Nm imaging pulmonary ventilation/perfusion at WellSpan Waynesboro Hospital
501 E. Main St., Waynesboro, PA · Wellspan · · NPI 1821091059
$2,225.60
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.
$2,782.00
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.
$40.00 with Health_Partners_Medicaid vs $2,961.19 with United_Healthcare — 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 |
|---|---|---|---|
| Health_Partners_Medicaid | All_Other_Plans | $40.00 | ↓ -98% |
| UPMC_Medicare | UPMC_for_Life_Community_HealthChoices | $250.09 | ↓ -89% |
| UPMC_Medicare | UPMC_for_Life_Complete_Care | $250.09 | ↓ -89% |
| UPMC_Medicaid | All_Plans | $251.28 | ↓ -89% |
| Highmark_Wholecare_Gateway_Medicaid | All_Plans | $297.73 | ↓ -87% |
| Geisinger_Medicaid | All_Plans | $297.73 | ↓ -87% |
| PA_Health_&_Wellness_Medicaid | All_Plans | $297.73 | ↓ -87% |
| Amerihealth_Caritas_Medicaid | All_Plans | $338.22 | ↓ -85% |
| PA_Health_&_Wellness_Medicare | All_Plans | $572.83 | ↓ -74% |
| Blue_Cross_BlueJourney_Medicare | All_Plans | $573.89 | ↓ -74% |
| Highmark | All_Other_Plans | $573.89 | ↓ -74% |
| United_Medicaid | Community_Plan_For_Kids | $573.89 | ↓ -74% |
| Jefferson_Health_Medicare_Advantage | All_Plans | $573.89 | ↓ -74% |
| Highmark_Medicare | All_Plans | $579.63 | ↓ -74% |
| Aetna_Medicare | All_Plans | $591.11 | ↓ -73% |
| Aetna_Advantra_Medicare | All_Plans | $591.11 | ↓ -73% |
| Devoted_Medicare | All_Plans | $602.58 | ↓ -73% |
| United_Medicare | ISNP_DSNP_Plans | $602.58 | ↓ -73% |
| Highmark_Wholecare_Gateway_Medicare | All_Plans | $605.17 | ↓ -73% |
| Amerihealth_Medicare | All_Plans | $605.45 | ↓ -73% |
| Geisinger_Gold_Medicare | All_Plans | $717.36 | ↓ -68% |
| Highmark | Higmark_Healthy_Kids | $878.05 | ↓ -61% |
| Health_Partners_Medicaid | Kidz_Partners | $946.92 | ↓ -57% |
| Blue_Cross | Capital_Cares_4_kids | $1,549.14 | ↓ -30% |
| UPMC | UPMC_For_Kids | $1,669.20 | ↓ -25% |
| Cigna | All_Plans | $1,790.77 | ↓ -20% |
| Aetna | All_Plans | $1,869.50 | ↓ -16% |
| Cigna | PPO_Plan | $1,880.35 | ↓ -16% |
| Highmark | My_Direct_Blue | $1,935.85 | ↓ -13% |
| Highmark | Shared_Cost_Blue_PPO | $1,935.85 | ↓ -13% |
| Aetna_Better_Health_Kids | All_Plans | $1,951.23 | ↓ -12% |
| Geisinger | All_Plans | $2,058.68 | ↓ -8% |
| Highmark | Performance_Blue | $2,202.59 | ↓ -1% |
| Highmark | Choice_Blue_PPO | $2,202.59 | ↓ -1% |
| Highmark | Blue_Cross_High_Performance_Network | $2,202.59 | ↓ -1% |
| Blue_Cross | All_Other_Plans | $2,213.06 | ↓ -1% |
| WellSpan_Capital_Blue_Cross | All_Plans | $2,503.80 | ↑ +13% |
| First_Health_Network | All_Plans | $2,642.90 | ↑ +19% |
| United_Healthcare | All_Plans | $2,961.19 | ↑ +33% |
Visitor-reported prices
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Nm imaging pulmonary ventilation/perfusion at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $1,138.20 | $198.81 – $1,517.60 |
| UPMC Bedford | Everett | $1,762.80 | $185.16 – $2,644.20 |
| UPMC Carlisle | Carlisle | $1,574.40 | $260.44 – $2,230.40 |
| UPMC Cole | Coudersport | $1,116.00 | $250.09 – $1,488.00 |
| UPMC Community Osteopathic | Harrisburg | $1,574.40 | $260.44 – $2,230.40 |
| UPMC East | Monroeville | $1,366.80 | $262.00 – $1,822.40 |
| UPMC Hamot | Erie | $1,479.60 | $262.00 – $700.71 |
| UPMC Northwest | Seneca | $1,666.20 | $262.00 – $538.84 |