Obstetric panel inc HIV tstg at WellSpan Waynesboro Hospital
501 E. Main St., Waynesboro, PA · Wellspan · · NPI 1821091059
$230.00
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.
$389.00
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.
$74.86 with Blue_Cross_BlueJourney_Medicare vs $658.31 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 |
|---|---|---|---|
| Blue_Cross_BlueJourney_Medicare | All_Plans | $74.86 | ↓ -67% |
| Highmark_Medicare | All_Plans | $75.61 | ↓ -67% |
| Aetna_Medicare | All_Plans | $77.11 | ↓ -66% |
| Aetna_Advantra_Medicare | All_Plans | $77.11 | ↓ -66% |
| United_Medicare | ISNP_DSNP_Plans | $78.60 | ↓ -66% |
| Devoted_Medicare | All_Plans | $78.60 | ↓ -66% |
| Highmark_Wholecare_Gateway_Medicare | All_Plans | $78.94 | ↓ -66% |
| Amerihealth_Medicare | All_Plans | $78.98 | ↓ -66% |
| PA_Health_&_Wellness_Medicare | All_Plans | $80.85 | ↓ -65% |
| Jefferson_Health_Medicare_Advantage | All_Plans | $80.85 | ↓ -65% |
| UPMC_Medicare | UPMC_for_Life_Complete_Care | $85.66 | ↓ -63% |
| UPMC_Medicare | UPMC_for_Life_Community_HealthChoices | $85.66 | ↓ -63% |
| UPMC_Medicaid | All_Plans | $86.07 | ↓ -63% |
| Geisinger_Gold_Medicare | All_Plans | $93.58 | ↓ -59% |
| Highmark_Wholecare_Gateway_Medicaid | All_Plans | $101.98 | ↓ -56% |
| PA_Health_&_Wellness_Medicaid | All_Plans | $101.98 | ↓ -56% |
| Geisinger_Medicaid | All_Plans | $101.98 | ↓ -56% |
| Highmark | Higmark_Healthy_Kids | $114.54 | ↓ -50% |
| Amerihealth_Caritas_Medicaid | All_Plans | $115.84 | ↓ -50% |
| Health_Partners_Medicaid | Kidz_Partners | $123.52 | ↓ -46% |
| United_Medicaid | Community_Plan_For_Kids | $131.01 | ↓ -43% |
| United_Healthcare | All_Plans | $224.58 | ↓ -2% |
| UPMC | UPMC_For_Kids | $233.40 | ↑ +1% |
| Highmark | Shared_Cost_Blue_PPO | $252.52 | ↑ +10% |
| Highmark | My_Direct_Blue | $252.52 | ↑ +10% |
| Aetna_Better_Health_Kids | All_Plans | $254.52 | ↑ +11% |
| Cigna | All_Plans | $285.10 | ↑ +24% |
| Aetna | All_Plans | $287.08 | ↑ +25% |
| Highmark | Choice_Blue_PPO | $287.31 | ↑ +25% |
| Highmark | Blue_Cross_High_Performance_Network | $287.31 | ↑ +25% |
| Highmark | Performance_Blue | $287.31 | ↑ +25% |
| Geisinger | All_Plans | $287.86 | ↑ +25% |
| Cigna | PPO_Plan | $299.34 | ↑ +30% |
| Health_Partners_Medicaid | All_Other_Plans | $320.19 | ↑ +39% |
| Highmark | All_Other_Plans | $322.82 | ↑ +40% |
| WellSpan_Capital_Blue_Cross | All_Plans | $350.10 | ↑ +52% |
| First_Health_Network | All_Plans | $369.55 | ↑ +61% |
| Blue_Cross | Capital_Cares_4_kids | $460.81 | ↑ +100% |
| Blue_Cross | All_Other_Plans | $658.31 | ↑ +186% |
Visitor-reported prices
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Obstetric panel inc HIV tstg at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $351.60 | $71.25 – $468.80 |
| UPMC Bedford | Everett | $446.40 | $27.01 – $669.60 |
| UPMC Community Osteopathic | Harrisburg | $486.60 | $74.11 – $689.35 |
| UPMC East | Monroeville | $307.20 | $71.93 – $409.60 |
| UPMC Hamot | Erie | $394.80 | $71.25 – $113.39 |
| UPMC Northwest | Seneca | $471.00 | $67.89 – $93.82 |
| UPMC Horizon-Greenville | Greenville | $444.60 | $67.02 – $115.20 |
| UPMC Jameson | New Castle | $144.60 | $72.51 – $93.82 |