Repair lip full thkns =<one-half vert height at WellSpan Waynesboro Hospital
501 E. Main St., Waynesboro, PA · Wellspan · · NPI 1821091059
$1,976.80
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.
$2,471.00
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.
$163.75 with Health_Partners_Medicaid vs $2,357.33 with United_Healthcare — 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 | $163.75 | ↓ -92% |
| UPMC_Medicare | UPMC_for_Life_Community_HealthChoices | $322.64 | ↓ -84% |
| UPMC_Medicare | UPMC_for_Life_Complete_Care | $322.64 | ↓ -84% |
| UPMC_Medicaid | All_Plans | $324.18 | ↓ -84% |
| PA_Health_&_Wellness_Medicaid | All_Plans | $384.10 | ↓ -81% |
| Geisinger_Medicaid | All_Plans | $384.10 | ↓ -81% |
| Highmark_Wholecare_Gateway_Medicaid | All_Plans | $384.10 | ↓ -81% |
| Amerihealth_Caritas_Medicaid | All_Plans | $436.34 | ↓ -78% |
| PA_Health_&_Wellness_Medicare | All_Plans | $541.94 | ↓ -73% |
| Blue_Cross_BlueJourney_Medicare | All_Plans | $542.95 | ↓ -73% |
| Highmark | All_Other_Plans | $542.95 | ↓ -73% |
| Jefferson_Health_Medicare_Advantage | All_Plans | $542.95 | ↓ -73% |
| United_Medicaid | Community_Plan_For_Kids | $542.95 | ↓ -73% |
| Highmark_Medicare | All_Plans | $548.38 | ↓ -72% |
| Aetna_Advantra_Medicare | All_Plans | $559.24 | ↓ -72% |
| Aetna_Medicare | All_Plans | $559.24 | ↓ -72% |
| Devoted_Medicare | All_Plans | $570.10 | ↓ -71% |
| United_Medicare | ISNP_DSNP_Plans | $570.10 | ↓ -71% |
| Highmark_Wholecare_Gateway_Medicare | All_Plans | $572.54 | ↓ -71% |
| Amerihealth_Medicare | All_Plans | $572.81 | ↓ -71% |
| Geisinger_Gold_Medicare | All_Plans | $678.69 | ↓ -66% |
| Highmark | Higmark_Healthy_Kids | $830.71 | ↓ -58% |
| Health_Partners_Medicaid | Kidz_Partners | $895.87 | ↓ -55% |
| UPMC | UPMC_For_Kids | $1,482.60 | ↓ -25% |
| Aetna | All_Plans | $1,660.51 | ↓ -16% |
| Cigna | All_Plans | $1,811.00 | ↓ -8% |
| Geisinger | All_Plans | $1,828.54 | ↓ -8% |
| Highmark | My_Direct_Blue | $1,831.48 | ↓ -7% |
| Highmark | Shared_Cost_Blue_PPO | $1,831.48 | ↓ -7% |
| Aetna_Better_Health_Kids | All_Plans | $1,846.03 | ↓ -7% |
| Cigna | PPO_Plan | $1,901.43 | ↓ -4% |
| Highmark | Choice_Blue_PPO | $2,083.84 | ↑ +5% |
| Highmark | Performance_Blue | $2,083.84 | ↑ +5% |
| Highmark | Blue_Cross_High_Performance_Network | $2,083.84 | ↑ +5% |
| WellSpan_Capital_Blue_Cross | All_Plans | $2,223.90 | ↑ +13% |
| First_Health_Network | All_Plans | $2,347.45 | ↑ +19% |
| United_Healthcare | All_Plans | $2,357.33 | ↑ +19% |
Visitor-reported prices
Comments
Repair lip full thkns =<one-half vert height at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $2,079.60 | $390.25 – $2,946.10 |
| UPMC Community Osteopathic | Harrisburg | $2,079.60 | $390.25 – $2,946.10 |
| UPMC East | Monroeville | $4,669.80 | $338.01 – $6,226.40 |
| UPMC Hamot | Erie | $4,755.00 | $338.01 – $1,248.88 |
| UPMC Hanover | Hanover | $2,079.60 | $390.25 – $1,016.56 |
| UPMC Horizon-Greenville | Greenville | $3,680.40 | $338.01 – $919.19 |
| UPMC Lititz | Lititz | $2,079.60 | $390.25 – $1,016.56 |
| UPMC Memorial | York | $2,079.60 | $390.25 – $1,016.56 |