Screening prostate cancer PSA at WellSpan Waynesboro Hospital
501 E. Main St., Waynesboro, PA · Wellspan · · NPI 1821091059
$45.00
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.
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What you pay up front if you don't use insurance.
$122.00
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.
$10.00 with Health_Partners_Medicaid vs $173.34 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 | $10.00 | ↓ -78% |
| Blue_Cross_BlueJourney_Medicare | All_Plans | $19.31 | ↓ -57% |
| Highmark_Medicare | All_Plans | $19.50 | ↓ -57% |
| Aetna_Medicare | All_Plans | $19.89 | ↓ -56% |
| Aetna_Advantra_Medicare | All_Plans | $19.89 | ↓ -56% |
| United_Medicare | ISNP_DSNP_Plans | $20.28 | ↓ -55% |
| Devoted_Medicare | All_Plans | $20.28 | ↓ -55% |
| Highmark_Wholecare_Gateway_Medicare | All_Plans | $20.36 | ↓ -55% |
| Amerihealth_Medicare | All_Plans | $20.37 | ↓ -55% |
| PA_Health_&_Wellness_Medicare | All_Plans | $20.85 | ↓ -54% |
| Jefferson_Health_Medicare_Advantage | All_Plans | $20.85 | ↓ -54% |
| Geisinger_Gold_Medicare | All_Plans | $24.14 | ↓ -46% |
| UPMC_Medicare | UPMC_for_Life_Complete_Care | $25.58 | ↓ -43% |
| UPMC_Medicare | UPMC_for_Life_Community_HealthChoices | $25.58 | ↓ -43% |
| UPMC_Medicaid | All_Plans | $25.70 | ↓ -43% |
| Highmark | Higmark_Healthy_Kids | $29.54 | ↓ -34% |
| PA_Health_&_Wellness_Medicaid | All_Plans | $30.45 | ↓ -32% |
| Geisinger_Medicaid | All_Plans | $30.45 | ↓ -32% |
| Highmark_Wholecare_Gateway_Medicaid | All_Plans | $30.45 | ↓ -32% |
| Health_Partners_Medicaid | Kidz_Partners | $31.86 | ↓ -29% |
| United_Medicaid | Community_Plan_For_Kids | $33.79 | ↓ -25% |
| Amerihealth_Caritas_Medicaid | All_Plans | $34.59 | ↓ -23% |
| United_Healthcare | All_Plans | $57.93 | ↑ +29% |
| Highmark | Shared_Cost_Blue_PPO | $65.14 | ↑ +45% |
| Highmark | My_Direct_Blue | $65.14 | ↑ +45% |
| Aetna_Better_Health_Kids | All_Plans | $65.65 | ↑ +46% |
| UPMC | UPMC_For_Kids | $73.20 | ↑ +63% |
| Highmark | Blue_Cross_High_Performance_Network | $74.11 | ↑ +65% |
| Highmark | Choice_Blue_PPO | $74.11 | ↑ +65% |
| Highmark | Performance_Blue | $74.11 | ↑ +65% |
| Aetna | All_Plans | $79.75 | ↑ +77% |
| Highmark | All_Other_Plans | $83.27 | ↑ +85% |
| Cigna | All_Plans | $89.41 | ↑ +99% |
| Geisinger | All_Plans | $90.28 | ↑ +101% |
| Cigna | PPO_Plan | $93.88 | ↑ +109% |
| WellSpan_Capital_Blue_Cross | All_Plans | $109.80 | ↑ +144% |
| First_Health_Network | All_Plans | $115.90 | ↑ +158% |
| Blue_Cross | Capital_Cares_4_kids | $121.34 | ↑ +170% |
| Blue_Cross | All_Other_Plans | $173.34 | ↑ +285% |
Visitor-reported prices
Comments
Screening prostate cancer PSA at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $96.00 | $19.69 – $128.00 |
| UPMC Bedford | Everett | $96.00 | $6.97 – $144.00 |
| UPMC Carlisle | Carlisle | $97.80 | $10.62 – $138.55 |
| UPMC Cole | Coudersport | $129.60 | $12.20 – $35.20 |
| UPMC Community Osteopathic | Harrisburg | $97.80 | $15.43 – $144.59 |
| UPMC East | Monroeville | $96.00 | $19.36 – $128.00 |
| UPMC Hamot | Erie | $96.00 | $19.31 – $48.83 |
| UPMC Northwest | Seneca | $96.00 | $17.51 – $20.85 |