Antibody screen rbc 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

$240.80

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.

Full explanation →

What you pay up front if you don't use insurance.

$301.00

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 $251.21 with Cigna — 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 ↓ -96%
Geisinger_Medicaid All_Plans $10.56 ↓ -96%
UPMC_Medicaid All_Plans $10.56 ↓ -96%
PA_Health_&_Wellness_Medicaid All_Plans $10.56 ↓ -96%
Highmark_Wholecare_Gateway_Medicaid All_Plans $10.56 ↓ -96%
Amerihealth_Caritas_Medicaid All_Plans $12.00 ↓ -95%
Aetna_Better_Health_Kids All_Plans $28.73 ↓ -88%
United_Healthcare All_Plans $29.31 ↓ -88%
Aetna All_Plans $40.35 ↓ -83%
First_Health_Network All_Plans $44.36 ↓ -82%
Blue_Cross_BlueJourney_Medicare All_Plans $52.78 ↓ -78%
Highmark_Medicare All_Plans $53.31 ↓ -78%
Aetna_Medicare All_Plans $54.36 ↓ -77%
Aetna_Advantra_Medicare All_Plans $54.36 ↓ -77%
Devoted_Medicare All_Plans $55.42 ↓ -77%
Geisinger_Gold_Medicare All_Plans $55.42 ↓ -77%
United_Medicare ISNP_DSNP_Plans $55.42 ↓ -77%
Highmark_Wholecare_Gateway_Medicare All_Plans $55.66 ↓ -77%
UPMC_Medicare UPMC_for_Life_Community_HealthChoices $55.68 ↓ -77%
Amerihealth_Medicare All_Plans $55.68 ↓ -77%
UPMC_Medicare UPMC_for_Life_Complete_Care $55.68 ↓ -77%
PA_Health_&_Wellness_Medicare All_Plans $57.00 ↓ -76%
Jefferson_Health_Medicare_Advantage All_Plans $57.00 ↓ -76%
Highmark Higmark_Healthy_Kids $81.81 ↓ -66%
Blue_Cross Capital_Blue_Performance_PPO $84.31 ↓ -65%
Health_Partners_Medicaid Kidz_Partners $87.09 ↓ -64%
United_Medicaid Community_Plan_For_Kids $92.37 ↓ -62%
Blue_Cross Capital_Cares_4_kids $123.08 ↓ -49%
Blue_Cross Capital_Blue_Cross_Healthy_Benefits_PPO $140.66 ↓ -42%
Highmark Choice_Blue_PPO $159.64 ↓ -34%
Highmark Blue_Cross_High_Performance_Network $159.64 ↓ -34%
Highmark Performance_Blue $159.64 ↓ -34%
Blue_Cross All_Other_Plans $175.81 ↓ -27%
UPMC UPMC_For_Kids $180.60 ↓ -25%
Geisinger All_Plans $180.60 ↓ -25%
UPMC Employees_And_Dependents $180.60 ↓ -25%
WellSpan_Capital_Blue_Cross All_Plans $180.60 ↓ -25%
Highmark All_Other_Plans $192.35 ↓ -20%
PHC All_Plans $240.80 ↑ +0%
Cigna All_Plans $251.21 ↑ +4%

Visitor-reported prices

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Antibody screen rbc at other Pennsylvania hospitals

Hospital City Cash price Negotiated range
UPMC Altoona Altoona $70.80 $8.45 – $94.40
UPMC Bedford Everett $55.20 $3.53 – $82.80
UPMC Carlisle Carlisle $70.20 $8.45 – $99.45
UPMC Community Osteopathic Harrisburg $70.20 $8.45 – $83.30
UPMC East Monroeville $70.20 $8.45 – $93.60
UPMC Hamot Erie $104.40 $8.45 – $73.45
UPMC Northwest Seneca $54.00 $8.86 – $10.55
UPMC Hanover Hanover $70.20 $8.45 – $15.63

All Pennsylvania hospitals for this procedure →