Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes at WellSpan Waynesboro Hospital
501 E. Main St., Waynesboro, PA · Wellspan · · NPI 1821091059
$162.40
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.
?
What you pay up front if you don't use insurance.
$203.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$19.13 with Health_Partners_Medicaid vs $461.00 with Blue_Cross — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $19.13 | ↓ -88% |
| Blue_Cross_BlueJourney_Medicare | All_Plans | $20.97 | ↓ -87% |
| Highmark_Medicare | All_Plans | $21.18 | ↓ -87% |
| Aetna_Advantra_Medicare | All_Plans | $21.60 | ↓ -87% |
| Aetna_Medicare | All_Plans | $21.60 | ↓ -87% |
| Devoted_Medicare | All_Plans | $22.02 | ↓ -86% |
| United_Medicare | ISNP_DSNP_Plans | $22.02 | ↓ -86% |
| Highmark_Wholecare_Gateway_Medicare | All_Plans | $22.11 | ↓ -86% |
| Amerihealth_Medicare | All_Plans | $22.12 | ↓ -86% |
| Jefferson_Health_Medicare_Advantage | All_Plans | $22.65 | ↓ -86% |
| PA_Health_&_Wellness_Medicare | All_Plans | $22.65 | ↓ -86% |
| Geisinger_Gold_Medicare | All_Plans | $26.21 | ↓ -84% |
| Highmark | Higmark_Healthy_Kids | $32.08 | ↓ -80% |
| United_Medicaid | Community_Plan_For_Kids | $36.70 | ↓ -77% |
| UPMC_Medicare | UPMC_for_Life_Community_HealthChoices | $42.00 | ↓ -74% |
| UPMC_Medicare | UPMC_for_Life_Complete_Care | $42.00 | ↓ -74% |
| Geisinger_Medicaid | All_Plans | $50.00 | ↓ -69% |
| Highmark_Wholecare_Gateway_Medicaid | All_Plans | $50.00 | ↓ -69% |
| Amerihealth_Caritas_Medicaid | All_Plans | $56.80 | ↓ -65% |
| Highmark | My_Direct_Blue | $70.74 | ↓ -56% |
| Highmark | Shared_Cost_Blue_PPO | $70.74 | ↓ -56% |
| Aetna_Better_Health_Kids | All_Plans | $71.30 | ↓ -56% |
| Highmark | Performance_Blue | $80.48 | ↓ -50% |
| Highmark | Choice_Blue_PPO | $80.48 | ↓ -50% |
| Highmark | Blue_Cross_High_Performance_Network | $80.48 | ↓ -50% |
| Highmark | All_Other_Plans | $90.43 | ↓ -44% |
| UPMC | UPMC_For_Kids | $121.80 | ↓ -25% |
| Aetna | All_Plans | $136.42 | ↓ -16% |
| Cigna | All_Plans | $148.78 | ↓ -8% |
| Geisinger | All_Plans | $150.22 | ↓ -8% |
| Cigna | PPO_Plan | $156.21 | ↓ -4% |
| WellSpan_Capital_Blue_Cross | All_Plans | $182.70 | ↑ +13% |
| First_Health_Network | All_Plans | $192.85 | ↑ +19% |
| United_Healthcare | All_Plans | $193.66 | ↑ +19% |
| Blue_Cross | Capital_Cares_4_kids | $322.70 | ↑ +99% |
| Blue_Cross | All_Other_Plans | $461.00 | ↑ +184% |
Visitor-reported prices
Comments
Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $162.60 | $13.51 – $216.80 |
| UPMC Bedford | Everett | $123.60 | $20.00 – $185.40 |
| UPMC Carlisle | Carlisle | $114.60 | $24.19 – $387.00 |
| UPMC Community Osteopathic | Harrisburg | $114.60 | $24.19 – $162.35 |
| UPMC East | Monroeville | $307.20 | $13.64 – $409.60 |
| UPMC Hamot | Erie | $262.20 | $13.51 – $94.85 |
| UPMC Northwest | Seneca | $274.80 | $20.95 – $35.07 |
| UPMC Hanover | Hanover | $114.60 | $24.19 – $193.00 |