Antibody id rbc panel 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

$1,403.20

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.

$1,754.00

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.

$10.56 with Health_Partners_Medicaid vs $1,566.32 with First_Health_Network — 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 $10.56 ↓ -99%
Highmark_Wholecare_Gateway_Medicaid All_Plans $10.56 ↓ -99%
PA_Health_&_Wellness_Medicaid All_Plans $10.56 ↓ -99%
Geisinger_Medicaid All_Plans $10.56 ↓ -99%
UPMC_Medicaid All_Plans $10.56 ↓ -99%
Amerihealth_Caritas_Medicaid All_Plans $12.00 ↓ -99%
Aetna_Better_Health_Kids All_Plans $28.73 ↓ -98%
Blue_Cross Capital_Blue_Performance_PPO $91.08 ↓ -94%
Blue_Cross_BlueJourney_Medicare All_Plans $355.34 ↓ -75%
Highmark_Medicare All_Plans $358.89 ↓ -74%
Aetna_Advantra_Medicare All_Plans $366.00 ↓ -74%
Aetna_Medicare All_Plans $366.00 ↓ -74%
Devoted_Medicare All_Plans $373.11 ↓ -73%
Geisinger_Gold_Medicare All_Plans $373.11 ↓ -73%
United_Medicare ISNP_DSNP_Plans $373.11 ↓ -73%
Highmark_Wholecare_Gateway_Medicare All_Plans $374.71 ↓ -73%
Amerihealth_Medicare All_Plans $374.88 ↓ -73%
UPMC_Medicare UPMC_for_Life_Community_HealthChoices $374.88 ↓ -73%
UPMC_Medicare UPMC_for_Life_Complete_Care $374.88 ↓ -73%
Jefferson_Health_Medicare_Advantage All_Plans $383.77 ↓ -73%
PA_Health_&_Wellness_Medicare All_Plans $383.77 ↓ -73%
Highmark Higmark_Healthy_Kids $550.78 ↓ -61%
Health_Partners_Medicaid Kidz_Partners $586.31 ↓ -58%
United_Medicaid Community_Plan_For_Kids $621.85 ↓ -56%
Blue_Cross Capital_Cares_4_kids $717.21 ↓ -49%
Blue_Cross Capital_Blue_Cross_Healthy_Benefits_PPO $819.64 ↓ -42%
Blue_Cross All_Other_Plans $1,024.51 ↓ -27%
United_Healthcare All_Plans $1,027.44 ↓ -27%
WellSpan_Capital_Blue_Cross All_Plans $1,052.40 ↓ -25%
UPMC Employees_And_Dependents $1,052.40 ↓ -25%
UPMC UPMC_For_Kids $1,052.40 ↓ -25%
Geisinger All_Plans $1,052.40 ↓ -25%
Highmark Blue_Cross_High_Performance_Network $1,074.80 ↓ -23%
Highmark Performance_Blue $1,074.80 ↓ -23%
Highmark Choice_Blue_PPO $1,074.80 ↓ -23%
Highmark All_Other_Plans $1,294.97 ↓ -8%
PHC All_Plans $1,403.20 ↑ +0%
Aetna All_Plans $1,424.25 ↑ +2%
Cigna All_Plans $1,463.89 ↑ +4%
First_Health_Network All_Plans $1,566.32 ↑ +12%

Visitor-reported prices

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Antibody id rbc panel at other Pennsylvania hospitals

Hospital City Cash price Negotiated range
UPMC Altoona Altoona $229.80 $8.45 – $306.40
UPMC Bedford Everett $133.20 $8.45 – $199.80
UPMC Carlisle Carlisle $403.20 $8.45 – $571.20
UPMC Cole Coudersport $103.80 $8.87 – $138.40
UPMC Community Osteopathic Harrisburg $403.20 $8.45 – $571.20
UPMC East Monroeville $223.20 $8.45 – $360.10
UPMC Hamot Erie $367.20 $8.45 – $427.47
UPMC Northwest Seneca $129.60 $9.29 – $360.10

All Pennsylvania hospitals for this procedure →