App high cost ss t/a/l >100sq cm 1st 100sq cm at WellSpan Good Samaritan Hospital
252 S. 4th St., Lebanon, PA · Wellspan · · NPI 1407928500
$845.60
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.
$1,057.00
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.
$205.93 with Highmark_Wholecare_Gateway_Medicaid vs $13,179.17 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 →
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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 |
|---|---|---|---|
| Highmark_Wholecare_Gateway_Medicaid | All_Plans | $205.93 | ↓ -76% |
| Aetna | All_Plans | $591.92 | ↓ -30% |
| UPMC | UPMC_For_Kids | $634.20 | ↓ -25% |
| Geisinger | All_Plans | $634.20 | ↓ -25% |
| WellSpan_Capital_Blue_Cross | All_Plans | $634.20 | ↓ -25% |
| UPMC | Employees_And_Dependents | $634.20 | ↓ -25% |
| First_Health_Network | All_Plans | $651.11 | ↓ -23% |
| Cigna | All_Plans | $674.58 | ↓ -20% |
| PHC | All_Plans | $845.60 | ↑ +0% |
| United_Healthcare | All_Plans | $991.47 | ↑ +17% |
| Blue_Cross | Capital_Cares_4_kids | $2,448.60 | ↑ +190% |
| Blue_Cross | Capital_Blue_Performance_PPO | $2,571.00 | ↑ +204% |
| Blue_Cross | Capital_Blue_Cross_Healthy_Benefits_PPO | $2,745.60 | ↑ +225% |
| Blue_Cross | All_Other_Plans | $3,432.00 | ↑ +306% |
| Blue_Cross_BlueJourney_Medicare | All_Plans | $3,616.38 | ↑ +328% |
| Health_Partners_Medicaid | All_Other_Plans | $3,616.38 | ↑ +328% |
| Highmark_Medicare | All_Plans | $3,652.54 | ↑ +332% |
| Aetna_Medicare | All_Plans | $3,724.87 | ↑ +341% |
| Aetna_Advantra_Medicare | All_Plans | $3,724.87 | ↑ +341% |
| Geisinger_Gold_Medicare | All_Plans | $3,797.20 | ↑ +349% |
| Devoted_Medicare | All_Plans | $3,797.20 | ↑ +349% |
| United_Medicare | ISNP_DSNP_Plans | $3,797.20 | ↑ +349% |
| Highmark_Wholecare_Gateway_Medicare | All_Plans | $3,813.47 | ↑ +351% |
| Amerihealth_Medicare | All_Plans | $3,815.28 | ↑ +351% |
| UPMC_Medicare | UPMC_for_Life_Community_HealthChoices | $3,815.28 | ↑ +351% |
| UPMC_Medicare | UPMC_for_Life_Complete_Care | $3,815.28 | ↑ +351% |
| Jefferson_Health_Medicare_Advantage | All_Plans | $3,905.69 | ↑ +362% |
| PA_Health_&_Wellness_Medicare | All_Plans | $3,905.69 | ↑ +362% |
| Highmark | Higmark_Healthy_Kids | $5,605.39 | ↑ +563% |
| Health_Partners_Medicaid | Kidz_Partners | $5,967.03 | ↑ +606% |
| United_Medicaid | Community_Plan_For_Kids | $6,328.67 | ↑ +648% |
| Highmark | Blue_Cross_High_Performance_Network | $10,938.46 | ↑ +1194% |
| Highmark | Performance_Blue | $10,938.46 | ↑ +1194% |
| Highmark | Choice_Blue_PPO | $10,938.46 | ↑ +1194% |
| Highmark | All_Other_Plans | $13,179.17 | ↑ +1459% |
Visitor-reported prices
Comments
App high cost ss t/a/l >100sq cm 1st 100sq cm at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $4,513.80 | $440.44 – $6,394.55 |
| UPMC Hamot | Erie | $2,618.40 | $420.87 – $5,076.39 |
| UPMC Hanover | Hanover | $4,513.80 | $440.44 – $5,595.71 |
| UPMC Horizon-Greenville | Greenville | $3,868.20 | $420.87 – $3,769.52 |
| UPMC Jameson | New Castle | $3,441.60 | $420.87 – $4,711.90 |
| UPMC Lititz | Lititz | $4,513.80 | $440.44 – $5,625.95 |
| UPMC Magee | Pittsburgh | $3,461.40 | $420.87 – $3,839.33 |
| UPMC McKeesport | Mckeesport | $3,120.60 | $369.97 – $3,839.33 |