plans | $653.49 | ↑ +19% |
Visitor-reported prices
Comments
Ghs musc test done w/n test comp at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $278.40 | $29.39 – $371.20 |
| UPMC Bedford | Everett | $254.40 | $69.60 – $381.60 |
| UPMC Cole | Coudersport | $104.40 | $21.62 – $122.20 |
| UPMC East | Monroeville | $312.00 | $47.23 – $416.00 |
| UPMC Northwest | Seneca | $274.80 | $72.92 – $122.20 |
| UPMC Hanover | Hanover | $349.80 | $38.50 – $319.00 |
| UPMC Horizon-Greenville | Greenville | $259.20 | $69.60 – $122.20 |
| UPMC Jameson | New Castle | $357.60 | $33.80 – $122.20 |