Tocilizumab 162 mg/0.9 ml subcutaneous pen injector at WellSpan Waynesboro Hospital
501 E. Main St., Waynesboro, PA · Wellspan · · NPI 1821091059
$6,214.80
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.
$7,768.50
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.
$6.73 with WellSpan_Capital_Blue_Cross vs $8,762.92 with Highmark — 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 |
|---|---|---|---|
| WellSpan_Capital_Blue_Cross | All_Plans | $6.73 | ↓ -100% |
| Health_Partners_Medicaid | All_Other_Plans | $35.09 | ↓ -99% |
| Blue_Cross | Capital_Cares_4_kids | $1,733.20 | ↓ -72% |
| Highmark | All_Other_Plans | $2,283.20 | ↓ -63% |
| Health_Partners_Medicaid | Kidz_Partners | $2,283.20 | ↓ -63% |
| Blue_Cross_BlueJourney_Medicare | All_Plans | $2,283.20 | ↓ -63% |
| Jefferson_Health_Medicare_Advantage | All_Plans | $2,283.20 | ↓ -63% |
| Highmark_Medicare | All_Plans | $2,306.03 | ↓ -63% |
| Aetna_Medicare | All_Plans | $2,351.70 | ↓ -62% |
| Aetna_Advantra_Medicare | All_Plans | $2,351.70 | ↓ -62% |
| Devoted_Medicare | All_Plans | $2,397.36 | ↓ -61% |
| United_Medicare | ISNP_DSNP_Plans | $2,397.36 | ↓ -61% |
| Highmark_Wholecare_Gateway_Medicare | All_Plans | $2,407.63 | ↓ -61% |
| Amerihealth_Medicare | All_Plans | $2,408.78 | ↓ -61% |
| PA_Health_&_Wellness_Medicare | All_Plans | $2,465.86 | ↓ -60% |
| Blue_Cross | All_Other_Plans | $2,476.00 | ↓ -60% |
| Geisinger_Gold_Medicare | All_Plans | $2,854.00 | ↓ -54% |
| Highmark | Higmark_Healthy_Kids | $3,493.30 | ↓ -44% |
| United_Medicaid | Community_Plan_For_Kids | $3,995.60 | ↓ -36% |
| UPMC | UPMC_For_Kids | $4,661.10 | ↓ -25% |
| Cigna | All_Plans | $5,693.53 | ↓ -8% |
| Aetna | All_Plans | $5,733.15 | ↓ -8% |
| Geisinger | All_Plans | $5,748.69 | ↓ -8% |
| Cigna | PPO_Plan | $5,977.86 | ↓ -4% |
| First_Health_Network | All_Plans | $7,380.08 | ↑ +19% |
| United_Healthcare | All_Plans | $7,411.20 | ↑ +19% |
| Highmark | My_Direct_Blue | $7,701.69 | ↑ +24% |
| Highmark | Shared_Cost_Blue_PPO | $7,701.69 | ↑ +24% |
| Aetna_Better_Health_Kids | All_Plans | $7,762.88 | ↑ +25% |
| Highmark | Performance_Blue | $8,762.92 | ↑ +41% |
| Highmark | Blue_Cross_High_Performance_Network | $8,762.92 | ↑ +41% |
| Highmark | Choice_Blue_PPO | $8,762.92 | ↑ +41% |
Visitor-reported prices
Comments
Tocilizumab 162 mg/0.9 ml subcutaneous pen injector at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $5,029.20 | $3.60 – $16.80 |
| UPMC Bedford | Everett | $5,334.60 | $2.06 – $17.10 |
| UPMC Carlisle | Carlisle | $783.00 | $5.65 – $112.20 |
| UPMC Cole | Coudersport | $6,612.60 | $5.71 – $1,763.20 |
| UPMC Community Osteopathic | Harrisburg | $783.00 | $5.65 – $112.20 |
| UPMC East | Monroeville | $5,467.80 | $2.63 – $17.60 |
| UPMC Hamot | Erie | $4,636.20 | $3.60 – $7.03 |
| UPMC Northwest | Seneca | $5,467.80 | $3.60 – $6.17 |