Treat humerus fracture at WellSpan Waynesboro Hospital
501 E. Main St., Waynesboro, PA · Wellspan · · NPI 1821091059
$849.60
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.
$1,062.00
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.
$216.30 with UPMC_Medicare vs $6,548.89 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 |
|---|---|---|---|
| UPMC_Medicare | UPMC_for_Life_Community_HealthChoices | $216.30 | ↓ -75% |
| UPMC_Medicare | UPMC_for_Life_Complete_Care | $216.30 | ↓ -75% |
| UPMC_Medicaid | All_Plans | $217.33 | ↓ -74% |
| Geisinger_Medicaid | All_Plans | $257.50 | ↓ -70% |
| PA_Health_&_Wellness_Medicaid | All_Plans | $257.50 | ↓ -70% |
| Highmark_Wholecare_Gateway_Medicaid | All_Plans | $257.50 | ↓ -70% |
| Amerihealth_Caritas_Medicaid | All_Plans | $292.52 | ↓ -66% |
| UPMC | UPMC_For_Kids | $637.20 | ↓ -25% |
| Aetna | All_Plans | $713.66 | ↓ -16% |
| Cigna | All_Plans | $778.34 | ↓ -8% |
| Geisinger | All_Plans | $785.88 | ↓ -8% |
| Cigna | PPO_Plan | $817.21 | ↓ -4% |
| WellSpan_Capital_Blue_Cross | All_Plans | $955.80 | ↑ +13% |
| Health_Partners_Medicaid | All_Other_Plans | $970.00 | ↑ +14% |
| First_Health_Network | All_Plans | $1,008.90 | ↑ +19% |
| United_Healthcare | All_Plans | $1,013.15 | ↑ +19% |
| PA_Health_&_Wellness_Medicare | All_Plans | $1,703.16 | ↑ +100% |
| United_Medicaid | Community_Plan_For_Kids | $1,706.33 | ↑ +101% |
| Blue_Cross_BlueJourney_Medicare | All_Plans | $1,706.33 | ↑ +101% |
| Highmark | All_Other_Plans | $1,706.33 | ↑ +101% |
| Jefferson_Health_Medicare_Advantage | All_Plans | $1,706.33 | ↑ +101% |
| Highmark_Medicare | All_Plans | $1,723.39 | ↑ +103% |
| Aetna_Advantra_Medicare | All_Plans | $1,757.52 | ↑ +107% |
| Aetna_Medicare | All_Plans | $1,757.52 | ↑ +107% |
| Devoted_Medicare | All_Plans | $1,791.65 | ↑ +111% |
| United_Medicare | ISNP_DSNP_Plans | $1,791.65 | ↑ +111% |
| Highmark_Wholecare_Gateway_Medicare | All_Plans | $1,799.32 | ↑ +112% |
| Amerihealth_Medicare | All_Plans | $1,800.18 | ↑ +112% |
| Geisinger_Gold_Medicare | All_Plans | $2,132.91 | ↑ +151% |
| Highmark | Higmark_Healthy_Kids | $2,610.68 | ↑ +207% |
| Health_Partners_Medicaid | Kidz_Partners | $2,815.44 | ↑ +231% |
| Highmark | My_Direct_Blue | $5,755.79 | ↑ +577% |
| Highmark | Shared_Cost_Blue_PPO | $5,755.79 | ↑ +577% |
| Aetna_Better_Health_Kids | All_Plans | $5,801.52 | ↑ +583% |
| Highmark | Blue_Cross_High_Performance_Network | $6,548.89 | ↑ +671% |
| Highmark | Choice_Blue_PPO | $6,548.89 | ↑ +671% |
| Highmark | Performance_Blue | $6,548.89 | ↑ +671% |
Visitor-reported prices
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Treat humerus fracture at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $2,425.80 | $206.00 – $3,234.40 |
| UPMC Bedford | Everett | $3,013.20 | $216.30 – $4,519.80 |
| UPMC Carlisle | Carlisle | $2,055.00 | $261.62 – $2,911.25 |
| UPMC Cole | Coudersport | $1,950.60 | $216.30 – $1,436.00 |
| UPMC Community Osteopathic | Harrisburg | $2,055.00 | $261.62 – $2,911.25 |
| UPMC Hamot | Erie | $3,037.80 | $226.60 – $2,219.16 |
| UPMC Northwest | Seneca | $2,848.80 | $226.60 – $1,602.09 |
| UPMC Hanover | Hanover | $2,055.00 | $261.62 – $2,446.19 |