Lipoprotein blood quant at WellSpan Waynesboro Hospital
501 E. Main St., Waynesboro, PA · Wellspan · · NPI 1821091059
$142.40
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.
?
What you pay up front if you don't use insurance.
$178.00
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.
$10.00 with Health_Partners_Medicaid vs $297.42 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 |
|---|---|---|---|
| Health_Partners_Medicaid | All_Other_Plans | $10.00 | ↓ -93% |
| Highmark_Wholecare_Gateway_Medicaid | All_Plans | $25.64 | ↓ -82% |
| Blue_Cross_BlueJourney_Medicare | All_Plans | $34.19 | ↓ -76% |
| Highmark_Medicare | All_Plans | $34.53 | ↓ -76% |
| Aetna_Advantra_Medicare | All_Plans | $35.22 | ↓ -75% |
| Aetna_Medicare | All_Plans | $35.22 | ↓ -75% |
| United_Medicare | ISNP_DSNP_Plans | $35.90 | ↓ -75% |
| Devoted_Medicare | All_Plans | $35.90 | ↓ -75% |
| Highmark_Wholecare_Gateway_Medicare | All_Plans | $36.05 | ↓ -75% |
| Amerihealth_Medicare | All_Plans | $36.07 | ↓ -75% |
| PA_Health_&_Wellness_Medicare | All_Plans | $36.93 | ↓ -74% |
| Jefferson_Health_Medicare_Advantage | All_Plans | $36.93 | ↓ -74% |
| Geisinger_Gold_Medicare | All_Plans | $42.74 | ↓ -70% |
| Highmark | Higmark_Healthy_Kids | $52.31 | ↓ -63% |
| Health_Partners_Medicaid | Kidz_Partners | $56.41 | ↓ -60% |
| United_Medicaid | Community_Plan_For_Kids | $59.83 | ↓ -58% |
| United_Healthcare | All_Plans | $102.57 | ↓ -28% |
| UPMC | UPMC_For_Kids | $106.80 | ↓ -25% |
| Highmark | Shared_Cost_Blue_PPO | $115.33 | ↓ -19% |
| Highmark | My_Direct_Blue | $115.33 | ↓ -19% |
| Cigna | All_Plans | $130.46 | ↓ -8% |
| Highmark | Choice_Blue_PPO | $131.22 | ↓ -8% |
| Highmark | Performance_Blue | $131.22 | ↓ -8% |
| Highmark | Blue_Cross_High_Performance_Network | $131.22 | ↓ -8% |
| Aetna | All_Plans | $131.36 | ↓ -8% |
| Geisinger | All_Plans | $131.72 | ↓ -8% |
| Cigna | PPO_Plan | $136.97 | ↓ -4% |
| Highmark | All_Other_Plans | $147.44 | ↑ +4% |
| WellSpan_Capital_Blue_Cross | All_Plans | $160.20 | ↑ +13% |
| First_Health_Network | All_Plans | $169.10 | ↑ +19% |
| Blue_Cross | Capital_Cares_4_kids | $208.19 | ↑ +46% |
| Blue_Cross | All_Other_Plans | $297.42 | ↑ +109% |
Visitor-reported prices
Comments
Lipoprotein blood quant at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $394.20 | $33.79 – $525.60 |
| UPMC Bedford | Everett | $222.00 | $12.34 – $333.00 |
| UPMC Carlisle | Carlisle | $172.20 | $18.80 – $243.95 |
| UPMC Community Osteopathic | Harrisburg | $172.20 | $27.33 – $243.95 |
| UPMC East | Monroeville | $631.80 | $33.79 – $842.40 |
| UPMC Hamot | Erie | $501.00 | $33.79 – $81.94 |
| UPMC Northwest | Seneca | $280.20 | $31.01 – $36.93 |
| UPMC Hanover | Hanover | $172.20 | $27.33 – $182.17 |