Mayo factor v at WellSpan Waynesboro Hospital
501 E. Main St., Waynesboro, PA · Wellspan · · NPI 1821091059
$120.80
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.
$151.00
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.
$5.25 with UPMC_Medicare vs $166.37 with Blue_Cross — 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 |
|---|---|---|---|
| UPMC_Medicare | UPMC_for_Life_Community_HealthChoices | $5.25 | ↓ -96% |
| UPMC_Medicare | UPMC_for_Life_Complete_Care | $5.25 | ↓ -96% |
| UPMC_Medicaid | All_Plans | $5.28 | ↓ -96% |
| Geisinger_Medicaid | All_Plans | $6.25 | ↓ -95% |
| Highmark_Wholecare_Gateway_Medicaid | All_Plans | $6.25 | ↓ -95% |
| PA_Health_&_Wellness_Medicaid | All_Plans | $6.25 | ↓ -95% |
| Amerihealth_Caritas_Medicaid | All_Plans | $7.10 | ↓ -94% |
| Health_Partners_Medicaid | All_Other_Plans | $16.25 | ↓ -87% |
| Blue_Cross_BlueJourney_Medicare | All_Plans | $17.65 | ↓ -85% |
| Highmark_Medicare | All_Plans | $17.83 | ↓ -85% |
| Aetna_Advantra_Medicare | All_Plans | $18.18 | ↓ -85% |
| Aetna_Medicare | All_Plans | $18.18 | ↓ -85% |
| Devoted_Medicare | All_Plans | $18.53 | ↓ -85% |
| United_Medicare | ISNP_DSNP_Plans | $18.53 | ↓ -85% |
| Highmark_Wholecare_Gateway_Medicare | All_Plans | $18.61 | ↓ -85% |
| Amerihealth_Medicare | All_Plans | $18.62 | ↓ -85% |
| PA_Health_&_Wellness_Medicare | All_Plans | $19.06 | ↓ -84% |
| Jefferson_Health_Medicare_Advantage | All_Plans | $19.06 | ↓ -84% |
| Geisinger_Gold_Medicare | All_Plans | $22.06 | ↓ -82% |
| Highmark | Higmark_Healthy_Kids | $27.00 | ↓ -78% |
| Health_Partners_Medicaid | Kidz_Partners | $29.12 | ↓ -76% |
| United_Medicaid | Community_Plan_For_Kids | $30.89 | ↓ -74% |
| United_Healthcare | All_Plans | $52.95 | ↓ -56% |
| Highmark | Shared_Cost_Blue_PPO | $59.54 | ↓ -51% |
| Highmark | My_Direct_Blue | $59.54 | ↓ -51% |
| Aetna_Better_Health_Kids | All_Plans | $60.01 | ↓ -50% |
| Highmark | Blue_Cross_High_Performance_Network | $67.74 | ↓ -44% |
| Highmark | Choice_Blue_PPO | $67.74 | ↓ -44% |
| Highmark | Performance_Blue | $67.74 | ↓ -44% |
| Aetna | All_Plans | $72.89 | ↓ -40% |
| Highmark | All_Other_Plans | $76.11 | ↓ -37% |
| UPMC | UPMC_For_Kids | $90.60 | ↓ -25% |
| Cigna | All_Plans | $110.67 | ↓ -8% |
| Geisinger | All_Plans | $111.74 | ↓ -8% |
| Cigna | PPO_Plan | $116.19 | ↓ -4% |
| Blue_Cross | Capital_Cares_4_kids | $116.46 | ↓ -4% |
| WellSpan_Capital_Blue_Cross | All_Plans | $135.90 | ↑ +13% |
| First_Health_Network | All_Plans | $143.45 | ↑ +19% |
| Blue_Cross | All_Other_Plans | $166.37 | ↑ +38% |
Visitor-reported prices
Comments
Mayo factor v at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $90.60 | $5.00 – $128.35 |
| UPMC Community Osteopathic | Harrisburg | $90.60 | $5.00 – $128.35 |
| UPMC East | Monroeville | $299.40 | $5.00 – $399.20 |
| UPMC Hamot | Erie | $214.20 | $5.00 – $38.66 |
| UPMC Hanover | Hanover | $90.60 | $5.00 – $28.24 |
| UPMC Jameson | New Castle | $168.00 | $5.50 – $39.35 |
| UPMC Lititz | Lititz | $90.60 | $5.00 – $28.24 |
| UPMC Magee | Pittsburgh | $141.00 | $5.50 – $39.03 |