Urinalysis (with microscopy) at WellSpan Waynesboro Hospital
501 E. Main St., Waynesboro, PA · Wellspan · · NPI 1821091059
$10.00
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.
$24.00
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.
$3.15 with UPMC_Medicare vs $29.89 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_Medicare | UPMC_for_Life_Complete_Care | $3.15 | ↓ -69% |
| UPMC_Medicare | UPMC_for_Life_Community_HealthChoices | $3.15 | ↓ -69% |
| UPMC_Medicaid | All_Plans | $3.17 | ↓ -68% |
| Blue_Cross_BlueJourney_Medicare | All_Plans | $3.17 | ↓ -68% |
| Highmark_Medicare | All_Plans | $3.20 | ↓ -68% |
| Aetna_Advantra_Medicare | All_Plans | $3.27 | ↓ -67% |
| Aetna_Medicare | All_Plans | $3.27 | ↓ -67% |
| United_Medicare | ISNP_DSNP_Plans | $3.33 | ↓ -67% |
| Devoted_Medicare | All_Plans | $3.33 | ↓ -67% |
| Amerihealth_Medicare | All_Plans | $3.34 | ↓ -67% |
| Highmark_Wholecare_Gateway_Medicare | All_Plans | $3.34 | ↓ -67% |
| PA_Health_&_Wellness_Medicare | All_Plans | $3.42 | ↓ -66% |
| Jefferson_Health_Medicare_Advantage | All_Plans | $3.42 | ↓ -66% |
| Geisinger_Medicaid | All_Plans | $3.75 | ↓ -63% |
| PA_Health_&_Wellness_Medicaid | All_Plans | $3.75 | ↓ -63% |
| Highmark_Wholecare_Gateway_Medicaid | All_Plans | $3.75 | ↓ -63% |
| Geisinger_Gold_Medicare | All_Plans | $3.96 | ↓ -60% |
| Amerihealth_Caritas_Medicaid | All_Plans | $4.26 | ↓ -57% |
| Highmark | Higmark_Healthy_Kids | $4.85 | ↓ -52% |
| Health_Partners_Medicaid | Kidz_Partners | $5.23 | ↓ -48% |
| United_Medicaid | Community_Plan_For_Kids | $5.55 | ↓ -45% |
| United_Healthcare | All_Plans | $9.51 | ↓ -5% |
| WellSpan_Capital_Blue_Cross | All_Plans | $10.00 | ↑ +0% |
| Highmark | My_Direct_Blue | $10.69 | ↑ +7% |
| Highmark | Shared_Cost_Blue_PPO | $10.69 | ↑ +7% |
| Aetna_Better_Health_Kids | All_Plans | $10.78 | ↑ +8% |
| Highmark | Blue_Cross_High_Performance_Network | $12.17 | ↑ +22% |
| Highmark | Choice_Blue_PPO | $12.17 | ↑ +22% |
| Highmark | Performance_Blue | $12.17 | ↑ +22% |
| Aetna | All_Plans | $13.09 | ↑ +31% |
| Highmark | All_Other_Plans | $13.67 | ↑ +37% |
| UPMC | UPMC_For_Kids | $14.40 | ↑ +44% |
| Cigna | All_Plans | $17.59 | ↑ +76% |
| Geisinger | All_Plans | $17.76 | ↑ +78% |
| Cigna | PPO_Plan | $18.47 | ↑ +85% |
| Blue_Cross | Capital_Cares_4_kids | $20.92 | ↑ +109% |
| First_Health_Network | All_Plans | $22.80 | ↑ +128% |
| Blue_Cross | All_Other_Plans | $29.89 | ↑ +199% |
Visitor-reported prices
Comments
Urinalysis (with microscopy) at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $48.00 | $3.00 – $64.00 |
| UPMC Bedford | Everett | $33.00 | $1.14 – $49.50 |
| UPMC Carlisle | Carlisle | $23.40 | $3.00 – $33.15 |
| UPMC Cole | Coudersport | $34.20 | $2.06 – $45.60 |
| UPMC Community Osteopathic | Harrisburg | $23.40 | $3.00 – $28.05 |
| UPMC East | Monroeville | $64.80 | $3.00 – $86.40 |
| UPMC Hamot | Erie | $134.40 | $3.00 – $8.40 |
| UPMC Northwest | Seneca | $36.00 | $2.87 – $3.45 |