Urine Culture Test at WellSpan Waynesboro Hospital
501 E. Main St., Waynesboro, PA · Wellspan · · NPI 1821091059
$25.00
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.
$60.00
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.
$8.07 with Blue_Cross_BlueJourney_Medicare vs $76.12 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 |
|---|---|---|---|
| Blue_Cross_BlueJourney_Medicare | All_Plans | $8.07 | ↓ -68% |
| Highmark_Medicare | All_Plans | $8.15 | ↓ -67% |
| Aetna_Medicare | All_Plans | $8.31 | ↓ -67% |
| Aetna_Advantra_Medicare | All_Plans | $8.31 | ↓ -67% |
| UPMC_Medicare | UPMC_for_Life_Community_HealthChoices | $8.40 | ↓ -66% |
| UPMC_Medicare | UPMC_for_Life_Complete_Care | $8.40 | ↓ -66% |
| UPMC_Medicaid | All_Plans | $8.44 | ↓ -66% |
| Devoted_Medicare | All_Plans | $8.47 | ↓ -66% |
| United_Medicare | ISNP_DSNP_Plans | $8.47 | ↓ -66% |
| Highmark_Wholecare_Gateway_Medicare | All_Plans | $8.51 | ↓ -66% |
| Amerihealth_Medicare | All_Plans | $8.51 | ↓ -66% |
| PA_Health_&_Wellness_Medicare | All_Plans | $8.72 | ↓ -65% |
| Jefferson_Health_Medicare_Advantage | All_Plans | $8.72 | ↓ -65% |
| Geisinger_Medicaid | All_Plans | $10.00 | ↓ -60% |
| PA_Health_&_Wellness_Medicaid | All_Plans | $10.00 | ↓ -60% |
| Highmark_Wholecare_Gateway_Medicaid | All_Plans | $10.00 | ↓ -60% |
| Geisinger_Gold_Medicare | All_Plans | $10.09 | ↓ -60% |
| Amerihealth_Caritas_Medicaid | All_Plans | $11.36 | ↓ -55% |
| Highmark | Higmark_Healthy_Kids | $12.35 | ↓ -51% |
| Health_Partners_Medicaid | Kidz_Partners | $13.32 | ↓ -47% |
| United_Medicaid | Community_Plan_For_Kids | $14.12 | ↓ -44% |
| United_Healthcare | All_Plans | $24.21 | ↓ -3% |
| WellSpan_Capital_Blue_Cross | All_Plans | $26.00 | ↑ +4% |
| Highmark | My_Direct_Blue | $27.22 | ↑ +9% |
| Highmark | Shared_Cost_Blue_PPO | $27.22 | ↑ +9% |
| Aetna_Better_Health_Kids | All_Plans | $27.44 | ↑ +10% |
| Highmark | Performance_Blue | $30.97 | ↑ +24% |
| Highmark | Blue_Cross_High_Performance_Network | $30.97 | ↑ +24% |
| Highmark | Choice_Blue_PPO | $30.97 | ↑ +24% |
| Aetna | All_Plans | $33.33 | ↑ +33% |
| Highmark | All_Other_Plans | $34.80 | ↑ +39% |
| Health_Partners_Medicaid | All_Other_Plans | $35.95 | ↑ +44% |
| UPMC | UPMC_For_Kids | $36.00 | ↑ +44% |
| Cigna | All_Plans | $43.97 | ↑ +76% |
| Geisinger | All_Plans | $44.40 | ↑ +78% |
| Cigna | PPO_Plan | $46.17 | ↑ +85% |
| Blue_Cross | Capital_Cares_4_kids | $53.28 | ↑ +113% |
| First_Health_Network | All_Plans | $57.00 | ↑ +128% |
| Blue_Cross | All_Other_Plans | $76.12 | ↑ +204% |
Visitor-reported prices
Comments
Urine Culture Test at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $103.20 | $7.98 – $137.60 |
| UPMC Bedford | Everett | $58.80 | $2.91 – $88.20 |
| UPMC Carlisle | Carlisle | $45.00 | $7.99 – $63.75 |
| UPMC Cole | Coudersport | $57.60 | $5.25 – $76.80 |
| UPMC Community Osteopathic | Harrisburg | $45.00 | $7.99 – $63.75 |
| UPMC East | Monroeville | $118.20 | $7.98 – $157.60 |
| UPMC Hamot | Erie | $62.40 | $7.98 – $15.39 |
| UPMC Northwest | Seneca | $84.60 | $7.32 – $9.20 |