Heart image spect at WellSpan Waynesboro Hospital
501 E. Main St., Waynesboro, PA · Wellspan · · NPI 1821091059
$1,697.60
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.
$2,122.00
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.
$57.16 with Health_Partners_Medicaid vs $2,259.58 with United_Healthcare — 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 | $57.16 | ↓ -97% |
| UPMC_Medicare | UPMC_for_Life_Community_HealthChoices | $239.63 | ↓ -86% |
| UPMC_Medicare | UPMC_for_Life_Complete_Care | $239.63 | ↓ -86% |
| UPMC_Medicaid | All_Plans | $240.77 | ↓ -86% |
| Highmark_Wholecare_Gateway_Medicaid | All_Plans | $285.28 | ↓ -83% |
| Geisinger_Medicaid | All_Plans | $285.28 | ↓ -83% |
| PA_Health_&_Wellness_Medicaid | All_Plans | $285.28 | ↓ -83% |
| Amerihealth_Caritas_Medicaid | All_Plans | $324.07 | ↓ -81% |
| PA_Health_&_Wellness_Medicare | All_Plans | $427.63 | ↓ -75% |
| Blue_Cross_BlueJourney_Medicare | All_Plans | $428.42 | ↓ -75% |
| Highmark | All_Other_Plans | $428.42 | ↓ -75% |
| United_Medicaid | Community_Plan_For_Kids | $428.42 | ↓ -75% |
| Jefferson_Health_Medicare_Advantage | All_Plans | $428.42 | ↓ -75% |
| Highmark_Medicare | All_Plans | $432.70 | ↓ -75% |
| Aetna_Medicare | All_Plans | $441.27 | ↓ -74% |
| Aetna_Advantra_Medicare | All_Plans | $441.27 | ↓ -74% |
| Devoted_Medicare | All_Plans | $449.84 | ↓ -74% |
| United_Medicare | ISNP_DSNP_Plans | $449.84 | ↓ -74% |
| Highmark_Wholecare_Gateway_Medicare | All_Plans | $451.77 | ↓ -73% |
| Amerihealth_Medicare | All_Plans | $451.98 | ↓ -73% |
| Geisinger_Gold_Medicare | All_Plans | $535.53 | ↓ -68% |
| Highmark | Higmark_Healthy_Kids | $655.48 | ↓ -61% |
| Health_Partners_Medicaid | Kidz_Partners | $706.89 | ↓ -58% |
| UPMC | UPMC_For_Kids | $1,273.20 | ↓ -25% |
| Blue_Cross | Capital_Cares_4_kids | $1,281.21 | ↓ -25% |
| Cigna | All_Plans | $1,365.93 | ↓ -20% |
| Aetna | All_Plans | $1,425.98 | ↓ -16% |
| Cigna | PPO_Plan | $1,434.26 | ↓ -16% |
| Highmark | My_Direct_Blue | $1,445.15 | ↓ -15% |
| Highmark | Shared_Cost_Blue_PPO | $1,445.15 | ↓ -15% |
| Aetna_Better_Health_Kids | All_Plans | $1,456.63 | ↓ -14% |
| Geisinger | All_Plans | $1,570.28 | ↓ -8% |
| Highmark | Performance_Blue | $1,644.28 | ↓ -3% |
| Highmark | Choice_Blue_PPO | $1,644.28 | ↓ -3% |
| Highmark | Blue_Cross_High_Performance_Network | $1,644.28 | ↓ -3% |
| Blue_Cross | All_Other_Plans | $1,830.31 | ↑ +8% |
| WellSpan_Capital_Blue_Cross | All_Plans | $1,909.80 | ↑ +13% |
| First_Health_Network | All_Plans | $2,015.90 | ↑ +19% |
| United_Healthcare | All_Plans | $2,259.58 | ↑ +33% |
Visitor-reported prices
Comments
Heart image spect at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Hanover | Hanover | $1,228.80 | $223.68 – $614.19 |
| UPMC Horizon-Greenville | Greenville | $828.60 | $251.04 – $547.57 |
| UPMC Kane | Kane | $940.20 | $251.04 – $650.77 |
| UPMC McKeesport | Mckeesport | $1,510.80 | $251.04 – $544.17 |
| UPMC Muncy | Muncy | $1,651.20 | $218.56 – $582.14 |
| UPMC Presbyterian | Pittsburgh | $2,190.00 | $204.90 – $739.28 |
| UPMC Wellsboro | Wellsboro | $1,996.80 | $218.56 – $544.17 |
| WellSpan Chambersburg Hospital | Chambersburg | $1,697.60 | $205.53 – $2,259.58 |