Vital capacity test at WellSpan Waynesboro Hospital
501 E. Main St., Waynesboro, PA · Wellspan · · NPI 1821091059
$210.40
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.
$263.00
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.
$4.20 with UPMC_Medicare vs $640.22 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 | $4.20 | ↓ -98% |
| UPMC_Medicare | UPMC_for_Life_Complete_Care | $4.20 | ↓ -98% |
| UPMC_Medicaid | All_Plans | $4.22 | ↓ -98% |
| Highmark_Wholecare_Gateway_Medicaid | All_Plans | $5.00 | ↓ -98% |
| Geisinger_Medicaid | All_Plans | $5.00 | ↓ -98% |
| PA_Health_&_Wellness_Medicaid | All_Plans | $5.00 | ↓ -98% |
| Amerihealth_Caritas_Medicaid | All_Plans | $5.68 | ↓ -97% |
| UPMC | UPMC_For_Kids | $157.80 | ↓ -25% |
| PA_Health_&_Wellness_Medicare | All_Plans | $166.50 | ↓ -21% |
| Jefferson_Health_Medicare_Advantage | All_Plans | $166.81 | ↓ -21% |
| United_Medicaid | Community_Plan_For_Kids | $166.81 | ↓ -21% |
| Blue_Cross_BlueJourney_Medicare | All_Plans | $166.81 | ↓ -21% |
| Highmark | All_Other_Plans | $166.81 | ↓ -21% |
| Highmark_Medicare | All_Plans | $168.48 | ↓ -20% |
| Aetna_Medicare | All_Plans | $171.81 | ↓ -18% |
| Aetna_Advantra_Medicare | All_Plans | $171.81 | ↓ -18% |
| Devoted_Medicare | All_Plans | $175.15 | ↓ -17% |
| United_Medicare | ISNP_DSNP_Plans | $175.15 | ↓ -17% |
| Highmark_Wholecare_Gateway_Medicare | All_Plans | $175.90 | ↓ -16% |
| Amerihealth_Medicare | All_Plans | $175.98 | ↓ -16% |
| Aetna | All_Plans | $176.74 | ↓ -16% |
| Cigna | All_Plans | $192.75 | ↓ -8% |
| Geisinger | All_Plans | $194.62 | ↓ -8% |
| Cigna | PPO_Plan | $202.38 | ↓ -4% |
| Geisinger_Gold_Medicare | All_Plans | $208.51 | ↓ -1% |
| WellSpan_Capital_Blue_Cross | All_Plans | $236.70 | ↑ +13% |
| First_Health_Network | All_Plans | $249.85 | ↑ +19% |
| United_Healthcare | All_Plans | $250.90 | ↑ +19% |
| Highmark | Higmark_Healthy_Kids | $255.22 | ↑ +21% |
| Health_Partners_Medicaid | Kidz_Partners | $275.24 | ↑ +31% |
| Health_Partners_Medicaid | All_Other_Plans | $413.76 | ↑ +97% |
| Highmark | Shared_Cost_Blue_PPO | $562.68 | ↑ +167% |
| Highmark | My_Direct_Blue | $562.68 | ↑ +167% |
| Aetna_Better_Health_Kids | All_Plans | $567.15 | ↑ +170% |
| Highmark | Performance_Blue | $640.22 | ↑ +204% |
| Highmark | Choice_Blue_PPO | $640.22 | ↑ +204% |
| Highmark | Blue_Cross_High_Performance_Network | $640.22 | ↑ +204% |
Visitor-reported prices
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Vital capacity test at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $350.40 | $3.14 – $496.40 |
| UPMC Cole | Coudersport | $64.80 | $4.20 – $86.40 |
| UPMC Community Osteopathic | Harrisburg | $350.40 | $3.14 – $280.50 |
| UPMC Hanover | Hanover | $350.40 | $3.14 – $239.15 |
| UPMC Kane | Kane | $134.40 | $4.40 – $85.93 |
| UPMC Lititz | Lititz | $350.40 | $3.14 – $240.43 |
| UPMC Memorial | York | $350.40 | $3.14 – $240.05 |
| UPMC Somerset | Somerset | $350.40 | $2.76 – $149.17 |