Liver Function Test at WellSpan Waynesboro Hospital
501 E. Main St., Waynesboro, PA · Wellspan · · NPI 1821091059
$25.00
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.
$51.00
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.
$8.17 with Blue_Cross_BlueJourney_Medicare vs $423.75 with Health_Partners_Medicaid — 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 |
|---|---|---|---|
| Blue_Cross_BlueJourney_Medicare | All_Plans | $8.17 | ↓ -67% |
| Highmark_Medicare | All_Plans | $8.25 | ↓ -67% |
| Aetna_Advantra_Medicare | All_Plans | $8.42 | ↓ -66% |
| Aetna_Medicare | All_Plans | $8.42 | ↓ -66% |
| United_Medicare | ISNP_DSNP_Plans | $8.58 | ↓ -66% |
| Devoted_Medicare | All_Plans | $8.58 | ↓ -66% |
| Highmark_Wholecare_Gateway_Medicare | All_Plans | $8.62 | ↓ -66% |
| Amerihealth_Medicare | All_Plans | $8.62 | ↓ -66% |
| PA_Health_&_Wellness_Medicare | All_Plans | $8.82 | ↓ -65% |
| Jefferson_Health_Medicare_Advantage | All_Plans | $8.82 | ↓ -65% |
| UPMC_Medicare | UPMC_for_Life_Complete_Care | $9.48 | ↓ -62% |
| UPMC_Medicare | UPMC_for_Life_Community_HealthChoices | $9.48 | ↓ -62% |
| UPMC_Medicaid | All_Plans | $9.53 | ↓ -62% |
| Geisinger_Gold_Medicare | All_Plans | $10.21 | ↓ -59% |
| PA_Health_&_Wellness_Medicaid | All_Plans | $11.29 | ↓ -55% |
| Highmark_Wholecare_Gateway_Medicaid | All_Plans | $11.29 | ↓ -55% |
| Geisinger_Medicaid | All_Plans | $11.29 | ↓ -55% |
| Highmark | Higmark_Healthy_Kids | $12.50 | ↓ -50% |
| Amerihealth_Caritas_Medicaid | All_Plans | $12.82 | ↓ -49% |
| Health_Partners_Medicaid | Kidz_Partners | $13.48 | ↓ -46% |
| United_Medicaid | Community_Plan_For_Kids | $14.30 | ↓ -43% |
| United_Healthcare | All_Plans | $24.51 | ↓ -2% |
| Highmark | Shared_Cost_Blue_PPO | $27.56 | ↑ +10% |
| Highmark | My_Direct_Blue | $27.56 | ↑ +10% |
| Aetna_Better_Health_Kids | All_Plans | $27.78 | ↑ +11% |
| UPMC | UPMC_For_Kids | $30.60 | ↑ +22% |
| Highmark | Performance_Blue | $31.36 | ↑ +25% |
| Highmark | Choice_Blue_PPO | $31.36 | ↑ +25% |
| Highmark | Blue_Cross_High_Performance_Network | $31.36 | ↑ +25% |
| Aetna | All_Plans | $33.74 | ↑ +35% |
| Highmark | All_Other_Plans | $35.23 | ↑ +41% |
| Cigna | All_Plans | $37.38 | ↑ +50% |
| Geisinger | All_Plans | $37.74 | ↑ +51% |
| Cigna | PPO_Plan | $39.24 | ↑ +57% |
| WellSpan_Capital_Blue_Cross | All_Plans | $45.90 | ↑ +84% |
| First_Health_Network | All_Plans | $48.45 | ↑ +94% |
| Blue_Cross | Capital_Cares_4_kids | $53.91 | ↑ +116% |
| Blue_Cross | All_Other_Plans | $77.02 | ↑ +208% |
| Health_Partners_Medicaid | All_Other_Plans | $423.75 | ↑ +1595% |
Visitor-reported prices
Comments
Liver Function Test at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $156.00 | $8.08 – $208.00 |
| UPMC Bedford | Everett | $75.00 | $2.95 – $112.50 |
| UPMC Carlisle | Carlisle | $54.00 | $8.09 – $76.50 |
| UPMC Cole | Coudersport | $79.20 | $5.31 – $105.60 |
| UPMC Community Osteopathic | Harrisburg | $54.00 | $8.09 – $63.75 |
| UPMC East | Monroeville | $168.00 | $8.08 – $224.00 |
| UPMC Hamot | Erie | $321.00 | $8.08 – $21.69 |
| UPMC Northwest | Seneca | $198.60 | $7.41 – $10.38 |