Actigraphy testing 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

$244.80

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.

$306.00

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.

$44.55 with Highmark_Wholecare_Gateway_Medicaid vs $287.03 with United_Healthcare — 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
Highmark_Wholecare_Gateway_Medicaid All_Plans $44.55 ↓ -82%
Aetna_Better_Health_Kids All_Plans $55.08 ↓ -78%
Health_Partners_Medicaid All_Other_Plans $58.68 ↓ -76%
Blue_Cross_BlueJourney_Medicare All_Plans $58.68 ↓ -76%
Highmark_Medicare All_Plans $59.27 ↓ -76%
Aetna_Advantra_Medicare All_Plans $60.44 ↓ -75%
Aetna_Medicare All_Plans $60.44 ↓ -75%
United_Medicare ISNP_DSNP_Plans $61.61 ↓ -75%
Geisinger_Gold_Medicare All_Plans $61.61 ↓ -75%
Devoted_Medicare All_Plans $61.61 ↓ -75%
Highmark_Wholecare_Gateway_Medicare All_Plans $61.88 ↓ -75%
Amerihealth_Medicare All_Plans $61.91 ↓ -75%
UPMC_Medicare UPMC_for_Life_Community_HealthChoices $61.91 ↓ -75%
UPMC_Medicare UPMC_for_Life_Complete_Care $61.91 ↓ -75%
Jefferson_Health_Medicare_Advantage All_Plans $63.37 ↓ -74%
PA_Health_&_Wellness_Medicare All_Plans $63.37 ↓ -74%
Highmark Higmark_Healthy_Kids $90.95 ↓ -63%
Health_Partners_Medicaid Kidz_Partners $96.82 ↓ -60%
United_Medicaid Community_Plan_For_Kids $102.69 ↓ -58%
Blue_Cross Capital_Cares_4_kids $125.12 ↓ -49%
Blue_Cross Capital_Blue_Cross_Healthy_Benefits_PPO $142.99 ↓ -42%
Highmark Choice_Blue_PPO $177.49 ↓ -27%
Highmark Blue_Cross_High_Performance_Network $177.49 ↓ -27%
Highmark Performance_Blue $177.49 ↓ -27%
Blue_Cross All_Other_Plans $178.73 ↓ -27%
Cigna All_Plans $180.26 ↓ -26%
WellSpan_Capital_Blue_Cross All_Plans $183.60 ↓ -25%
UPMC Employees_And_Dependents $183.60 ↓ -25%
UPMC UPMC_For_Kids $183.60 ↓ -25%
Geisinger All_Plans $183.60 ↓ -25%
Highmark All_Other_Plans $213.85 ↓ -13%
PHC All_Plans $244.80 ↑ +0%
Aetna All_Plans $248.47 ↑ +1%
First_Health_Network All_Plans $273.26 ↑ +12%
United_Healthcare All_Plans $287.03 ↑ +17%

Visitor-reported prices

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Actigraphy testing at other Pennsylvania hospitals

Hospital City Cash price Negotiated range
UPMC Carlisle Carlisle $245.40 $31.25 – $347.65
UPMC Hanover Hanover $245.40 $45.93 – $287.06
UPMC Lititz Lititz $245.40 $45.93 – $287.06
UPMC Memorial York $245.40 $45.93 – $287.06
UPMC Passavant-McCandless Pittsburgh $728.40 $52.63 – $119.74

All Pennsylvania hospitals for this procedure →