Angio balloon ctrl dialysis seg add-on at WellSpan Good Samaritan Hospital
252 S. 4th St., Lebanon, PA · Wellspan · · NPI 1407928500
$15,871.20
Cash price 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.
$19,839.00
Gross charge 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.
$127.98 with Highmark_Wholecare_Gateway_Medicaid vs $18,608.98 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 →
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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 ?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 ?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 | $127.98 | ↓ -99% |
| UPMC_Medicaid | All_Plans | $127.98 | ↓ -99% |
| PA_Health_&_Wellness_Medicaid | All_Plans | $127.98 | ↓ -99% |
| Geisinger_Medicaid | All_Plans | $127.98 | ↓ -99% |
| Health_Partners_Medicaid | All_Other_Plans | $127.98 | ↓ -99% |
| Amerihealth_Caritas_Medicaid | All_Plans | $145.38 | ↓ -99% |
| Aetna_Better_Health_Kids | All_Plans | $348.09 | ↓ -98% |
| Blue_Cross | Capital_Cares_4_kids | $8,112.17 | ↓ -49% |
| Blue_Cross | Capital_Blue_Cross_Healthy_Benefits_PPO | $9,270.76 | ↓ -42% |
| Aetna | All_Plans | $11,109.84 | ↓ -30% |
| Blue_Cross | All_Other_Plans | $11,587.96 | ↓ -27% |
| WellSpan_Capital_Blue_Cross | All_Plans | $11,903.40 | ↓ -25% |
| Geisinger | All_Plans | $11,903.40 | ↓ -25% |
| UPMC | UPMC_For_Kids | $11,903.40 | ↓ -25% |
| UPMC | Employees_And_Dependents | $11,903.40 | ↓ -25% |
| First_Health_Network | All_Plans | $12,220.82 | ↓ -23% |
| Cigna | All_Plans | $12,661.25 | ↓ -20% |
| PHC | All_Plans | $15,871.20 | ↑ +0% |
| United_Healthcare | All_Plans | $18,608.98 | ↑ +17% |
Visitor-reported prices
Comments
Angio balloon ctrl dialysis seg add-on at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $11,247.60 | $102.38 – $14,996.80 |
| UPMC Carlisle | Carlisle | $3,240.60 | $130.02 – $4,590.85 |
| UPMC Community Osteopathic | Harrisburg | $3,240.60 | $130.02 – $4,590.85 |
| UPMC East | Monroeville | $10,360.20 | $112.62 – $13,813.60 |
| UPMC Hamot | Erie | $6,459.00 | $112.62 – $916.67 |
| UPMC Northwest | Seneca | $11,788.80 | $112.62 – $1,172.35 |
| UPMC Hanover | Hanover | $3,240.60 | $130.02 – $959.30 |
| UPMC Lititz | Lititz | $3,240.60 | $130.02 – $959.30 |