Phlebotomy therapeutic at WellSpan Waynesboro Hospital
501 E. Main St., Waynesboro, PA · Wellspan · · NPI 1821091059
$110.00
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.
?
What you pay up front if you don't use insurance.
$580.00
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.
$10.50 with UPMC_Medicare vs $926.25 with Health_Partners_Medicaid — 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 |
|---|---|---|---|
| UPMC_Medicare | UPMC_for_Life_Complete_Care | $10.50 | ↓ -90% |
| UPMC_Medicare | UPMC_for_Life_Community_HealthChoices | $10.50 | ↓ -90% |
| UPMC_Medicaid | All_Plans | $10.55 | ↓ -90% |
| Geisinger_Medicaid | All_Plans | $12.50 | ↓ -89% |
| Highmark_Wholecare_Gateway_Medicaid | All_Plans | $12.50 | ↓ -89% |
| PA_Health_&_Wellness_Medicaid | All_Plans | $12.50 | ↓ -89% |
| Amerihealth_Caritas_Medicaid | All_Plans | $14.20 | ↓ -87% |
| PA_Health_&_Wellness_Medicare | All_Plans | $137.18 | ↑ +25% |
| Highmark | All_Other_Plans | $137.43 | ↑ +25% |
| Blue_Cross_BlueJourney_Medicare | All_Plans | $137.43 | ↑ +25% |
| United_Medicaid | Community_Plan_For_Kids | $137.43 | ↑ +25% |
| Jefferson_Health_Medicare_Advantage | All_Plans | $137.43 | ↑ +25% |
| Highmark_Medicare | All_Plans | $138.80 | ↑ +26% |
| Aetna_Medicare | All_Plans | $141.55 | ↑ +29% |
| Aetna_Advantra_Medicare | All_Plans | $141.55 | ↑ +29% |
| Devoted_Medicare | All_Plans | $144.30 | ↑ +31% |
| United_Medicare | ISNP_DSNP_Plans | $144.30 | ↑ +31% |
| Highmark_Wholecare_Gateway_Medicare | All_Plans | $144.92 | ↑ +32% |
| Amerihealth_Medicare | All_Plans | $144.99 | ↑ +32% |
| Geisinger_Gold_Medicare | All_Plans | $171.79 | ↑ +56% |
| Highmark | Higmark_Healthy_Kids | $210.27 | ↑ +91% |
| Health_Partners_Medicaid | Kidz_Partners | $226.76 | ↑ +106% |
| UPMC | UPMC_For_Kids | $348.00 | ↑ +216% |
| Aetna | All_Plans | $389.76 | ↑ +254% |
| Cigna | All_Plans | $425.08 | ↑ +286% |
| Geisinger | All_Plans | $429.20 | ↑ +290% |
| Cigna | PPO_Plan | $446.31 | ↑ +306% |
| Highmark | Shared_Cost_Blue_PPO | $463.58 | ↑ +321% |
| Highmark | My_Direct_Blue | $463.58 | ↑ +321% |
| Aetna_Better_Health_Kids | All_Plans | $467.26 | ↑ +325% |
| WellSpan_Capital_Blue_Cross | All_Plans | $522.00 | ↑ +375% |
| Highmark | Choice_Blue_PPO | $527.46 | ↑ +380% |
| Highmark | Performance_Blue | $527.46 | ↑ +380% |
| Highmark | Blue_Cross_High_Performance_Network | $527.46 | ↑ +380% |
| First_Health_Network | All_Plans | $551.00 | ↑ +401% |
| United_Healthcare | All_Plans | $553.32 | ↑ +403% |
| Health_Partners_Medicaid | All_Other_Plans | $926.25 | ↑ +742% |
Visitor-reported prices
Comments
Phlebotomy therapeutic at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $261.00 | $10.00 – $348.00 |
| UPMC Bedford | Everett | $250.80 | $10.50 – $376.20 |
| UPMC Carlisle | Carlisle | $231.00 | $12.70 – $327.25 |
| UPMC Cole | Coudersport | $298.20 | $10.50 – $397.60 |
| UPMC Community Osteopathic | Harrisburg | $231.00 | $12.70 – $327.25 |
| UPMC East | Monroeville | $272.40 | $11.00 – $363.20 |
| UPMC Hamot | Erie | $192.00 | $11.00 – $161.87 |
| UPMC Northwest | Seneca | $331.80 | $11.00 – $129.03 |