Antihemophilic factor-vwf 250 unit-600 unit intravenous solution 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

$6.80

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.

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

$8.50

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.

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The hospital's undiscounted list price — almost no one pays this.

$1.13 with Blue_Cross vs $5.43 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.

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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
Blue_Cross Capital_Cares_4_kids $1.13 ↓ -83%
Blue_Cross Capital_Blue_Cross_Healthy_Benefits_PPO $1.30 ↓ -81%
Blue_Cross_BlueJourney_Medicare All_Plans $1.49 ↓ -78%
Amerihealth_Caritas_Medicaid All_Plans $1.49 ↓ -78%
Geisinger_Medicaid All_Plans $1.49 ↓ -78%
Highmark_Wholecare_Gateway_Medicaid All_Plans $1.49 ↓ -78%
Health_Partners_Medicaid All_Other_Plans $1.49 ↓ -78%
Highmark_Medicare All_Plans $1.50 ↓ -78%
Aetna_Medicare All_Plans $1.53 ↓ -78%
Aetna_Advantra_Medicare All_Plans $1.53 ↓ -78%
UPMC_Medicaid All_Plans $1.54 ↓ -77%
Geisinger_Gold_Medicare All_Plans $1.56 ↓ -77%
Devoted_Medicare All_Plans $1.56 ↓ -77%
United_Medicare ISNP_DSNP_Plans $1.56 ↓ -77%
Amerihealth_Medicare All_Plans $1.57 ↓ -77%
UPMC_Medicare UPMC_for_Life_Complete_Care $1.57 ↓ -77%
UPMC_Medicare UPMC_for_Life_Community_HealthChoices $1.57 ↓ -77%
Highmark_Wholecare_Gateway_Medicare All_Plans $1.57 ↓ -77%
PA_Health_&_Wellness_Medicare All_Plans $1.61 ↓ -76%
Jefferson_Health_Medicare_Advantage All_Plans $1.61 ↓ -76%
Blue_Cross Capital_Blue_Performance_PPO $1.62 ↓ -76%
Blue_Cross All_Other_Plans $1.62 ↓ -76%
WellSpan_Capital_Blue_Cross All_Plans $1.76 ↓ -74%
Highmark Higmark_Healthy_Kids $2.31 ↓ -66%
Health_Partners_Medicaid Kidz_Partners $2.46 ↓ -64%
United_Medicaid Community_Plan_For_Kids $2.61 ↓ -62%
Geisinger All_Plans $4.05 ↓ -40%
UPMC Employees_And_Dependents $4.05 ↓ -40%
UPMC UPMC_For_Kids $4.05 ↓ -40%
Highmark Blue_Cross_High_Performance_Network $4.51 ↓ -34%
Highmark Performance_Blue $4.51 ↓ -34%
Highmark Choice_Blue_PPO $4.51 ↓ -34%
Aetna All_Plans $4.53 ↓ -33%
United_Healthcare All_Plans $4.77 ↓ -30%
First_Health_Network All_Plans $4.99 ↓ -27%
Cigna All_Plans $5.08 ↓ -25%
PHC All_Plans $5.40 ↓ -21%
Highmark All_Other_Plans $5.43 ↓ -20%

Visitor-reported prices

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Antihemophilic factor-vwf 250 unit-600 unit intravenous solution at other Pennsylvania hospitals

Hospital City Cash price Negotiated range
UPMC Altoona Altoona $4.60 $0.94 – $4.00
UPMC East Monroeville $12.00 $0.94 – $12.00
UPMC Hamot Erie $7.00 $0.94 – $1.77
UPMC Northwest Seneca $15.20 $0.94 – $1.61
UPMC Horizon-Greenville Greenville $12.00 $0.94 – $2.80
UPMC Jameson New Castle $12.00 $0.94 – $1.86
UPMC Magee Pittsburgh $30.60 $0.94 – $1.78
UPMC Mercy Pittsburgh $15.20 $0.94 – $1.77

All Pennsylvania hospitals for this procedure →