Summit Health · Waynesboro, PA
29
In-network payers
206
Disclosed rate categories
57
Beds
5
Care quality
Wellspan Waynesboro Hospital is a 57-bed voluntary non-profit - private hospital in Waynesboro, PA, affiliated with Summit Health. Below you'll find publicly disclosed negotiated rates and facility details, including 29 in-network payers and 206 disclosed rate categories.
CCN (Medicare provider number)
390138
NPI
1821091059
Type
Short Term Acute Care Hospital
Ownership
Voluntary Non-Profit - Private
Beds
57
Care Quality
5
Insurance acceptance may vary by specific plan, network status, and services required. Contact your insurance provider or the hospital's billing department to confirm coverage details.
The 24 services Wellspan Waynesboro Hospital most likely performs, ranked by likely volume and what it is paid. Each service names one insurer. * marks hidden insurer names; A, B and C rank the remaining rates from low to high and reset for each service.
Book a demo to see hidden insurer names, more payer rates, and hospital data.
Childbirth · Inpatient
MS-DRG 807
$9,138 - $16,388
from 2 insurers · median $12,763
CMS lists this service as CPT 59400, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 807, so these are facility case rates.
Hospital reports neonatal nursery services to CMS
Childbirth · Inpatient
MS-DRG 788
$13,192 - $17,920
from 2 insurers · median $15,556
CMS lists this service as CPT 59510, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 788, so these are facility case rates.
Hospital reports neonatal nursery services to CMS
CT imaging
CPT 74177
$1,529 - $3,057
from 4 insurers · median $1,933
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 47562
$13,587 - $23,339
from 2 insurers · median $18,463
16 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Digestive procedures
CPT 49650
$13,570 - $25,701
from 2 insurers · median $19,636
16 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Medicine & Surgery · Inpatient
MS-DRG 460
$85,171 - $122,328
from 2 insurers · median $103,749
Hospital reports orthopedic surgery services to CMS
Cardiology and vascular testing
CPT 93306
$1,645 - $3,751
from 4 insurers · median $2,604
Common here, based on CMS Medicare volume
CT imaging
CPT 70450
$602 - $1,417
from 4 insurers · median $1,187
Common here, based on CMS Medicare volume
Gynecology
CPT 58571
$37,741 - $39,683
from 2 insurers · median $38,712
Typical for a hospital with this service line
Childbirth · Inpatient
MS-DRG 807
$9,138 - $16,388
from 2 insurers · median $12,763
CMS lists this service as CPT 59610, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 807, so these are facility case rates.
Hospital reports neonatal nursery services to CMS
Digestive procedures
CPT 47563
$16,897 - $26,421
from 2 insurers · median $21,659
16 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Digestive procedures
CPT 45385
$3,429 - $4,662
from 2 insurers · median $4,046
Common here, based on CMS Medicare volume
Medicine & Surgery · Inpatient
MS-DRG 473
$53,644 - $87,060
from 2 insurers · median $70,352
Hospital reports orthopedic surgery services to CMS
Digestive procedures
CPT 43239
$2,491 - $17,846
from 3 insurers · median $3,656
Common here, based on CMS Medicare volume
Mammography
CPT 77067
$183 - $572
from 4 insurers · median $434
Common here, based on CMS Medicare volume
CT imaging
CPT 74176
$886 - $1,636
from 4 insurers · median $1,484
Common here, based on CMS Medicare volume
MRI imaging
CPT 70553
$2,107 - $3,530
from 4 insurers · median $3,127
Common here, based on CMS Medicare volume
CT imaging
CPT 71275
$1,007 - $1,972
from 4 insurers · median $1,888
Common here, based on CMS Medicare volume
Nuclear imaging
CPT 78452
$1,835 - $7,779
from 4 insurers · median $5,306
Common here, based on CMS Medicare volume
Medicine & Surgery · Inpatient
MS-DRG 470
$35,954 - $41,669
from 2 insurers · median $38,811
Hospital reports orthopedic surgery services to CMS
X-ray and bone density
CPT 71046
$115 - $498
from 4 insurers · median $304
Common here, based on CMS Medicare volume
Gynecology
CPT 58661
$21,150 - $24,873
from 2 insurers · median $23,011
Typical for a hospital with this service line
Medicine & Surgery · Inpatient
MS-DRG 743
$24,939 - $37,115
from 2 insurers · median $31,027
Hospital reports inpatient surgical services to CMS
Gynecology
CPT 58662
$21,150 - $27,563
from 2 insurers · median $24,357
Typical for a hospital with this service line
Median rate as a percent of Medicare across the outpatient services above, and how many services sit above or below the same insurer's median at nearby hospitals. * marks hidden insurer names. These table labels track the same insurers across services; the labels on each service card reset.
| Insurer | Services | Median % of Medicare | Above nearby | Below nearby |
|---|---|---|---|---|
| Insurer A* | 9 | 671% | 7 | 1 |
| Insurer B* | 17 | 576% | 5 | 1 |
| Insurer C* | 24 | 403% | 16 | 3 |
| Insurer D* | 17 | 342% | 16 | 1 |
How we chose these services: 3 appear in this hospital's own Medicare claims, 11 are common here based on CMS Medicare volume, and 10 are typical for the service lines it reports to CMS. Rates come from insurer and hospital price transparency files as of October 2026. Rates under a quarter of Medicare or over 20 times Medicare are left out as likely physician-fee rows or file errors. Book a demo to see all 300 CMS shoppable services for Wellspan Waynesboro Hospital.
