Actinotherapy uv light 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

$169.60

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.

Full explanation →

What you pay up front if you don't use insurance.

$212.00

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.

$38.16 with Aetna_Better_Health_Kids vs $198.86 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
Aetna_Better_Health_Kids All_Plans $38.16 ↓ -78%
Blue_Cross_BlueJourney_Medicare All_Plans $38.77 ↓ -77%
Highmark_Medicare All_Plans $39.16 ↓ -77%
Aetna_Advantra_Medicare All_Plans $39.93 ↓ -76%
Aetna_Medicare All_Plans $39.93 ↓ -76%
United_Medicare ISNP_DSNP_Plans $40.71 ↓ -76%
Geisinger_Gold_Medicare All_Plans $40.71 ↓ -76%
Devoted_Medicare All_Plans $40.71 ↓ -76%
Highmark_Wholecare_Gateway_Medicare All_Plans $40.88 ↓ -76%
Amerihealth_Medicare All_Plans $40.90 ↓ -76%
UPMC_Medicare UPMC_for_Life_Complete_Care $40.90 ↓ -76%
UPMC_Medicare UPMC_for_Life_Community_HealthChoices $40.90 ↓ -76%
PA_Health_&_Wellness_Medicare All_Plans $41.87 ↓ -75%
Jefferson_Health_Medicare_Advantage All_Plans $41.87 ↓ -75%
Highmark Higmark_Healthy_Kids $60.09 ↓ -65%
Health_Partners_Medicaid Kidz_Partners $63.97 ↓ -62%
United_Medicaid Community_Plan_For_Kids $67.85 ↓ -60%
Blue_Cross Capital_Cares_4_kids $86.69 ↓ -49%
Blue_Cross Capital_Blue_Cross_Healthy_Benefits_PPO $99.07 ↓ -42%
Highmark Choice_Blue_PPO $117.27 ↓ -31%
Highmark Blue_Cross_High_Performance_Network $117.27 ↓ -31%
Highmark Performance_Blue $117.27 ↓ -31%
Blue_Cross All_Other_Plans $123.83 ↓ -27%
WellSpan_Capital_Blue_Cross All_Plans $127.20 ↓ -25%
UPMC Employees_And_Dependents $127.20 ↓ -25%
UPMC UPMC_For_Kids $127.20 ↓ -25%
Geisinger All_Plans $127.20 ↓ -25%
Cigna All_Plans $135.30 ↓ -20%
Highmark All_Other_Plans $141.29 ↓ -17%
PHC All_Plans $169.60 ↑ +0%
Aetna All_Plans $172.14 ↑ +1%
First_Health_Network All_Plans $189.32 ↑ +12%
United_Healthcare All_Plans $198.86 ↑ +17%

Visitor-reported prices

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Actinotherapy uv light at other Pennsylvania hospitals

Hospital City Cash price Negotiated range
UPMC Carlisle Carlisle $194.40 $20.65 – $275.40
UPMC Hanover Hanover $194.40 $27.14 – $84.22
UPMC Lititz Lititz $194.40 $27.14 – $84.22
UPMC Memorial York $194.40 $11.01 – $84.22
UPMC Presbyterian Pittsburgh $189.60 $13.64 – $136.18
WellSpan Chambersburg Hospital Chambersburg $184.00 $19.63 – $180.51
WellSpan Ephrata Community Hospital Ephrata $215.20 $19.63 – $66.34
Uniontown Hospital Uniontown $49.50 $16.73 – $75.19

All Pennsylvania hospitals for this procedure →