Lidocaine (pf) 4 mg/ml (0.4 %) in 5 % dextrose intravenous solution at WellSpan Waynesboro Hospital

501 E. Main St., Waynesboro, PA · Wellspan · · NPI 1821091059

Source: hospital's published price file ↗ · Published Jan 1, 2026 · Ingested Sep 17, 2026

$28.00

Cash price

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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.

$35.00

Gross charge

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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.

$6.00 with Highmark vs $64.00 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 →

Payer
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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
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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 All_Other_Plans $6.00 ↓ -79%
Blue_Cross_BlueJourney_Medicare All_Plans $6.00 ↓ -79%
Health_Partners_Medicaid Kidz_Partners $6.00 ↓ -79%
Jefferson_Health_Medicare_Advantage All_Plans $6.00 ↓ -79%
Highmark_Medicare All_Plans $6.06 ↓ -78%
Aetna_Advantra_Medicare All_Plans $6.18 ↓ -78%
Aetna_Medicare All_Plans $6.18 ↓ -78%
United_Medicare ISNP_DSNP_Plans $6.30 ↓ -78%
Devoted_Medicare All_Plans $6.30 ↓ -78%
Amerihealth_Medicare All_Plans $6.33 ↓ -77%
Highmark_Wholecare_Gateway_Medicare All_Plans $6.33 ↓ -77%
PA_Health_&_Wellness_Medicare All_Plans $6.48 ↓ -77%
Geisinger_Gold_Medicare All_Plans $7.50 ↓ -73%
Highmark Higmark_Healthy_Kids $9.18 ↓ -67%
United_Medicaid Community_Plan_For_Kids $10.50 ↓ -63%
Blue_Cross Capital_Cares_4_kids $14.00 ↓ -50%
Aetna All_Plans $18.24 ↓ -35%
Blue_Cross All_Other_Plans $20.00 ↓ -29%
Highmark My_Direct_Blue $20.24 ↓ -28%
Highmark Shared_Cost_Blue_PPO $20.24 ↓ -28%
Aetna_Better_Health_Kids All_Plans $20.40 ↓ -27%
UPMC UPMC_For_Kids $21.00 ↓ -25%
Highmark Blue_Cross_High_Performance_Network $23.03 ↓ -18%
Highmark Performance_Blue $23.03 ↓ -18%
Highmark Choice_Blue_PPO $23.03 ↓ -18%
Cigna All_Plans $25.65 ↓ -8%
Geisinger All_Plans $25.90 ↓ -8%
Cigna PPO_Plan $26.93 ↓ -4%
WellSpan_Capital_Blue_Cross All_Plans $31.50 ↑ +13%
First_Health_Network All_Plans $33.25 ↑ +19%
United_Healthcare All_Plans $64.00 ↑ +129%

Visitor-reported prices

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Lidocaine (pf) 4 mg/ml (0.4 %) in 5 % dextrose intravenous solution at other Pennsylvania hospitals

Hospital City Cash price Negotiated range
UPMC Carlisle Carlisle $4.20 $0.00 – $5.95
UPMC Community Osteopathic Harrisburg $4.20 $0.00 – $5.95
UPMC Hanover Hanover $4.20 $0.00 – $0.00
UPMC Kane Kane $18.00 $0.00 – $0.02
UPMC Lititz Lititz $4.20 $0.00 – $0.00
UPMC Memorial York $4.20 $0.00 – $0.01
UPMC Somerset Somerset $4.20 $0.00 – $0.00
WellSpan Chambersburg Hospital Chambersburg $32.00 $0.01 – $70.00

All Pennsylvania hospitals for this procedure →