Tc-99m mertiatide at WellSpan Waynesboro Hospital
501 E. Main St., Waynesboro, PA · Wellspan · · NPI 1821091059
$824.80
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.
$1,031.00
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.
$61.77 with Blue_Cross vs $2,458.34 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 |
|---|---|---|---|
| Blue_Cross | Capital_Cares_4_kids | $61.77 | ↓ -93% |
| Blue_Cross | All_Other_Plans | $88.24 | ↓ -89% |
| UPMC | UPMC_For_Kids | $618.60 | ↓ -25% |
| Aetna | All_Plans | $692.83 | ↓ -16% |
| Cigna | All_Plans | $755.62 | ↓ -8% |
| Geisinger | All_Plans | $762.94 | ↓ -8% |
| Cigna | PPO_Plan | $793.35 | ↓ -4% |
| WellSpan_Capital_Blue_Cross | All_Plans | $927.90 | ↑ +13% |
| First_Health_Network | All_Plans | $979.45 | ↑ +19% |
| United_Healthcare | All_Plans | $2,458.34 | ↑ +198% |
Visitor-reported prices
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Tc-99m mertiatide at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $1,634.40 | $828.11 – $2,304.69 |
| UPMC Bedford | Everett | $1,771.80 | $738.25 – $2,657.70 |
| UPMC Carlisle | Carlisle | $1,284.60 | $293.32 – $1,819.85 |
| UPMC Cole | Coudersport | $587.40 | $271.38 – $783.20 |
| UPMC Community Osteopathic | Harrisburg | $1,284.60 | $96.18 – $1,819.85 |
| UPMC East | Monroeville | $4,724.40 | $768.23 – $6,299.20 |
| UPMC Hamot | Erie | $1,470.60 | $588.24 – $2,117.21 |
| UPMC Hanover | Hanover | $1,284.60 | $1,449.95 – $1,449.95 |