St treatment speech individual at WellSpan Waynesboro Hospital
501 E. Main St., Waynesboro, PA · Wellspan · · NPI 1821091059
$304.80
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.
$381.00
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.
$22.89 with UPMC_Medicaid vs $461.00 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 |
|---|---|---|---|
| UPMC_Medicaid | All_Plans | $22.89 | ↓ -92% |
| PA_Health_&_Wellness_Medicaid | All_Plans | $27.13 | ↓ -91% |
| Geisinger_Medicaid | All_Plans | $27.13 | ↓ -91% |
| Highmark_Wholecare_Gateway_Medicaid | All_Plans | $27.13 | ↓ -91% |
| Amerihealth_Caritas_Medicaid | All_Plans | $30.81 | ↓ -90% |
| Health_Partners_Medicaid | All_Other_Plans | $50.00 | ↓ -84% |
| UPMC | UPMC_For_Kids | $228.60 | ↓ -25% |
| Aetna | All_Plans | $256.03 | ↓ -16% |
| Cigna | All_Plans | $279.23 | ↓ -8% |
| Geisinger | All_Plans | $281.94 | ↓ -8% |
| Cigna | PPO_Plan | $293.18 | ↓ -4% |
| Blue_Cross | Capital_Cares_4_kids | $322.70 | ↑ +6% |
| WellSpan_Capital_Blue_Cross | All_Plans | $342.90 | ↑ +13% |
| First_Health_Network | All_Plans | $361.95 | ↑ +19% |
| United_Healthcare | All_Plans | $363.47 | ↑ +19% |
| Blue_Cross | All_Other_Plans | $461.00 | ↑ +51% |
Visitor-reported prices
Comments
St treatment speech individual at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $199.80 | $21.70 – $266.40 |
| UPMC Bedford | Everett | $536.40 | $22.79 – $804.60 |
| UPMC Carlisle | Carlisle | $459.00 | $27.56 – $591.00 |
| UPMC Cole | Coudersport | $180.60 | $22.79 – $240.80 |
| UPMC Community Osteopathic | Harrisburg | $459.00 | $27.56 – $276.25 |
| UPMC East | Monroeville | $225.00 | $23.87 – $300.00 |
| UPMC Hamot | Erie | $180.00 | $23.87 – $180.09 |
| UPMC Northwest | Seneca | $173.40 | $23.87 – $165.71 |