Administration chemotherapy subcutaneous/im anti neoplastic non hormonal 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

$496.00

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.

$620.00

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.

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

$62.79 with Health_Partners_Medicaid vs $1,298.25 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
Health_Partners_Medicaid All_Other_Plans $62.79 ↓ -87%
Geisinger_Medicaid All_Plans $62.79 ↓ -87%
UPMC_Medicaid All_Plans $62.79 ↓ -87%
PA_Health_&_Wellness_Medicaid All_Plans $62.79 ↓ -87%
Highmark_Wholecare_Gateway_Medicaid All_Plans $62.79 ↓ -87%
Blue_Cross_BlueJourney_Medicare All_Plans $70.30 ↓ -86%
Highmark_Medicare All_Plans $71.00 ↓ -86%
Amerihealth_Caritas_Medicaid All_Plans $71.33 ↓ -86%
Aetna_Medicare All_Plans $72.41 ↓ -85%
Aetna_Advantra_Medicare All_Plans $72.41 ↓ -85%
Devoted_Medicare All_Plans $73.82 ↓ -85%
United_Medicare ISNP_DSNP_Plans $73.82 ↓ -85%
Geisinger_Gold_Medicare All_Plans $73.82 ↓ -85%
Highmark_Wholecare_Gateway_Medicare All_Plans $74.13 ↓ -85%
UPMC_Medicare UPMC_for_Life_Complete_Care $74.17 ↓ -85%
Amerihealth_Medicare All_Plans $74.17 ↓ -85%
UPMC_Medicare UPMC_for_Life_Community_HealthChoices $74.17 ↓ -85%
Jefferson_Health_Medicare_Advantage All_Plans $75.92 ↓ -85%
PA_Health_&_Wellness_Medicare All_Plans $75.92 ↓ -85%
Highmark Higmark_Healthy_Kids $108.97 ↓ -78%
Health_Partners_Medicaid Kidz_Partners $116.00 ↓ -77%
United_Medicaid Community_Plan_For_Kids $123.03 ↓ -75%
Aetna_Better_Health_Kids All_Plans $170.78 ↓ -66%
Highmark Choice_Blue_PPO $212.64 ↓ -57%
Highmark Performance_Blue $212.64 ↓ -57%
Highmark Blue_Cross_High_Performance_Network $212.64 ↓ -57%
Blue_Cross Capital_Cares_4_kids $253.52 ↓ -49%
Highmark All_Other_Plans $256.19 ↓ -48%
Blue_Cross Capital_Blue_Cross_Healthy_Benefits_PPO $289.73 ↓ -42%
Blue_Cross All_Other_Plans $362.14 ↓ -27%
WellSpan_Capital_Blue_Cross All_Plans $372.00 ↓ -25%
UPMC Employees_And_Dependents $372.00 ↓ -25%
UPMC UPMC_For_Kids $372.00 ↓ -25%
Geisinger All_Plans $372.00 ↓ -25%
Cigna All_Plans $395.68 ↓ -20%
PHC All_Plans $496.00 ↑ +0%
Aetna All_Plans $503.44 ↑ +2%
First_Health_Network All_Plans $553.66 ↑ +12%
United_Healthcare All_Plans $581.56 ↑ +17%
Blue_Cross Capital_Blue_Performance_PPO $1,298.25 ↑ +162%

Visitor-reported prices

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Administration chemotherapy subcutaneous/im anti neoplastic non hormonal at other Pennsylvania hospitals

Hospital City Cash price Negotiated range
UPMC Altoona Altoona $211.80 $50.23 – $282.40
UPMC Carlisle Carlisle $285.00 $63.79 – $403.75
UPMC Cole Coudersport $292.80 $52.74 – $390.40
UPMC Community Osteopathic Harrisburg $285.00 $63.79 – $403.75
UPMC East Monroeville $505.20 $55.25 – $673.60
UPMC Hamot Erie $139.80 $48.26 – $101.67
UPMC Northwest Seneca $388.80 $55.25 – $101.67
UPMC Hanover Hanover $285.00 $63.79 – $108.78

All Pennsylvania hospitals for this procedure →