Metabolic panel ionized ca at WellSpan Waynesboro Hospital
501 E. Main St., Waynesboro, PA · Wellspan · · NPI 1821091059
$70.40
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.
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What you pay up front if you don't use insurance.
$88.00
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.
$12.51 with UPMC_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 |
|---|---|---|---|
| UPMC_Medicare | UPMC_for_Life_Community_HealthChoices | $12.51 | ↓ -82% |
| UPMC_Medicare | UPMC_for_Life_Complete_Care | $12.51 | ↓ -82% |
| UPMC_Medicaid | All_Plans | $12.57 | ↓ -82% |
| Blue_Cross_BlueJourney_Medicare | All_Plans | $13.73 | ↓ -80% |
| Highmark_Medicare | All_Plans | $13.87 | ↓ -80% |
| Aetna_Medicare | All_Plans | $14.14 | ↓ -80% |
| Aetna_Advantra_Medicare | All_Plans | $14.14 | ↓ -80% |
| Devoted_Medicare | All_Plans | $14.42 | ↓ -80% |
| United_Medicare | ISNP_DSNP_Plans | $14.42 | ↓ -80% |
| Highmark_Wholecare_Gateway_Medicare | All_Plans | $14.48 | ↓ -79% |
| Amerihealth_Medicare | All_Plans | $14.49 | ↓ -79% |
| Jefferson_Health_Medicare_Advantage | All_Plans | $14.83 | ↓ -79% |
| PA_Health_&_Wellness_Medicare | All_Plans | $14.83 | ↓ -79% |
| PA_Health_&_Wellness_Medicaid | All_Plans | $14.89 | ↓ -79% |
| Geisinger_Medicaid | All_Plans | $14.89 | ↓ -79% |
| Highmark_Wholecare_Gateway_Medicaid | All_Plans | $14.89 | ↓ -79% |
| Amerihealth_Caritas_Medicaid | All_Plans | $16.91 | ↓ -76% |
| Geisinger_Gold_Medicare | All_Plans | $17.16 | ↓ -76% |
| Highmark | Higmark_Healthy_Kids | $21.01 | ↓ -70% |
| Health_Partners_Medicaid | Kidz_Partners | $22.65 | ↓ -68% |
| United_Medicaid | Community_Plan_For_Kids | $24.03 | ↓ -66% |
| United_Healthcare | All_Plans | $41.19 | ↓ -41% |
| Highmark | Shared_Cost_Blue_PPO | $46.31 | ↓ -34% |
| Highmark | My_Direct_Blue | $46.31 | ↓ -34% |
| Aetna_Better_Health_Kids | All_Plans | $46.68 | ↓ -34% |
| Highmark | Choice_Blue_PPO | $52.70 | ↓ -25% |
| Highmark | Blue_Cross_High_Performance_Network | $52.70 | ↓ -25% |
| Highmark | Performance_Blue | $52.70 | ↓ -25% |
| UPMC | UPMC_For_Kids | $52.80 | ↓ -25% |
| Blue_Cross | Capital_Cares_4_kids | $55.86 | ↓ -21% |
| Aetna | All_Plans | $56.70 | ↓ -19% |
| Highmark | All_Other_Plans | $59.21 | ↓ -16% |
| Cigna | All_Plans | $64.50 | ↓ -8% |
| Geisinger | All_Plans | $65.12 | ↓ -8% |
| Cigna | PPO_Plan | $67.72 | ↓ -4% |
| WellSpan_Capital_Blue_Cross | All_Plans | $79.20 | ↑ +13% |
| Blue_Cross | All_Other_Plans | $79.79 | ↑ +13% |
| First_Health_Network | All_Plans | $83.60 | ↑ +19% |
| Health_Partners_Medicaid | All_Other_Plans | $423.75 | ↑ +502% |
Visitor-reported prices
Comments
Metabolic panel ionized ca at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC East | Monroeville | $213.60 | $11.91 – $284.80 |
| UPMC Horizon-Greenville | Greenville | $235.20 | $11.91 – $25.76 |
| UPMC Kane | Kane | $33.00 | $11.63 – $59.26 |
| UPMC Magee | Pittsburgh | $103.80 | $12.85 – $57.25 |
| UPMC Mercy | Pittsburgh | $198.60 | $11.45 – $56.71 |
| UPMC Passavant-McCandless | Pittsburgh | $235.20 | $12.76 – $57.25 |
| UPMC Presbyterian | Pittsburgh | $298.20 | $11.91 – $57.25 |
| UPMC St. Margaret | Pittsburgh | $373.20 | $11.85 – $57.25 |