Glucose tolerance test (gtt) >3 specimens each additional at WellSpan Waynesboro Hospital
501 E. Main St., Waynesboro, PA · Wellspan · · NPI 1821091059
$20.00
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.
$25.00
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.
$3.43 with UPMC_Medicare vs $27.11 with Blue_Cross — 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_Medicare | UPMC_for_Life_Complete_Care | $3.43 | ↓ -83% |
| UPMC_Medicare | UPMC_for_Life_Community_HealthChoices | $3.43 | ↓ -83% |
| UPMC_Medicaid | All_Plans | $3.45 | ↓ -83% |
| Blue_Cross_BlueJourney_Medicare | All_Plans | $3.92 | ↓ -80% |
| Highmark_Medicare | All_Plans | $3.96 | ↓ -80% |
| Aetna_Advantra_Medicare | All_Plans | $4.04 | ↓ -80% |
| Aetna_Medicare | All_Plans | $4.04 | ↓ -80% |
| PA_Health_&_Wellness_Medicaid | All_Plans | $4.09 | ↓ -80% |
| Geisinger_Medicaid | All_Plans | $4.09 | ↓ -80% |
| Highmark_Wholecare_Gateway_Medicaid | All_Plans | $4.09 | ↓ -80% |
| United_Medicare | ISNP_DSNP_Plans | $4.12 | ↓ -79% |
| Devoted_Medicare | All_Plans | $4.12 | ↓ -79% |
| Highmark_Wholecare_Gateway_Medicare | All_Plans | $4.13 | ↓ -79% |
| Amerihealth_Medicare | All_Plans | $4.14 | ↓ -79% |
| PA_Health_&_Wellness_Medicare | All_Plans | $4.23 | ↓ -79% |
| Jefferson_Health_Medicare_Advantage | All_Plans | $4.23 | ↓ -79% |
| Amerihealth_Caritas_Medicaid | All_Plans | $4.64 | ↓ -77% |
| Geisinger_Gold_Medicare | All_Plans | $4.90 | ↓ -76% |
| Highmark | Higmark_Healthy_Kids | $6.00 | ↓ -70% |
| Health_Partners_Medicaid | Kidz_Partners | $6.47 | ↓ -68% |
| United_Medicaid | Community_Plan_For_Kids | $6.86 | ↓ -66% |
| United_Healthcare | All_Plans | $11.76 | ↓ -41% |
| Highmark | My_Direct_Blue | $13.22 | ↓ -34% |
| Highmark | Shared_Cost_Blue_PPO | $13.22 | ↓ -34% |
| Aetna_Better_Health_Kids | All_Plans | $13.33 | ↓ -33% |
| UPMC | UPMC_For_Kids | $15.00 | ↓ -25% |
| Highmark | Blue_Cross_High_Performance_Network | $15.04 | ↓ -25% |
| Highmark | Choice_Blue_PPO | $15.04 | ↓ -25% |
| Highmark | Performance_Blue | $15.04 | ↓ -25% |
| Aetna | All_Plans | $16.19 | ↓ -19% |
| Highmark | All_Other_Plans | $16.90 | ↓ -16% |
| Cigna | All_Plans | $18.32 | ↓ -8% |
| Geisinger | All_Plans | $18.50 | ↓ -8% |
| Blue_Cross | Capital_Cares_4_kids | $18.98 | ↓ -5% |
| Cigna | PPO_Plan | $19.24 | ↓ -4% |
| WellSpan_Capital_Blue_Cross | All_Plans | $22.50 | ↑ +13% |
| First_Health_Network | All_Plans | $23.75 | ↑ +19% |
| Blue_Cross | All_Other_Plans | $27.11 | ↑ +36% |
Visitor-reported prices
Comments
Glucose tolerance test (gtt) >3 specimens each additional at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $15.00 | $3.27 – $20.00 |
| UPMC Bedford | Everett | $24.60 | $1.41 – $36.90 |
| UPMC Carlisle | Carlisle | $20.40 | $3.27 – $28.90 |
| UPMC Cole | Coudersport | $20.40 | $2.55 – $27.20 |
| UPMC Community Osteopathic | Harrisburg | $20.40 | $3.27 – $22.85 |
| UPMC East | Monroeville | $39.60 | $3.27 – $52.80 |
| UPMC Hamot | Erie | $59.40 | $3.27 – $5.15 |
| UPMC Northwest | Seneca | $34.80 | $3.56 – $4.23 |