Angioplasty/iliac/init ves/unilat 37220 at WellSpan Good Samaritan Hospital
252 S. 4th St., Lebanon, PA · Wellspan · · NPI 1407928500
$5,580.00
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.
$6,975.00
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.
$437.68 with UPMC_Medicaid vs $26,645.50 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 →
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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 |
|---|---|---|---|
| UPMC_Medicaid | All_Plans | $437.68 | ↓ -92% |
| Health_Partners_Medicaid | All_Other_Plans | $437.68 | ↓ -92% |
| Geisinger_Medicaid | All_Plans | $437.68 | ↓ -92% |
| Highmark_Wholecare_Gateway_Medicaid | All_Plans | $437.68 | ↓ -92% |
| PA_Health_&_Wellness_Medicaid | All_Plans | $437.68 | ↓ -92% |
| Amerihealth_Caritas_Medicaid | All_Plans | $497.20 | ↓ -91% |
| 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% |
| Blue_Cross_BlueJourney_Medicare | All_Plans | $5,632.08 | ↑ +1% |
| Highmark_Medicare | All_Plans | $5,688.40 | ↑ +2% |
| Aetna_Advantra_Medicare | All_Plans | $5,801.04 | ↑ +4% |
| Aetna_Medicare | All_Plans | $5,801.04 | ↑ +4% |
| United_Medicare | ISNP_DSNP_Plans | $5,913.68 | ↑ +6% |
| Devoted_Medicare | All_Plans | $5,913.68 | ↑ +6% |
| Geisinger_Gold_Medicare | All_Plans | $5,913.68 | ↑ +6% |
| Highmark_Wholecare_Gateway_Medicare | All_Plans | $5,939.03 | ↑ +6% |
| UPMC_Medicare | UPMC_for_Life_Complete_Care | $5,941.84 | ↑ +6% |
| UPMC_Medicare | UPMC_for_Life_Community_HealthChoices | $5,941.84 | ↑ +6% |
| Amerihealth_Medicare | All_Plans | $5,941.84 | ↑ +6% |
| PA_Health_&_Wellness_Medicare | All_Plans | $6,082.65 | ↑ +9% |
| Jefferson_Health_Medicare_Advantage | All_Plans | $6,082.65 | ↑ +9% |
| Aetna_Better_Health_Kids | All_Plans | $6,420.00 | ↑ +15% |
| United_Healthcare | All_Plans | $6,542.55 | ↑ +17% |
| Highmark | Higmark_Healthy_Kids | $8,729.72 | ↑ +56% |
| Health_Partners_Medicaid | Kidz_Partners | $9,292.93 | ↑ +67% |
| United_Medicaid | Community_Plan_For_Kids | $9,856.14 | ↑ +77% |
| Blue_Cross | Capital_Blue_Performance_PPO | $16,056.00 | ↑ +188% |
| Highmark | Performance_Blue | $17,035.35 | ↑ +205% |
| Highmark | Choice_Blue_PPO | $17,035.35 | ↑ +205% |
| Highmark | Blue_Cross_High_Performance_Network | $17,035.35 | ↑ +205% |
| Blue_Cross | Capital_Blue_Cross_Healthy_Benefits_PPO | $17,155.20 | ↑ +207% |
| Highmark | All_Other_Plans | $20,524.99 | ↑ +268% |
| Blue_Cross | All_Other_Plans | $21,444.00 | ↑ +284% |
| Blue_Cross | Capital_Cares_4_kids | $26,645.50 | ↑ +378% |
Visitor-reported prices
Comments
Angioplasty/iliac/init ves/unilat 37220 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $13,437.00 | $4,666.70 – $17,916.00 |
| UPMC Carlisle | Carlisle | $16,320.60 | $1,016.56 – $23,120.85 |
| UPMC Community Osteopathic | Harrisburg | $16,320.60 | $1,016.56 – $23,120.85 |
| UPMC East | Monroeville | $23,799.00 | $4,666.70 – $31,732.00 |
| UPMC Hamot | Erie | $11,991.00 | $385.15 – $7,905.86 |
| UPMC Northwest | Seneca | $20,309.40 | $4,666.70 – $5,870.58 |
| UPMC Hanover | Hanover | $16,320.60 | $1,016.56 – $11,394.15 |
| UPMC Jameson | New Castle | $8,013.00 | $892.40 – $7,338.22 |