Infect ag genotype na hiv-1 revr trn/prt at WellSpan Waynesboro Hospital
501 E. Main St., Waynesboro, PA · Wellspan · · NPI 1821091059
$1,285.60
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.
$1,607.00
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.
$22.26 with Health_Partners_Medicaid vs $2,426.64 with Blue_Cross — 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 | $22.26 | ↓ -98% |
| Blue_Cross_BlueJourney_Medicare | All_Plans | $257.45 | ↓ -80% |
| Highmark_Medicare | All_Plans | $260.02 | ↓ -80% |
| Aetna_Advantra_Medicare | All_Plans | $265.17 | ↓ -79% |
| Aetna_Medicare | All_Plans | $265.17 | ↓ -79% |
| Devoted_Medicare | All_Plans | $270.32 | ↓ -79% |
| United_Medicare | ISNP_DSNP_Plans | $270.32 | ↓ -79% |
| Highmark_Wholecare_Gateway_Medicare | All_Plans | $271.48 | ↓ -79% |
| Amerihealth_Medicare | All_Plans | $271.61 | ↓ -79% |
| PA_Health_&_Wellness_Medicare | All_Plans | $278.05 | ↓ -78% |
| Jefferson_Health_Medicare_Advantage | All_Plans | $278.05 | ↓ -78% |
| UPMC_Medicare | UPMC_for_Life_Community_HealthChoices | $298.85 | ↓ -77% |
| UPMC_Medicare | UPMC_for_Life_Complete_Care | $298.85 | ↓ -77% |
| UPMC_Medicaid | All_Plans | $300.27 | ↓ -77% |
| Geisinger_Gold_Medicare | All_Plans | $321.81 | ↓ -75% |
| PA_Health_&_Wellness_Medicaid | All_Plans | $355.78 | ↓ -72% |
| Geisinger_Medicaid | All_Plans | $355.78 | ↓ -72% |
| Highmark_Wholecare_Gateway_Medicaid | All_Plans | $355.78 | ↓ -72% |
| Highmark | Higmark_Healthy_Kids | $393.90 | ↓ -69% |
| Amerihealth_Caritas_Medicaid | All_Plans | $404.16 | ↓ -69% |
| Health_Partners_Medicaid | Kidz_Partners | $424.79 | ↓ -67% |
| United_Medicaid | Community_Plan_For_Kids | $450.54 | ↓ -65% |
| United_Healthcare | All_Plans | $772.35 | ↓ -40% |
| Highmark | Shared_Cost_Blue_PPO | $868.43 | ↓ -32% |
| Highmark | My_Direct_Blue | $868.43 | ↓ -32% |
| Aetna_Better_Health_Kids | All_Plans | $875.33 | ↓ -32% |
| UPMC | UPMC_For_Kids | $964.20 | ↓ -25% |
| Highmark | Blue_Cross_High_Performance_Network | $988.09 | ↓ -23% |
| Highmark | Choice_Blue_PPO | $988.09 | ↓ -23% |
| Highmark | Performance_Blue | $988.09 | ↓ -23% |
| Aetna | All_Plans | $1,063.27 | ↓ -17% |
| Highmark | All_Other_Plans | $1,110.20 | ↓ -14% |
| Cigna | All_Plans | $1,177.77 | ↓ -8% |
| Geisinger | All_Plans | $1,189.18 | ↓ -8% |
| Cigna | PPO_Plan | $1,236.59 | ↓ -4% |
| WellSpan_Capital_Blue_Cross | All_Plans | $1,446.30 | ↑ +13% |
| First_Health_Network | All_Plans | $1,526.65 | ↑ +19% |
| Blue_Cross | Capital_Cares_4_kids | $1,698.64 | ↑ +32% |
| Blue_Cross | All_Other_Plans | $2,426.64 | ↑ +89% |
Visitor-reported prices
Comments
Infect ag genotype na hiv-1 revr trn/prt at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $2,403.60 | $254.45 – $3,204.80 |
| UPMC Bedford | Everett | $4,483.20 | $92.89 – $6,724.80 |
| UPMC Carlisle | Carlisle | $1,431.00 | $193.10 – $2,027.25 |
| UPMC Community Osteopathic | Harrisburg | $1,431.00 | $254.88 – $2,027.25 |
| UPMC East | Monroeville | $5,280.00 | $254.45 – $7,040.00 |
| UPMC Hamot | Erie | $1,336.20 | $254.45 – $683.37 |
| UPMC Northwest | Seneca | $2,065.80 | $233.48 – $327.31 |
| UPMC Hanover | Hanover | $1,431.00 | $193.10 – $411.92 |