Knee MRI (with and without contrast) at WellSpan Waynesboro Hospital
501 E. Main St., Waynesboro, PA · Wellspan · · NPI 1821091059
$712.50
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.
$3,764.00
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.
$351.61 with Health_Partners_Medicaid vs $4,467.70 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 | $351.61 | ↓ -51% |
| PA_Health_&_Wellness_Medicare | All_Plans | $380.06 | ↓ -47% |
| Jefferson_Health_Medicare_Advantage | All_Plans | $380.76 | ↓ -47% |
| United_Medicaid | Community_Plan_For_Kids | $380.76 | ↓ -47% |
| Blue_Cross_BlueJourney_Medicare | All_Plans | $380.76 | ↓ -47% |
| Highmark | All_Other_Plans | $380.76 | ↓ -47% |
| Highmark_Medicare | All_Plans | $384.57 | ↓ -46% |
| Aetna_Advantra_Medicare | All_Plans | $392.18 | ↓ -45% |
| Aetna_Medicare | All_Plans | $392.18 | ↓ -45% |
| Devoted_Medicare | All_Plans | $399.80 | ↓ -44% |
| United_Medicare | ISNP_DSNP_Plans | $399.80 | ↓ -44% |
| Highmark_Wholecare_Gateway_Medicare | All_Plans | $401.51 | ↓ -44% |
| Amerihealth_Medicare | All_Plans | $401.70 | ↓ -44% |
| Geisinger_Gold_Medicare | All_Plans | $475.95 | ↓ -33% |
| Highmark | Higmark_Healthy_Kids | $582.56 | ↓ -18% |
| UPMC_Medicare | UPMC_for_Life_Complete_Care | $600.83 | ↓ -16% |
| UPMC_Medicare | UPMC_for_Life_Community_HealthChoices | $600.83 | ↓ -16% |
| UPMC_Medicaid | All_Plans | $603.69 | ↓ -15% |
| Health_Partners_Medicaid | Kidz_Partners | $628.25 | ↓ -12% |
| Geisinger_Medicaid | All_Plans | $715.28 | ↑ +0% |
| PA_Health_&_Wellness_Medicaid | All_Plans | $715.28 | ↑ +0% |
| Highmark_Wholecare_Gateway_Medicaid | All_Plans | $715.28 | ↑ +0% |
| WellSpan_Capital_Blue_Cross | All_Plans | $730.00 | ↑ +2% |
| Amerihealth_Caritas_Medicaid | All_Plans | $812.55 | ↑ +14% |
| Highmark | My_Direct_Blue | $1,284.38 | ↑ +80% |
| Highmark | Shared_Cost_Blue_PPO | $1,284.38 | ↑ +80% |
| Aetna_Better_Health_Kids | All_Plans | $1,294.58 | ↑ +82% |
| Highmark | Blue_Cross_High_Performance_Network | $1,461.36 | ↑ +105% |
| Highmark | Performance_Blue | $1,461.36 | ↑ +105% |
| Highmark | Choice_Blue_PPO | $1,461.36 | ↑ +105% |
| United_Healthcare | All_Plans | $2,106.92 | ↑ +196% |
| UPMC | UPMC_For_Kids | $2,258.40 | ↑ +217% |
| Cigna | All_Plans | $2,422.89 | ↑ +240% |
| Aetna | All_Plans | $2,529.41 | ↑ +255% |
| Cigna | PPO_Plan | $2,544.09 | ↑ +257% |
| Geisinger | All_Plans | $2,785.36 | ↑ +291% |
| Blue_Cross | Capital_Cares_4_kids | $3,127.38 | ↑ +339% |
| First_Health_Network | All_Plans | $3,575.80 | ↑ +402% |
| Blue_Cross | All_Other_Plans | $4,467.70 | ↑ +527% |
Visitor-reported prices
Comments
Knee MRI (with and without contrast) at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $2,604.00 | $425.00 – $3,472.00 |
| UPMC Bedford | Everett | $2,563.20 | $122.85 – $3,844.80 |
| UPMC Carlisle | Carlisle | $2,713.80 | $618.88 – $3,844.55 |
| UPMC Cole | Coudersport | $1,857.00 | $468.12 – $2,476.00 |
| UPMC Community Osteopathic | Harrisburg | $2,713.80 | $618.88 – $4,391.77 |
| UPMC East | Monroeville | $6,218.40 | $341.40 – $8,291.20 |
| UPMC Hamot | Erie | $2,415.00 | $264.38 – $1,992.24 |
| UPMC Northwest | Seneca | $3,815.40 | $308.78 – $1,992.24 |