Macroscopic exam arthropod at WellSpan Waynesboro Hospital
501 E. Main St., Waynesboro, PA · Wellspan · · NPI 1821091059
$21.60
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.
$27.00
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.
$3.20 with Highmark_Wholecare_Gateway_Medicaid vs $62.50 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 |
|---|---|---|---|
| Highmark_Wholecare_Gateway_Medicaid | All_Plans | $3.20 | ↓ -85% |
| Blue_Cross_BlueJourney_Medicare | All_Plans | $4.27 | ↓ -80% |
| Highmark_Medicare | All_Plans | $4.31 | ↓ -80% |
| Aetna_Advantra_Medicare | All_Plans | $4.40 | ↓ -80% |
| Aetna_Medicare | All_Plans | $4.40 | ↓ -80% |
| United_Medicare | ISNP_DSNP_Plans | $4.48 | ↓ -79% |
| Devoted_Medicare | All_Plans | $4.48 | ↓ -79% |
| Highmark_Wholecare_Gateway_Medicare | All_Plans | $4.50 | ↓ -79% |
| Amerihealth_Medicare | All_Plans | $4.50 | ↓ -79% |
| Jefferson_Health_Medicare_Advantage | All_Plans | $4.61 | ↓ -79% |
| PA_Health_&_Wellness_Medicare | All_Plans | $4.61 | ↓ -79% |
| Geisinger_Gold_Medicare | All_Plans | $5.34 | ↓ -75% |
| Highmark | Higmark_Healthy_Kids | $6.53 | ↓ -70% |
| Health_Partners_Medicaid | Kidz_Partners | $7.05 | ↓ -67% |
| United_Medicaid | Community_Plan_For_Kids | $7.47 | ↓ -65% |
| United_Healthcare | All_Plans | $12.81 | ↓ -41% |
| Highmark | Shared_Cost_Blue_PPO | $14.40 | ↓ -33% |
| Highmark | My_Direct_Blue | $14.40 | ↓ -33% |
| UPMC | UPMC_For_Kids | $16.20 | ↓ -25% |
| Highmark | Blue_Cross_High_Performance_Network | $16.39 | ↓ -24% |
| Highmark | Performance_Blue | $16.39 | ↓ -24% |
| Highmark | Choice_Blue_PPO | $16.39 | ↓ -24% |
| Aetna | All_Plans | $17.64 | ↓ -18% |
| Highmark | All_Other_Plans | $18.41 | ↓ -15% |
| Cigna | All_Plans | $19.79 | ↓ -8% |
| Geisinger | All_Plans | $19.98 | ↓ -8% |
| Cigna | PPO_Plan | $20.78 | ↓ -4% |
| WellSpan_Capital_Blue_Cross | All_Plans | $24.30 | ↑ +13% |
| First_Health_Network | All_Plans | $25.65 | ↑ +19% |
| Blue_Cross | Capital_Cares_4_kids | $28.15 | ↑ +30% |
| Blue_Cross | All_Other_Plans | $40.22 | ↑ +86% |
| Health_Partners_Medicaid | All_Other_Plans | $62.50 | ↑ +189% |
Visitor-reported prices
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Macroscopic exam arthropod at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $124.80 | $4.22 – $166.40 |
| UPMC Carlisle | Carlisle | $24.00 | $2.35 – $34.00 |
| UPMC Cole | Coudersport | $43.20 | $2.78 – $57.60 |
| UPMC Community Osteopathic | Harrisburg | $24.00 | $3.41 – $34.00 |
| UPMC Northwest | Seneca | $54.00 | $3.87 – $4.61 |
| UPMC Hanover | Hanover | $24.00 | $3.41 – $28.84 |
| UPMC Horizon-Greenville | Greenville | $45.00 | $3.82 – $8.01 |
| UPMC Jameson | New Castle | $36.60 | $2.99 – $11.54 |