Iron at WellSpan Waynesboro Hospital
501 E. Main St., Waynesboro, PA · Wellspan · · NPI 1821091059
$20.00
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.
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What you pay up front if you don't use insurance.
$49.00
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.
$4.54 with Health_Partners_Medicaid vs $61.07 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 | $4.54 | ↓ -77% |
| Blue_Cross_BlueJourney_Medicare | All_Plans | $6.47 | ↓ -68% |
| Highmark_Medicare | All_Plans | $6.53 | ↓ -67% |
| Aetna_Advantra_Medicare | All_Plans | $6.66 | ↓ -67% |
| Aetna_Medicare | All_Plans | $6.66 | ↓ -67% |
| Devoted_Medicare | All_Plans | $6.79 | ↓ -66% |
| United_Medicare | ISNP_DSNP_Plans | $6.79 | ↓ -66% |
| Highmark_Wholecare_Gateway_Medicare | All_Plans | $6.82 | ↓ -66% |
| Amerihealth_Medicare | All_Plans | $6.83 | ↓ -66% |
| PA_Health_&_Wellness_Medicare | All_Plans | $6.99 | ↓ -65% |
| Jefferson_Health_Medicare_Advantage | All_Plans | $6.99 | ↓ -65% |
| Geisinger_Gold_Medicare | All_Plans | $8.09 | ↓ -60% |
| UPMC_Medicare | UPMC_for_Life_Complete_Care | $8.87 | ↓ -56% |
| UPMC_Medicare | UPMC_for_Life_Community_HealthChoices | $8.87 | ↓ -56% |
| UPMC_Medicaid | All_Plans | $8.91 | ↓ -55% |
| Highmark | Higmark_Healthy_Kids | $9.90 | ↓ -51% |
| Geisinger_Medicaid | All_Plans | $10.56 | ↓ -47% |
| Highmark_Wholecare_Gateway_Medicaid | All_Plans | $10.56 | ↓ -47% |
| PA_Health_&_Wellness_Medicaid | All_Plans | $10.56 | ↓ -47% |
| Health_Partners_Medicaid | Kidz_Partners | $10.68 | ↓ -47% |
| United_Medicaid | Community_Plan_For_Kids | $11.32 | ↓ -43% |
| Amerihealth_Caritas_Medicaid | All_Plans | $12.00 | ↓ -40% |
| United_Healthcare | All_Plans | $19.41 | ↓ -3% |
| WellSpan_Capital_Blue_Cross | All_Plans | $20.00 | ↑ +0% |
| Highmark | My_Direct_Blue | $21.82 | ↑ +9% |
| Highmark | Shared_Cost_Blue_PPO | $21.82 | ↑ +9% |
| Aetna_Better_Health_Kids | All_Plans | $22.00 | ↑ +10% |
| Highmark | Blue_Cross_High_Performance_Network | $24.83 | ↑ +24% |
| Highmark | Choice_Blue_PPO | $24.83 | ↑ +24% |
| Highmark | Performance_Blue | $24.83 | ↑ +24% |
| Aetna | All_Plans | $26.72 | ↑ +34% |
| Highmark | All_Other_Plans | $27.90 | ↑ +40% |
| UPMC | UPMC_For_Kids | $29.40 | ↑ +47% |
| Cigna | All_Plans | $35.91 | ↑ +80% |
| Geisinger | All_Plans | $36.26 | ↑ +81% |
| Cigna | PPO_Plan | $37.71 | ↑ +89% |
| Blue_Cross | Capital_Cares_4_kids | $42.75 | ↑ +114% |
| First_Health_Network | All_Plans | $46.55 | ↑ +133% |
| Blue_Cross | All_Other_Plans | $61.07 | ↑ +205% |
Visitor-reported prices
Comments
Iron at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $85.20 | $6.39 – $113.60 |
| UPMC Bedford | Everett | $41.40 | $2.33 – $62.10 |
| UPMC Carlisle | Carlisle | $32.40 | $6.41 – $45.90 |
| UPMC Cole | Coudersport | $48.00 | $4.21 – $64.00 |
| UPMC Community Osteopathic | Harrisburg | $32.40 | $6.41 – $35.70 |
| UPMC East | Monroeville | $96.60 | $6.39 – $128.80 |
| UPMC Hamot | Erie | $97.20 | $6.39 – $12.53 |
| UPMC Northwest | Seneca | $60.00 | $5.87 – $9.72 |