Pq kyphplsty 1 bdy lumb w/img at WellSpan Waynesboro Hospital
501 E. Main St., Waynesboro, PA · Wellspan · · NPI 1821091059
$27,863.20
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.
$34,829.00
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.
$243.81 with Health_Partners_Medicaid vs $43,981.00 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 |
|---|---|---|---|
| Health_Partners_Medicaid | All_Other_Plans | $243.81 | ↓ -99% |
| Highmark_Wholecare_Gateway_Medicaid | All_Plans | $509.29 | ↓ -98% |
| UPMC_Medicare | UPMC_for_Life_Community_HealthChoices | $814.80 | ↓ -97% |
| UPMC_Medicare | UPMC_for_Life_Complete_Care | $814.80 | ↓ -97% |
| Geisinger_Medicaid | All_Plans | $970.00 | ↓ -97% |
| PA_Health_&_Wellness_Medicaid | All_Plans | $970.00 | ↓ -97% |
| UPMC_Medicaid | All_Plans | $970.00 | ↓ -97% |
| Amerihealth_Caritas_Medicaid | All_Plans | $1,101.92 | ↓ -96% |
| PA_Health_&_Wellness_Medicare | All_Plans | $7,602.36 | ↓ -73% |
| Blue_Cross_BlueJourney_Medicare | All_Plans | $7,616.50 | ↓ -73% |
| United_Medicaid | Community_Plan_For_Kids | $7,616.50 | ↓ -73% |
| Highmark | All_Other_Plans | $7,616.50 | ↓ -73% |
| Jefferson_Health_Medicare_Advantage | All_Plans | $7,616.50 | ↓ -73% |
| Highmark_Medicare | All_Plans | $7,692.67 | ↓ -72% |
| Aetna_Advantra_Medicare | All_Plans | $7,845.00 | ↓ -72% |
| Aetna_Medicare | All_Plans | $7,845.00 | ↓ -72% |
| United_Medicare | ISNP_DSNP_Plans | $7,997.33 | ↓ -71% |
| Devoted_Medicare | All_Plans | $7,997.33 | ↓ -71% |
| Highmark_Wholecare_Gateway_Medicare | All_Plans | $8,031.60 | ↓ -71% |
| Amerihealth_Medicare | All_Plans | $8,035.41 | ↓ -71% |
| Geisinger_Gold_Medicare | All_Plans | $9,520.63 | ↓ -66% |
| Highmark | Higmark_Healthy_Kids | $11,653.25 | ↓ -58% |
| Health_Partners_Medicaid | Kidz_Partners | $12,567.23 | ↓ -55% |
| UPMC | UPMC_For_Kids | $20,897.40 | ↓ -25% |
| Aetna | All_Plans | $23,405.09 | ↓ -16% |
| Cigna | All_Plans | $25,526.17 | ↓ -8% |
| Highmark | My_Direct_Blue | $25,691.98 | ↓ -8% |
| Highmark | Shared_Cost_Blue_PPO | $25,691.98 | ↓ -8% |
| Geisinger | All_Plans | $25,773.46 | ↓ -8% |
| Aetna_Better_Health_Kids | All_Plans | $25,896.10 | ↓ -7% |
| Cigna | PPO_Plan | $26,800.92 | ↓ -4% |
| Highmark | Choice_Blue_PPO | $29,232.13 | ↑ +5% |
| Highmark | Performance_Blue | $29,232.13 | ↑ +5% |
| Highmark | Blue_Cross_High_Performance_Network | $29,232.13 | ↑ +5% |
| WellSpan_Capital_Blue_Cross | All_Plans | $31,346.10 | ↑ +13% |
| First_Health_Network | All_Plans | $33,087.55 | ↑ +19% |
| Blue_Cross | Capital_Blue_Performance_PPO | $33,100.00 | ↑ +19% |
| United_Healthcare | All_Plans | $33,226.87 | ↑ +19% |
| Blue_Cross | All_Other_Plans | $43,981.00 | ↑ +58% |
| Blue_Cross | Capital_Cares_4_kids | $43,981.00 | ↑ +58% |
Visitor-reported prices
Comments
Pq kyphplsty 1 bdy lumb w/img at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $18,813.00 | $1,016.56 – $26,400.15 |
| UPMC Cole | Coudersport | $866.40 | $400.28 – $9,456.32 |
| UPMC Community Osteopathic | Harrisburg | $18,813.00 | $1,016.56 – $26,400.15 |
| UPMC East | Monroeville | $24,137.40 | $4,719.92 – $32,183.20 |
| UPMC Hamot | Erie | $17,721.00 | $4,675.40 – $9,905.66 |
| UPMC Hanover | Hanover | $18,813.00 | $1,016.56 – $11,433.07 |
| UPMC Lititz | Lititz | $18,813.00 | $1,016.56 – $11,433.07 |
| UPMC Memorial | York | $18,813.00 | $1,016.56 – $11,433.07 |