Screening hepatitis c antibody high risk at WellSpan Waynesboro Hospital
501 E. Main St., Waynesboro, PA · Wellspan · · NPI 1821091059
$92.80
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.
$116.00
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.
$15.39 with Health_Partners_Medicaid vs $199.88 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 |
|---|---|---|---|
| Health_Partners_Medicaid | All_Other_Plans | $15.39 | ↓ -83% |
| UPMC_Medicare | UPMC_for_Life_Community_HealthChoices | $19.95 | ↓ -79% |
| UPMC_Medicare | UPMC_for_Life_Complete_Care | $19.95 | ↓ -79% |
| UPMC_Medicaid | All_Plans | $20.05 | ↓ -78% |
| PA_Health_&_Wellness_Medicaid | All_Plans | $23.75 | ↓ -74% |
| Geisinger_Medicaid | All_Plans | $23.75 | ↓ -74% |
| Highmark_Wholecare_Gateway_Medicaid | All_Plans | $23.75 | ↓ -74% |
| Amerihealth_Caritas_Medicaid | All_Plans | $26.98 | ↓ -71% |
| Blue_Cross_BlueJourney_Medicare | All_Plans | $46.35 | ↓ -50% |
| Highmark_Medicare | All_Plans | $46.81 | ↓ -50% |
| Aetna_Advantra_Medicare | All_Plans | $47.74 | ↓ -49% |
| Aetna_Medicare | All_Plans | $47.74 | ↓ -49% |
| United_Medicare | ISNP_DSNP_Plans | $48.67 | ↓ -48% |
| Devoted_Medicare | All_Plans | $48.67 | ↓ -48% |
| Highmark_Wholecare_Gateway_Medicare | All_Plans | $48.88 | ↓ -47% |
| Amerihealth_Medicare | All_Plans | $48.90 | ↓ -47% |
| Jefferson_Health_Medicare_Advantage | All_Plans | $50.06 | ↓ -46% |
| PA_Health_&_Wellness_Medicare | All_Plans | $50.06 | ↓ -46% |
| Geisinger_Gold_Medicare | All_Plans | $57.94 | ↓ -38% |
| UPMC | UPMC_For_Kids | $69.60 | ↓ -25% |
| Highmark | Higmark_Healthy_Kids | $70.92 | ↓ -24% |
| Health_Partners_Medicaid | Kidz_Partners | $76.48 | ↓ -18% |
| United_Medicaid | Community_Plan_For_Kids | $81.11 | ↓ -13% |
| Cigna | All_Plans | $85.02 | ↓ -8% |
| Aetna | All_Plans | $85.61 | ↓ -8% |
| Geisinger | All_Plans | $85.84 | ↓ -8% |
| Cigna | PPO_Plan | $89.26 | ↓ -4% |
| WellSpan_Capital_Blue_Cross | All_Plans | $104.40 | ↑ +13% |
| First_Health_Network | All_Plans | $110.20 | ↑ +19% |
| United_Healthcare | All_Plans | $139.05 | ↑ +50% |
| Highmark | My_Direct_Blue | $156.35 | ↑ +68% |
| Highmark | Shared_Cost_Blue_PPO | $156.35 | ↑ +68% |
| Aetna_Better_Health_Kids | All_Plans | $157.59 | ↑ +70% |
| Highmark | Choice_Blue_PPO | $177.89 | ↑ +92% |
| Highmark | Performance_Blue | $177.89 | ↑ +92% |
| Highmark | Blue_Cross_High_Performance_Network | $177.89 | ↑ +92% |
| Highmark | All_Other_Plans | $199.88 | ↑ +115% |
Visitor-reported prices
Comments
Screening hepatitis c antibody high risk at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $48.00 | $9.22 – $64.00 |
| UPMC Bedford | Everett | $66.60 | $16.72 – $99.90 |
| UPMC Carlisle | Carlisle | $108.00 | $19.00 – $153.00 |
| UPMC Community Osteopathic | Harrisburg | $108.00 | $19.00 – $153.00 |
| UPMC East | Monroeville | $42.00 | $9.31 – $56.00 |
| UPMC Hanover | Hanover | $108.00 | $19.00 – $74.16 |
| UPMC Lititz | Lititz | $108.00 | $19.00 – $74.16 |
| UPMC Magee | Pittsburgh | $44.40 | $9.31 – $50.06 |