501 East Main Street, Waynesboro, PA 17268
(717) 765-4000
The nearest hospitals of similar type and size. Their rates are compared with Wellspan Waynesboro Hospital for the same insurers and services above.
Wellspan Gettysburg Hospital
▲ Rates typically 12% higher than Wellspan Waynesboro Hospital (20 services)
Upmc Hanover
▼ Rates typically 21% lower than Wellspan Waynesboro Hospital (19 services)
Holy Cross Germantown Hospital
▼ Rates typically 74% lower than Wellspan Waynesboro Hospital (17 services)
Upmc Memorial
▼ Rates typically 35% lower than Wellspan Waynesboro Hospital (21 services)
Upmc Bedford
▼ Rates typically 54% lower than Wellspan Waynesboro Hospital (20 services)
Medstar Montgomery Medical Center
▼ Rates typically 65% lower than Wellspan Waynesboro Hospital (17 services)
The Chambersburg Hospital
Conemaugh Miners Medical Center
Upmc Lititz
Uniontown Hospital
About Wellspan Waynesboro Hospital's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at Wellspan Waynesboro Hospital range from $2,107 to $3,530 across 4 insurers. UnitedHealthcare's rate is $2,107. The median at nearby comparable hospitals is $2,424. What a patient pays depends on their plan's deductible, coinsurance and network status.
For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Wellspan Waynesboro Hospital range from $1,529 to $3,057 across 4 insurers. Aetna's rate is $1,759. The median at nearby comparable hospitals is $1,644. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Colonoscopy with polyp removal (CPT 45385), published negotiated rates at Wellspan Waynesboro Hospital range from $3,429 to $4,662 across 2 insurers. Aetna's rate is $3,429. The median at nearby comparable hospitals is $2,264. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Vaginal delivery, hospital stay (MS-DRG 807), published negotiated rates at Wellspan Waynesboro Hospital range from $9,138 to $16,388 across 2 insurers. UnitedHealthcare's rate is $16,388. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Wellspan Waynesboro Hospital range from $183 to $572 across 4 insurers. Cigna's rate is $347. The median at nearby comparable hospitals is $363. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Major lower-extremity joint replacement without MCC (MS-DRG 470), published negotiated rates at Wellspan Waynesboro Hospital range from $35,954 to $41,669 across 2 insurers. Blue Cross Blue Shield's rate is $35,954. The median at nearby comparable hospitals is $33,164. What a patient pays depends on their plan's deductible, coinsurance and network status.
Wellspan Waynesboro Hospital has 57 beds. Facility type: Short Term Acute Care Hospital.
Wellspan Waynesboro Hospital is located at 501 East Main Street, Waynesboro, PA 17268. Its main phone number is (717) 765-4000.
Wellspan Waynesboro Hospital's CMS Certification Number (CCN), also called its Medicare provider number, is 390138.
The National Provider Identifier (NPI) on file for Wellspan Waynesboro Hospital is 1821091059.
Wellspan Waynesboro Hospital is affiliated with Summit Health.
Wellspan Waynesboro Hospital lists 29 in-network payers, including Aetna, Ameri Health, Aspirus Health Plan, Avera Health Plans, and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.
206 disclosed rate categories. Each shows the payer, category, code type and group with its code range, and contract type, along with how the rate compares with the state average.
Under 45 CFR Part 180, every US hospital must publish a machine-readable file of its standard charges, including gross charges, discounted cash prices and payer-specific negotiated rates, in the CMS template format. PayerPrice can help hospitals publish and maintain these files.
A chargemaster (charge description master, or CDM) is a hospital's master list of billable items, with codes, descriptions and gross charges. A chargemaster review looks at those lines for accuracy and pricing. PayerPrice can help hospitals review their chargemaster; contact us to discuss your needs.
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{
"description": "MRI of brain (no contrast)",
"code_information": [
{ "code": "611", "type": "RC" },
{ "code": "70551", "type": "CPT" }
],
"standard_charges": [{
"setting": "outpatient",
"minimum": 250,
"maximum": 400,
"gross_charge": 1200,
"discounted_cash": 1080,
"payers_information": [
{
"payer_name": "Platform Health Insurance",
"plan_name": "PPO",
"methodology": "fee schedule",
"standard_charge_dollar": 400
},
{
"payer_name": "Region Health Insurance",
"plan_name": "HMO",
"methodology": "fee schedule",
"standard_charge_dollar": 250
}
]
}]
}Your chargemaster sets the gross charge on every claim, and many payer contracts base payment on it through percent-of-charge, lesser-of and stop-loss terms. We audit it line by line and show how your charges and negotiated rates compare with peer hospitals before your next negotiation.
What a review covers