Sumatriptan 6 mg/0.5 ml subcutaneous solution at WellSpan Waynesboro Hospital
501 E. Main St., Waynesboro, PA · Wellspan · · NPI 1821091059
$5.60
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.
$7.00
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.
$4.20 with UPMC vs $524.03 with United_Healthcare — 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 | UPMC_For_Kids | $4.20 | ↓ -25% |
| Aetna | All_Plans | $4.70 | ↓ -16% |
| Cigna | All_Plans | $5.13 | ↓ -8% |
| Geisinger | All_Plans | $5.18 | ↓ -8% |
| Cigna | PPO_Plan | $5.39 | ↓ -4% |
| WellSpan_Capital_Blue_Cross | All_Plans | $6.30 | ↑ +13% |
| First_Health_Network | All_Plans | $6.65 | ↑ +19% |
| Blue_Cross | Capital_Cares_4_kids | $65.37 | ↑ +1067% |
| Blue_Cross | All_Other_Plans | $93.38 | ↑ +1568% |
| United_Healthcare | All_Plans | $524.03 | ↑ +9258% |
Visitor-reported prices
Comments
Sumatriptan 6 mg/0.5 ml subcutaneous solution at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $107.20 | $49.82 – $485.79 |
| UPMC Bedford | Everett | $476.80 | $69.57 – $536.40 |
| UPMC Carlisle | Carlisle | $105.60 | $24.11 – $149.60 |
| UPMC Cole | Coudersport | $253.20 | $55.86 – $337.60 |
| UPMC Community Osteopathic | Harrisburg | $105.60 | $35.20 – $160.83 |
| UPMC East | Monroeville | $545.60 | $69.57 – $545.60 |
| UPMC Northwest | Seneca | $476.80 | $14.60 – $237.16 |
| UPMC Hanover | Hanover | $105.60 | $69.57 – $160.83 |