Rerepair ing hernia reduce at WellSpan Waynesboro Hospital
501 E. Main St., Waynesboro, PA · Wellspan · · NPI 1821091059
not published by hospital
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.
not published by hospital
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.
$967.05 with UPMC_Medicare vs $14,440.90 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 |
|---|---|---|---|
| UPMC_Medicare | UPMC_for_Life_Community_HealthChoices | $967.05 | — |
| UPMC_Medicare | UPMC_for_Life_Complete_Care | $967.05 | — |
| PA_Health_&_Wellness_Medicaid | All_Plans | $970.00 | — |
| Highmark_Wholecare_Gateway_Medicaid | All_Plans | $970.00 | — |
| Health_Partners_Medicaid | All_Other_Plans | $970.00 | — |
| Geisinger_Medicaid | All_Plans | $970.00 | — |
| UPMC_Medicaid | All_Plans | $970.00 | — |
| Amerihealth_Caritas_Medicaid | All_Plans | $1,101.92 | — |
| PA_Health_&_Wellness_Medicare | All_Plans | $3,755.63 | — |
| Blue_Cross_BlueJourney_Medicare | All_Plans | $3,762.61 | — |
| Jefferson_Health_Medicare_Advantage | All_Plans | $3,762.61 | — |
| United_Medicaid | Community_Plan_For_Kids | $3,762.61 | — |
| Highmark | All_Other_Plans | $3,762.61 | — |
| Highmark_Medicare | All_Plans | $3,800.24 | — |
| Aetna_Advantra_Medicare | All_Plans | $3,875.49 | — |
| Aetna_Medicare | All_Plans | $3,875.49 | — |
| Devoted_Medicare | All_Plans | $3,950.74 | — |
| United_Medicare | ISNP_DSNP_Plans | $3,950.74 | — |
| Highmark_Wholecare_Gateway_Medicare | All_Plans | $3,967.67 | — |
| Amerihealth_Medicare | All_Plans | $3,969.55 | — |
| Geisinger_Gold_Medicare | All_Plans | $4,703.26 | — |
| Highmark | Higmark_Healthy_Kids | $5,756.79 | — |
| Health_Partners_Medicaid | Kidz_Partners | $6,208.31 | — |
| Blue_Cross | Capital_Blue_Performance_PPO | $7,899.00 | — |
| Blue_Cross | Capital_Cares_4_kids | $10,497.00 | — |
| Blue_Cross | All_Other_Plans | $10,497.00 | — |
| Highmark | My_Direct_Blue | $12,692.04 | — |
| Highmark | Shared_Cost_Blue_PPO | $12,692.04 | — |
| Aetna_Better_Health_Kids | All_Plans | $12,792.87 | — |
| Highmark | Choice_Blue_PPO | $14,440.90 | — |
| Highmark | Performance_Blue | $14,440.90 | — |
| Highmark | Blue_Cross_High_Performance_Network | $14,440.90 | — |
| WellSpan_Capital_Blue_Cross | All_Plans | not published by hospital | — |
| UPMC | UPMC_For_Kids | not published by hospital | — |
| Geisinger | All_Plans | not published by hospital | — |
| Cigna | All_Plans | not published by hospital | — |
| Cigna | PPO_Plan | not published by hospital | — |
| First_Health_Network | All_Plans | not published by hospital | — |
| United_Healthcare | All_Plans | not published by hospital | — |
| Aetna | All_Plans | not published by hospital | — |
Visitor-reported prices
Comments
Rerepair ing hernia reduce at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Cole | Coudersport | $1,140.60 | $453.60 – $2,325.85 |
| UPMC Community Osteopathic | Harrisburg | $1,662.00 | $583.20 – $7,348.95 |
| UPMC Muncy | Muncy | $7,126.80 | $475.20 – $1,489.36 |
| UPMC Presbyterian | Pittsburgh | $13,630.20 | $475.20 – $3,700.99 |
| UPMC Somerset | Somerset | $1,662.00 | $475.20 – $3,364.54 |
| UPMC Wellsboro | Wellsboro | $8,618.40 | $475.20 – $1,259.82 |
| Uniontown Hospital | Uniontown | $2,645.50 | $3,470.33 – $8,085.87 |
| UPMC Altoona | Altoona | not published | $432.00 – $3,633.70 |