Infectious agent nucleic acid amplified probe streptococcus group a at WellSpan Waynesboro Hospital
501 E. Main St., Waynesboro, PA · Wellspan · · NPI 1821091059
$132.00
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.
$165.00
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.
$24.35 with UPMC_Medicare vs $330.86 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_Community_HealthChoices | $24.35 | ↓ -82% |
| UPMC_Medicare | UPMC_for_Life_Complete_Care | $24.35 | ↓ -82% |
| UPMC_Medicaid | All_Plans | $24.47 | ↓ -81% |
| PA_Health_&_Wellness_Medicaid | All_Plans | $28.99 | ↓ -78% |
| Highmark_Wholecare_Gateway_Medicaid | All_Plans | $28.99 | ↓ -78% |
| Geisinger_Medicaid | All_Plans | $28.99 | ↓ -78% |
| Amerihealth_Caritas_Medicaid | All_Plans | $32.93 | ↓ -75% |
| Blue_Cross_BlueJourney_Medicare | All_Plans | $35.09 | ↓ -73% |
| Highmark_Medicare | All_Plans | $35.44 | ↓ -73% |
| Aetna_Advantra_Medicare | All_Plans | $36.14 | ↓ -73% |
| Aetna_Medicare | All_Plans | $36.14 | ↓ -73% |
| United_Medicare | ISNP_DSNP_Plans | $36.84 | ↓ -72% |
| Devoted_Medicare | All_Plans | $36.84 | ↓ -72% |
| Highmark_Wholecare_Gateway_Medicare | All_Plans | $37.00 | ↓ -72% |
| Amerihealth_Medicare | All_Plans | $37.02 | ↓ -72% |
| PA_Health_&_Wellness_Medicare | All_Plans | $37.90 | ↓ -71% |
| Jefferson_Health_Medicare_Advantage | All_Plans | $37.90 | ↓ -71% |
| Geisinger_Gold_Medicare | All_Plans | $43.86 | ↓ -67% |
| Highmark | Higmark_Healthy_Kids | $53.69 | ↓ -59% |
| Health_Partners_Medicaid | Kidz_Partners | $57.90 | ↓ -56% |
| United_Medicaid | Community_Plan_For_Kids | $61.41 | ↓ -53% |
| UPMC | UPMC_For_Kids | $99.00 | ↓ -25% |
| United_Healthcare | All_Plans | $105.27 | ↓ -20% |
| Highmark | My_Direct_Blue | $118.37 | ↓ -10% |
| Highmark | Shared_Cost_Blue_PPO | $118.37 | ↓ -10% |
| Aetna_Better_Health_Kids | All_Plans | $119.31 | ↓ -10% |
| Cigna | All_Plans | $120.93 | ↓ -8% |
| Aetna | All_Plans | $121.77 | ↓ -8% |
| Geisinger | All_Plans | $122.10 | ↓ -8% |
| Cigna | PPO_Plan | $126.97 | ↓ -4% |
| Highmark | Blue_Cross_High_Performance_Network | $134.68 | ↑ +2% |
| Highmark | Performance_Blue | $134.68 | ↑ +2% |
| Highmark | Choice_Blue_PPO | $134.68 | ↑ +2% |
| WellSpan_Capital_Blue_Cross | All_Plans | $148.50 | ↑ +13% |
| Highmark | All_Other_Plans | $151.32 | ↑ +15% |
| First_Health_Network | All_Plans | $156.75 | ↑ +19% |
| Blue_Cross | Capital_Cares_4_kids | $231.60 | ↑ +75% |
| Blue_Cross | All_Other_Plans | $330.86 | ↑ +151% |
Visitor-reported prices
Comments
Infectious agent nucleic acid amplified probe streptococcus group a at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $195.60 | $19.30 – $277.10 |
| UPMC Community Osteopathic | Harrisburg | $195.60 | $28.03 – $277.10 |
| UPMC Hamot | Erie | $501.60 | $34.68 – $90.15 |
| UPMC Northwest | Seneca | $568.20 | $31.82 – $37.90 |
| UPMC Hanover | Hanover | $195.60 | $28.03 – $249.93 |
| UPMC Horizon-Greenville | Greenville | $333.00 | $31.42 – $65.85 |
| UPMC Jameson | New Castle | $697.20 | $24.61 – $91.74 |
| UPMC Kane | Kane | $79.20 | $34.68 – $184.04 |