Ortho hnd/fngr w/jnt cstm w/fit&adj at WellSpan Waynesboro Hospital
501 E. Main St., Waynesboro, PA · Wellspan · · NPI 1821091059
$283.20
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.
$354.00
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.
$90.00 with Health_Partners_Medicaid vs $1,482.48 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 |
|---|---|---|---|
| Health_Partners_Medicaid | All_Other_Plans | $90.00 | ↓ -68% |
| UPMC | UPMC_For_Kids | $212.40 | ↓ -25% |
| Aetna | All_Plans | $237.89 | ↓ -16% |
| Cigna | All_Plans | $259.45 | ↓ -8% |
| Geisinger | All_Plans | $261.96 | ↓ -8% |
| Cigna | PPO_Plan | $272.40 | ↓ -4% |
| Highmark_Wholecare_Gateway_Medicaid | All_Plans | $294.16 | ↑ +4% |
| WellSpan_Capital_Blue_Cross | All_Plans | $318.60 | ↑ +13% |
| First_Health_Network | All_Plans | $336.30 | ↑ +19% |
| United_Healthcare | All_Plans | $337.72 | ↑ +19% |
| Blue_Cross_BlueJourney_Medicare | All_Plans | $343.78 | ↑ +21% |
| Highmark_Medicare | All_Plans | $347.22 | ↑ +23% |
| Aetna_Medicare | All_Plans | $354.09 | ↑ +25% |
| Aetna_Advantra_Medicare | All_Plans | $354.09 | ↑ +25% |
| Devoted_Medicare | All_Plans | $360.97 | ↑ +27% |
| United_Medicare | ISNP_DSNP_Plans | $360.97 | ↑ +27% |
| Highmark_Wholecare_Gateway_Medicare | All_Plans | $362.52 | ↑ +28% |
| Amerihealth_Medicare | All_Plans | $362.69 | ↑ +28% |
| PA_Health_&_Wellness_Medicare | All_Plans | $371.28 | ↑ +31% |
| Jefferson_Health_Medicare_Advantage | All_Plans | $371.28 | ↑ +31% |
| Geisinger_Gold_Medicare | All_Plans | $429.73 | ↑ +52% |
| Highmark | Higmark_Healthy_Kids | $525.98 | ↑ +86% |
| Health_Partners_Medicaid | Kidz_Partners | $567.24 | ↑ +100% |
| United_Medicaid | Community_Plan_For_Kids | $601.62 | ↑ +112% |
| Highmark | Shared_Cost_Blue_PPO | $1,159.64 | ↑ +309% |
| Highmark | My_Direct_Blue | $1,159.64 | ↑ +309% |
| Aetna_Better_Health_Kids | All_Plans | $1,168.85 | ↑ +313% |
| Highmark | Choice_Blue_PPO | $1,319.43 | ↑ +366% |
| Highmark | Performance_Blue | $1,319.43 | ↑ +366% |
| Highmark | Blue_Cross_High_Performance_Network | $1,319.43 | ↑ +366% |
| Highmark | All_Other_Plans | $1,482.48 | ↑ +423% |
Visitor-reported prices
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Ortho hnd/fngr w/jnt cstm w/fit&adj at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Cole | Coudersport | $191.40 | $60.61 – $255.20 |
| WellSpan Chambersburg Hospital | Chambersburg | $283.20 | $254.88 – $1,529.24 |
| WellSpan Good Samaritan Hospital | Lebanon | $283.20 | $294.16 – $601.62 |