Angio tib/peroneal/init ves/unila 37228 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

$5,580.00

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.

$6,975.00

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.

$589.13 with UPMC_Medicaid vs $40,825.05 with Highmark — 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
UPMC_Medicaid All_Plans $589.13 ↓ -89%
Health_Partners_Medicaid All_Other_Plans $589.13 ↓ -89%
Geisinger_Medicaid All_Plans $589.13 ↓ -89%
Highmark_Wholecare_Gateway_Medicaid All_Plans $589.13 ↓ -89%
PA_Health_&_Wellness_Medicaid All_Plans $589.13 ↓ -89%
Amerihealth_Caritas_Medicaid All_Plans $669.25 ↓ -88%
Aetna All_Plans $3,906.00 ↓ -30%
WellSpan_Capital_Blue_Cross All_Plans $4,185.00 ↓ -25%
UPMC Employees_And_Dependents $4,185.00 ↓ -25%
UPMC UPMC_For_Kids $4,185.00 ↓ -25%
Geisinger All_Plans $4,185.00 ↓ -25%
First_Health_Network All_Plans $4,296.60 ↓ -23%
Cigna All_Plans $4,451.45 ↓ -20%
PHC All_Plans $5,580.00 ↑ +0%
Aetna_Better_Health_Kids All_Plans $6,420.00 ↑ +15%
United_Healthcare All_Plans $6,542.55 ↑ +17%
Blue_Cross_BlueJourney_Medicare All_Plans $11,202.44 ↑ +101%
Highmark_Medicare All_Plans $11,314.46 ↑ +103%
Aetna_Advantra_Medicare All_Plans $11,538.51 ↑ +107%
Aetna_Medicare All_Plans $11,538.51 ↑ +107%
United_Medicare ISNP_DSNP_Plans $11,762.56 ↑ +111%
Devoted_Medicare All_Plans $11,762.56 ↑ +111%
Geisinger_Gold_Medicare All_Plans $11,762.56 ↑ +111%
Highmark_Wholecare_Gateway_Medicare All_Plans $11,812.97 ↑ +112%
UPMC_Medicare UPMC_for_Life_Complete_Care $11,818.57 ↑ +112%
Amerihealth_Medicare All_Plans $11,818.57 ↑ +112%
UPMC_Medicare UPMC_for_Life_Community_HealthChoices $11,818.57 ↑ +112%
PA_Health_&_Wellness_Medicare All_Plans $12,098.64 ↑ +117%
Jefferson_Health_Medicare_Advantage All_Plans $12,098.64 ↑ +117%
Blue_Cross Capital_Blue_Performance_PPO $16,056.00 ↑ +188%
Blue_Cross Capital_Blue_Cross_Healthy_Benefits_PPO $17,155.20 ↑ +207%
Highmark Higmark_Healthy_Kids $17,363.78 ↑ +211%
Health_Partners_Medicaid Kidz_Partners $18,484.03 ↑ +231%
United_Medicaid Community_Plan_For_Kids $19,604.27 ↑ +251%
Blue_Cross All_Other_Plans $21,444.00 ↑ +284%
Blue_Cross Capital_Cares_4_kids $26,645.50 ↑ +378%
Highmark Blue_Cross_High_Performance_Network $33,884.02 ↑ +507%
Highmark Choice_Blue_PPO $33,884.02 ↑ +507%
Highmark Performance_Blue $33,884.02 ↑ +507%
Highmark All_Other_Plans $40,825.05 ↑ +632%

Visitor-reported prices

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Angio tib/peroneal/init ves/unila 37228 at other Pennsylvania hospitals

Hospital City Cash price Negotiated range
UPMC Altoona Altoona $21,133.20 $7,969.78 – $28,177.60
UPMC Carlisle Carlisle $17,281.80 $1,016.56 – $24,482.55
UPMC Community Osteopathic Harrisburg $17,281.80 $1,016.56 – $24,482.55
UPMC East Monroeville $40,644.00 $7,969.78 – $54,192.00
UPMC Hamot Erie $20,479.20 $518.43 – $15,725.10
UPMC Northwest Seneca $37,266.60 $7,969.78 – $11,676.82
UPMC Hanover Hanover $17,281.80 $1,016.56 – $18,211.70
UPMC Jameson New Castle $17,079.00 $892.40 – $14,596.02

All Pennsylvania hospitals for this procedure →