Sinus CT scan (with contrast) at WellSpan Waynesboro Hospital
501 E. Main St., Waynesboro, PA · Wellspan · · NPI 1821091059
$494.00
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.
$2,362.00
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.
$40.56 with Health_Partners_Medicaid vs $2,261.06 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 | $40.56 | ↓ -92% |
| UPMC_Medicare | UPMC_for_Life_Community_HealthChoices | $140.70 | ↓ -72% |
| UPMC_Medicare | UPMC_for_Life_Complete_Care | $140.70 | ↓ -72% |
| UPMC_Medicaid | All_Plans | $141.37 | ↓ -71% |
| Geisinger_Medicaid | All_Plans | $167.50 | ↓ -66% |
| PA_Health_&_Wellness_Medicaid | All_Plans | $167.50 | ↓ -66% |
| Highmark_Wholecare_Gateway_Medicaid | All_Plans | $167.50 | ↓ -66% |
| PA_Health_&_Wellness_Medicare | All_Plans | $189.45 | ↓ -62% |
| Blue_Cross_BlueJourney_Medicare | All_Plans | $189.80 | ↓ -62% |
| United_Medicaid | Community_Plan_For_Kids | $189.80 | ↓ -62% |
| Highmark | All_Other_Plans | $189.80 | ↓ -62% |
| Jefferson_Health_Medicare_Advantage | All_Plans | $189.80 | ↓ -62% |
| Amerihealth_Caritas_Medicaid | All_Plans | $190.28 | ↓ -61% |
| Highmark_Medicare | All_Plans | $191.70 | ↓ -61% |
| Aetna_Advantra_Medicare | All_Plans | $195.49 | ↓ -60% |
| Aetna_Medicare | All_Plans | $195.49 | ↓ -60% |
| United_Medicare | ISNP_DSNP_Plans | $199.29 | ↓ -60% |
| Devoted_Medicare | All_Plans | $199.29 | ↓ -60% |
| Highmark_Wholecare_Gateway_Medicare | All_Plans | $200.14 | ↓ -59% |
| Amerihealth_Medicare | All_Plans | $200.24 | ↓ -59% |
| Geisinger_Gold_Medicare | All_Plans | $237.25 | ↓ -52% |
| Highmark | Higmark_Healthy_Kids | $290.39 | ↓ -41% |
| Health_Partners_Medicaid | Kidz_Partners | $313.17 | ↓ -37% |
| WellSpan_Capital_Blue_Cross | All_Plans | $438.00 | ↓ -11% |
| Highmark | My_Direct_Blue | $640.23 | ↑ +30% |
| Highmark | Shared_Cost_Blue_PPO | $640.23 | ↑ +30% |
| Aetna_Better_Health_Kids | All_Plans | $645.32 | ↑ +31% |
| Highmark | Blue_Cross_High_Performance_Network | $728.45 | ↑ +47% |
| Highmark | Choice_Blue_PPO | $728.45 | ↑ +47% |
| Highmark | Performance_Blue | $728.45 | ↑ +47% |
| United_Healthcare | All_Plans | $1,006.60 | ↑ +104% |
| UPMC | UPMC_For_Kids | $1,417.20 | ↑ +187% |
| Cigna | All_Plans | $1,520.42 | ↑ +208% |
| Blue_Cross | Capital_Cares_4_kids | $1,582.74 | ↑ +220% |
| Aetna | All_Plans | $1,587.26 | ↑ +221% |
| Cigna | PPO_Plan | $1,596.48 | ↑ +223% |
| Geisinger | All_Plans | $1,747.88 | ↑ +254% |
| First_Health_Network | All_Plans | $2,243.90 | ↑ +354% |
| Blue_Cross | All_Other_Plans | $2,261.06 | ↑ +358% |
Visitor-reported prices
Comments
Sinus CT scan (with contrast) at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $1,204.80 | $80.00 – $1,606.40 |
| UPMC Bedford | Everett | $847.80 | $61.23 – $1,271.70 |
| UPMC Carlisle | Carlisle | $1,294.80 | $104.80 – $1,834.30 |
| UPMC Cole | Coudersport | $1,350.00 | $140.70 – $1,800.00 |
| UPMC Community Osteopathic | Harrisburg | $1,294.80 | $104.80 – $1,834.30 |
| UPMC East | Monroeville | $2,917.20 | $147.40 – $3,889.60 |
| UPMC Hamot | Erie | $1,612.80 | $129.91 – $697.74 |
| UPMC Northwest | Seneca | $1,368.00 | $147.40 – $657.55 |