Initiation & management bipap/cpap initial day at WellSpan Waynesboro Hospital
501 E. Main St., Waynesboro, PA · Wellspan · · NPI 1821091059
$1,038.40
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.
$1,298.00
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.
$42.83 with Highmark_Wholecare_Gateway_Medicaid vs $1,238.29 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 |
|---|---|---|---|
| Highmark_Wholecare_Gateway_Medicaid | All_Plans | $42.83 | ↓ -96% |
| PA_Health_&_Wellness_Medicare | All_Plans | $216.45 | ↓ -79% |
| Jefferson_Health_Medicare_Advantage | All_Plans | $216.85 | ↓ -79% |
| United_Medicaid | Community_Plan_For_Kids | $216.85 | ↓ -79% |
| Highmark | All_Other_Plans | $216.85 | ↓ -79% |
| Blue_Cross_BlueJourney_Medicare | All_Plans | $216.85 | ↓ -79% |
| Highmark_Medicare | All_Plans | $219.02 | ↓ -79% |
| Health_Partners_Medicaid | All_Other_Plans | $220.59 | ↓ -79% |
| Aetna_Advantra_Medicare | All_Plans | $223.36 | ↓ -78% |
| Aetna_Medicare | All_Plans | $223.36 | ↓ -78% |
| United_Medicare | ISNP_DSNP_Plans | $227.69 | ↓ -78% |
| Devoted_Medicare | All_Plans | $227.69 | ↓ -78% |
| Highmark_Wholecare_Gateway_Medicare | All_Plans | $228.67 | ↓ -78% |
| Amerihealth_Medicare | All_Plans | $228.78 | ↓ -78% |
| Geisinger_Gold_Medicare | All_Plans | $271.06 | ↓ -74% |
| Highmark | Higmark_Healthy_Kids | $331.78 | ↓ -68% |
| Health_Partners_Medicaid | Kidz_Partners | $357.80 | ↓ -66% |
| Highmark | My_Direct_Blue | $731.48 | ↓ -30% |
| Highmark | Shared_Cost_Blue_PPO | $731.48 | ↓ -30% |
| Aetna_Better_Health_Kids | All_Plans | $737.29 | ↓ -29% |
| UPMC | UPMC_For_Kids | $778.80 | ↓ -25% |
| Highmark | Choice_Blue_PPO | $832.27 | ↓ -20% |
| Highmark | Blue_Cross_High_Performance_Network | $832.27 | ↓ -20% |
| Highmark | Performance_Blue | $832.27 | ↓ -20% |
| Aetna | All_Plans | $872.26 | ↓ -16% |
| Cigna | All_Plans | $951.30 | ↓ -8% |
| Geisinger | All_Plans | $960.52 | ↓ -8% |
| Cigna | PPO_Plan | $998.81 | ↓ -4% |
| WellSpan_Capital_Blue_Cross | All_Plans | $1,168.20 | ↑ +13% |
| First_Health_Network | All_Plans | $1,233.10 | ↑ +19% |
| United_Healthcare | All_Plans | $1,238.29 | ↑ +19% |
Visitor-reported prices
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Initiation & management bipap/cpap initial day at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $690.60 | $167.27 – $920.80 |
| UPMC Bedford | Everett | $519.60 | $69.96 – $779.40 |
| UPMC Carlisle | Carlisle | $627.00 | $44.88 – $888.25 |
| UPMC Cole | Coudersport | $393.60 | $39.06 – $524.80 |
| UPMC Community Osteopathic | Harrisburg | $627.00 | $44.88 – $888.25 |
| UPMC East | Monroeville | $866.40 | $138.25 – $1,155.20 |
| UPMC Hamot | Erie | $1,571.40 | $95.56 – $273.12 |
| UPMC Northwest | Seneca | $428.40 | $161.96 – $209.42 |