Ablation cardiac vagal inputs atrium at WellSpan Good Samaritan Hospital

252 S. 4th St., Lebanon, PA · Wellspan · · NPI 1407928500

Source: hospital's published price file ↗ · Published Jan 1, 2026 · Ingested Sep 17, 2026

$14,685.60

Cash price

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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.

$18,357.00

Gross charge

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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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$154.55 with Blue_Cross_BlueJourney_Medicare vs $16,309.00 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 →

Payer
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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
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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 $154.55 ↓ -99%
Highmark_Medicare All_Plans $156.10 ↓ -99%
Health_Partners_Medicaid All_Other_Plans $156.46 ↓ -99%
Aetna_Medicare All_Plans $159.19 ↓ -99%
Aetna_Advantra_Medicare All_Plans $159.19 ↓ -99%
United_Medicare ISNP_DSNP_Plans $162.28 ↓ -99%
Geisinger_Gold_Medicare All_Plans $162.28 ↓ -99%
Devoted_Medicare All_Plans $162.28 ↓ -99%
Highmark_Wholecare_Gateway_Medicare All_Plans $162.97 ↓ -99%
UPMC_Medicare UPMC_for_Life_Complete_Care $163.05 ↓ -99%
Amerihealth_Medicare All_Plans $163.05 ↓ -99%
UPMC_Medicare UPMC_for_Life_Community_HealthChoices $163.05 ↓ -99%
PA_Health_&_Wellness_Medicare All_Plans $166.91 ↓ -99%
Jefferson_Health_Medicare_Advantage All_Plans $166.91 ↓ -99%
Highmark Higmark_Healthy_Kids $239.55 ↓ -98%
Health_Partners_Medicaid Kidz_Partners $255.01 ↓ -98%
United_Medicaid Community_Plan_For_Kids $270.46 ↓ -98%
Aetna_Better_Health_Kids All_Plans $453.24 ↓ -97%
Highmark Performance_Blue $467.47 ↓ -97%
Highmark Choice_Blue_PPO $467.47 ↓ -97%
Highmark Blue_Cross_High_Performance_Network $467.47 ↓ -97%
Highmark All_Other_Plans $563.23 ↓ -96%
Aetna All_Plans $1,410.08 ↓ -90%
WellSpan_Capital_Blue_Cross All_Plans $1,510.80 ↓ -90%
UPMC Employees_And_Dependents $1,510.80 ↓ -90%
UPMC UPMC_For_Kids $1,510.80 ↓ -90%
Geisinger All_Plans $1,510.80 ↓ -90%
First_Health_Network All_Plans $1,551.09 ↓ -89%
Cigna All_Plans $1,606.99 ↓ -89%
PHC All_Plans $2,014.40 ↓ -86%
United_Healthcare All_Plans $2,361.88 ↓ -84%
Blue_Cross Capital_Cares_4_kids $11,416.30 ↓ -22%
Blue_Cross Capital_Blue_Performance_PPO $12,211.00 ↓ -17%
Blue_Cross Capital_Blue_Cross_Healthy_Benefits_PPO $13,047.20 ↓ -11%
Blue_Cross All_Other_Plans $16,309.00 ↑ +11%

Visitor-reported prices

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Ablation cardiac vagal inputs atrium at other Pennsylvania hospitals

Hospital City Cash price Negotiated range
UPMC Altoona Altoona $293.40 $34.89 – $391.20
UPMC Carlisle Carlisle $1,960.80 $34.89 – $2,777.80
UPMC Community Osteopathic Harrisburg $1,960.80 $34.89 – $399.50
UPMC Hamot Erie $454.20 $0.04 – $185.93
UPMC Hanover Hanover $1,960.80 $34.89 – $239.15
UPMC Lititz Lititz $1,960.80 $34.89 – $240.43
UPMC Memorial York $1,960.80 $34.89 – $496.96
UPMC Passavant-McCandless Pittsburgh $265.80 $50.63 – $164.09

All Pennsylvania hospitals for this procedure →