App high cost ss t/a/l <100sq cm addl <25sq cm at WellSpan Good Samaritan Hospital
252 S. 4th St., Lebanon, PA · Wellspan · · NPI 1407928500
$213.60
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.
$267.00
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.
$17.11 with Highmark_Wholecare_Gateway_Medicaid vs $2,402.40 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 |
|---|---|---|---|
| Highmark_Wholecare_Gateway_Medicaid | All_Plans | $17.11 | ↓ -92% |
| Aetna | All_Plans | $149.52 | ↓ -30% |
| UPMC | UPMC_For_Kids | $160.20 | ↓ -25% |
| Geisinger | All_Plans | $160.20 | ↓ -25% |
| WellSpan_Capital_Blue_Cross | All_Plans | $160.20 | ↓ -25% |
| UPMC | Employees_And_Dependents | $160.20 | ↓ -25% |
| First_Health_Network | All_Plans | $164.47 | ↓ -23% |
| Cigna | All_Plans | $170.40 | ↓ -20% |
| PHC | All_Plans | $213.60 | ↑ +0% |
| United_Healthcare | All_Plans | $250.45 | ↑ +17% |
| Blue_Cross | Capital_Blue_Performance_PPO | $1,209.00 | ↑ +466% |
| Blue_Cross | Capital_Blue_Cross_Healthy_Benefits_PPO | $1,292.80 | ↑ +505% |
| Blue_Cross | All_Other_Plans | $1,616.00 | ↑ +657% |
| Blue_Cross | Capital_Cares_4_kids | $2,402.40 | ↑ +1025% |
Visitor-reported prices
Comments
App high cost ss t/a/l <100sq cm addl <25sq cm at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $1,472.40 | $38.50 – $1,963.20 |
| UPMC Carlisle | Carlisle | $372.00 | $17.93 – $527.00 |
| UPMC Hamot | Erie | $168.60 | $38.50 – $529.86 |
| UPMC Hanover | Hanover | $372.00 | $17.93 – $426.78 |
| UPMC Horizon-Greenville | Greenville | $345.00 | $38.50 – $231.51 |
| UPMC Jameson | New Castle | $345.00 | $15.37 – $426.78 |
| UPMC Lititz | Lititz | $372.00 | $15.37 – $426.78 |
| UPMC McKeesport | Mckeesport | $384.00 | $16.91 – $153.12 |