Ihc/icc per specimen each multiplex antibody stain at WellSpan Waynesboro Hospital
501 E. Main St., Waynesboro, PA · Wellspan · · NPI 1821091059
$761.60
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.
$952.00
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.
$10.00 with Health_Partners_Medicaid vs $1,471.99 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 | $10.00 | ↓ -99% |
| UPMC_Medicare | UPMC_for_Life_Community_HealthChoices | $92.91 | ↓ -88% |
| UPMC_Medicare | UPMC_for_Life_Complete_Care | $92.91 | ↓ -88% |
| UPMC_Medicaid | All_Plans | $93.36 | ↓ -88% |
| Geisinger_Medicaid | All_Plans | $110.61 | ↓ -85% |
| Highmark_Wholecare_Gateway_Medicaid | All_Plans | $110.61 | ↓ -85% |
| PA_Health_&_Wellness_Medicaid | All_Plans | $110.61 | ↓ -85% |
| Amerihealth_Caritas_Medicaid | All_Plans | $125.66 | ↓ -84% |
| Blue_Cross | Capital_Cares_4_kids | $322.84 | ↓ -58% |
| PA_Health_&_Wellness_Medicare | All_Plans | $382.81 | ↓ -50% |
| Highmark | All_Other_Plans | $383.53 | ↓ -50% |
| United_Medicaid | Community_Plan_For_Kids | $383.53 | ↓ -50% |
| Jefferson_Health_Medicare_Advantage | All_Plans | $383.53 | ↓ -50% |
| Blue_Cross_BlueJourney_Medicare | All_Plans | $383.53 | ↓ -50% |
| Highmark_Medicare | All_Plans | $387.37 | ↓ -49% |
| Aetna_Medicare | All_Plans | $395.04 | ↓ -48% |
| Aetna_Advantra_Medicare | All_Plans | $395.04 | ↓ -48% |
| Devoted_Medicare | All_Plans | $402.71 | ↓ -47% |
| United_Medicare | ISNP_DSNP_Plans | $402.71 | ↓ -47% |
| Highmark_Wholecare_Gateway_Medicare | All_Plans | $404.43 | ↓ -47% |
| Amerihealth_Medicare | All_Plans | $404.62 | ↓ -47% |
| Blue_Cross | All_Other_Plans | $461.21 | ↓ -39% |
| Geisinger_Gold_Medicare | All_Plans | $479.41 | ↓ -37% |
| UPMC | UPMC_For_Kids | $571.20 | ↓ -25% |
| Highmark | Higmark_Healthy_Kids | $586.80 | ↓ -23% |
| Health_Partners_Medicaid | Kidz_Partners | $632.82 | ↓ -17% |
| Aetna | All_Plans | $661.34 | ↓ -13% |
| Cigna | All_Plans | $697.72 | ↓ -8% |
| Geisinger | All_Plans | $704.48 | ↓ -8% |
| Cigna | PPO_Plan | $732.56 | ↓ -4% |
| WellSpan_Capital_Blue_Cross | All_Plans | $856.80 | ↑ +13% |
| First_Health_Network | All_Plans | $904.40 | ↑ +19% |
| United_Healthcare | All_Plans | $1,027.44 | ↑ +35% |
| Highmark | My_Direct_Blue | $1,293.72 | ↑ +70% |
| Highmark | Shared_Cost_Blue_PPO | $1,293.72 | ↑ +70% |
| Aetna_Better_Health_Kids | All_Plans | $1,304.00 | ↑ +71% |
| Highmark | Blue_Cross_High_Performance_Network | $1,471.99 | ↑ +93% |
| Highmark | Choice_Blue_PPO | $1,471.99 | ↑ +93% |
| Highmark | Performance_Blue | $1,471.99 | ↑ +93% |
Visitor-reported prices
Comments
Ihc/icc per specimen each multiplex antibody stain at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $149.40 | $48.29 – $199.20 |
| UPMC Bedford | Everett | $141.00 | $88.49 – $211.50 |
| UPMC Carlisle | Carlisle | $664.80 | $74.87 – $941.80 |
| UPMC Cole | Coudersport | $411.00 | $53.00 – $548.00 |
| UPMC Community Osteopathic | Harrisburg | $664.80 | $9.80 – $1,032.47 |
| UPMC East | Monroeville | $303.00 | $48.75 – $404.00 |
| UPMC Hamot | Erie | $295.20 | $48.29 – $427.47 |
| UPMC Northwest | Seneca | $272.40 | $97.34 – $360.10 |