Manipulation chest wall demonstration/evaluation subsequent at WellSpan Waynesboro Hospital
501 E. Main St., Waynesboro, PA · Wellspan · · NPI 1821091059
$240.00
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.
$300.00
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.
$96.68 with Highmark_Wholecare_Gateway_Medicaid vs $527.46 with Highmark — 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 | $96.68 | ↓ -60% |
| PA_Health_&_Wellness_Medicare | All_Plans | $137.18 | ↓ -43% |
| United_Medicaid | Community_Plan_For_Kids | $137.43 | ↓ -43% |
| Blue_Cross_BlueJourney_Medicare | All_Plans | $137.43 | ↓ -43% |
| Jefferson_Health_Medicare_Advantage | All_Plans | $137.43 | ↓ -43% |
| Highmark | All_Other_Plans | $137.43 | ↓ -43% |
| Highmark_Medicare | All_Plans | $138.80 | ↓ -42% |
| Aetna_Advantra_Medicare | All_Plans | $141.55 | ↓ -41% |
| Aetna_Medicare | All_Plans | $141.55 | ↓ -41% |
| United_Medicare | ISNP_DSNP_Plans | $144.30 | ↓ -40% |
| Devoted_Medicare | All_Plans | $144.30 | ↓ -40% |
| Highmark_Wholecare_Gateway_Medicare | All_Plans | $144.92 | ↓ -40% |
| Amerihealth_Medicare | All_Plans | $144.99 | ↓ -40% |
| Geisinger_Gold_Medicare | All_Plans | $171.79 | ↓ -28% |
| UPMC | UPMC_For_Kids | $180.00 | ↓ -25% |
| Aetna | All_Plans | $201.60 | ↓ -16% |
| Highmark | Higmark_Healthy_Kids | $210.27 | ↓ -12% |
| Cigna | All_Plans | $219.87 | ↓ -8% |
| Geisinger | All_Plans | $222.00 | ↓ -8% |
| Health_Partners_Medicaid | Kidz_Partners | $226.76 | ↓ -6% |
| Cigna | PPO_Plan | $230.85 | ↓ -4% |
| WellSpan_Capital_Blue_Cross | All_Plans | $270.00 | ↑ +13% |
| First_Health_Network | All_Plans | $285.00 | ↑ +19% |
| United_Healthcare | All_Plans | $286.20 | ↑ +19% |
| Health_Partners_Medicaid | All_Other_Plans | $372.39 | ↑ +55% |
| Highmark | Shared_Cost_Blue_PPO | $463.58 | ↑ +93% |
| Highmark | My_Direct_Blue | $463.58 | ↑ +93% |
| Highmark | Blue_Cross_High_Performance_Network | $527.46 | ↑ +120% |
| Highmark | Choice_Blue_PPO | $527.46 | ↑ +120% |
| Highmark | Performance_Blue | $527.46 | ↑ +120% |
Visitor-reported prices
Comments
Manipulation chest wall demonstration/evaluation subsequent at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $128.40 | $30.14 – $171.20 |
| UPMC Bedford | Everett | $72.00 | $30.14 – $132.72 |
| UPMC Carlisle | Carlisle | $248.40 | $31.55 – $351.90 |
| UPMC Cole | Coudersport | $91.20 | $30.14 – $121.60 |
| UPMC Community Osteopathic | Harrisburg | $248.40 | $32.09 – $351.90 |
| UPMC East | Monroeville | $159.00 | $31.07 – $212.00 |
| UPMC Hamot | Erie | $555.00 | $30.78 – $161.87 |
| UPMC Northwest | Seneca | $80.40 | $30.66 – $132.72 |