Whfo w/joint(s) custom fab at WellSpan Waynesboro Hospital
501 E. Main St., Waynesboro, PA · Wellspan · · NPI 1821091059
$587.20
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.
?
What you pay up front if you don't use insurance.
$734.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$28.13 with Health_Partners_Medicaid vs $2,096.51 with Highmark — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 |
|---|---|---|---|
| Health_Partners_Medicaid | All_Other_Plans | $28.13 | ↓ -95% |
| Highmark_Wholecare_Gateway_Medicaid | All_Plans | $338.80 | ↓ -42% |
| UPMC | UPMC_For_Kids | $440.40 | ↓ -25% |
| Blue_Cross_BlueJourney_Medicare | All_Plans | $486.17 | ↓ -17% |
| Highmark_Medicare | All_Plans | $491.03 | ↓ -16% |
| Aetna | All_Plans | $493.25 | ↓ -16% |
| Aetna_Medicare | All_Plans | $500.76 | ↓ -15% |
| Aetna_Advantra_Medicare | All_Plans | $500.76 | ↓ -15% |
| United_Medicare | ISNP_DSNP_Plans | $510.48 | ↓ -13% |
| Devoted_Medicare | All_Plans | $510.48 | ↓ -13% |
| Highmark_Wholecare_Gateway_Medicare | All_Plans | $512.67 | ↓ -13% |
| Amerihealth_Medicare | All_Plans | $512.91 | ↓ -13% |
| PA_Health_&_Wellness_Medicare | All_Plans | $525.06 | ↓ -11% |
| Jefferson_Health_Medicare_Advantage | All_Plans | $525.06 | ↓ -11% |
| Cigna | All_Plans | $537.95 | ↓ -8% |
| Geisinger | All_Plans | $543.16 | ↓ -8% |
| Cigna | PPO_Plan | $564.81 | ↓ -4% |
| Geisinger_Gold_Medicare | All_Plans | $607.71 | ↑ +3% |
| WellSpan_Capital_Blue_Cross | All_Plans | $660.60 | ↑ +13% |
| First_Health_Network | All_Plans | $697.30 | ↑ +19% |
| United_Healthcare | All_Plans | $700.24 | ↑ +19% |
| Highmark | Higmark_Healthy_Kids | $743.84 | ↑ +27% |
| Health_Partners_Medicaid | Kidz_Partners | $802.18 | ↑ +37% |
| United_Medicaid | Community_Plan_For_Kids | $850.80 | ↑ +45% |
| Highmark | My_Direct_Blue | $1,639.95 | ↑ +179% |
| Highmark | Shared_Cost_Blue_PPO | $1,639.95 | ↑ +179% |
| Aetna_Better_Health_Kids | All_Plans | $1,652.98 | ↑ +182% |
| Highmark | Choice_Blue_PPO | $1,865.92 | ↑ +218% |
| Highmark | Blue_Cross_High_Performance_Network | $1,865.92 | ↑ +218% |
| Highmark | Performance_Blue | $1,865.92 | ↑ +218% |
| Highmark | All_Other_Plans | $2,096.51 | ↑ +257% |
Visitor-reported prices
Comments
Whfo w/joint(s) custom fab at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Cole | Coudersport | $270.00 | $85.50 – $360.00 |
| WellSpan Chambersburg Hospital | Chambersburg | $587.20 | $338.80 – $2,162.63 |
| WellSpan Good Samaritan Hospital | Lebanon | $587.20 | $338.80 – $850.80 |
| WellSpan Gettysburg Hospital | Gettysburg | $587.20 | $338.80 – $921.54 |