Application skin substitute graft face/scalp/neck/genit/hnd/ft <100 sq cm 1st 25 sq cm at WellSpan Good Samaritan Hospital
252 S. 4th St., Lebanon, PA · Wellspan · · NPI 1407928500
$1,904.80
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.
$2,381.00
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.
$100.55 with Highmark_Wholecare_Gateway_Medicaid vs $6,585.07 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 | $100.55 | ↓ -95% |
| UPMC_Medicaid | All_Plans | $970.00 | ↓ -49% |
| Health_Partners_Medicaid | All_Other_Plans | $970.00 | ↓ -49% |
| Geisinger_Medicaid | All_Plans | $970.00 | ↓ -49% |
| PA_Health_&_Wellness_Medicaid | All_Plans | $970.00 | ↓ -49% |
| Amerihealth_Caritas_Medicaid | All_Plans | $1,101.92 | ↓ -42% |
| Aetna | All_Plans | $1,333.36 | ↓ -30% |
| WellSpan_Capital_Blue_Cross | All_Plans | $1,428.60 | ↓ -25% |
| UPMC | Employees_And_Dependents | $1,428.60 | ↓ -25% |
| UPMC | UPMC_For_Kids | $1,428.60 | ↓ -25% |
| Geisinger | All_Plans | $1,428.60 | ↓ -25% |
| First_Health_Network | All_Plans | $1,466.70 | ↓ -23% |
| Cigna | All_Plans | $1,519.55 | ↓ -20% |
| Blue_Cross_BlueJourney_Medicare | All_Plans | $1,806.95 | ↓ -5% |
| Highmark_Medicare | All_Plans | $1,825.02 | ↓ -4% |
| Aetna_Advantra_Medicare | All_Plans | $1,861.16 | ↓ -2% |
| Aetna_Medicare | All_Plans | $1,861.16 | ↓ -2% |
| United_Medicare | ISNP_DSNP_Plans | $1,897.30 | ↓ -0% |
| Geisinger_Gold_Medicare | All_Plans | $1,897.30 | ↓ -0% |
| Devoted_Medicare | All_Plans | $1,897.30 | ↓ -0% |
| PHC | All_Plans | $1,904.80 | ↑ +0% |
| Highmark_Wholecare_Gateway_Medicare | All_Plans | $1,905.43 | ↑ +0% |
| Amerihealth_Medicare | All_Plans | $1,906.33 | ↑ +0% |
| UPMC_Medicare | UPMC_for_Life_Complete_Care | $1,906.33 | ↑ +0% |
| UPMC_Medicare | UPMC_for_Life_Community_HealthChoices | $1,906.33 | ↑ +0% |
| PA_Health_&_Wellness_Medicare | All_Plans | $1,951.51 | ↑ +2% |
| Jefferson_Health_Medicare_Advantage | All_Plans | $1,951.51 | ↑ +2% |
| United_Healthcare | All_Plans | $2,233.38 | ↑ +17% |
| Blue_Cross | Capital_Cares_4_kids | $2,402.40 | ↑ +26% |
| Blue_Cross | Capital_Blue_Performance_PPO | $2,571.00 | ↑ +35% |
| Blue_Cross | Capital_Blue_Cross_Healthy_Benefits_PPO | $2,745.60 | ↑ +44% |
| Highmark | Higmark_Healthy_Kids | $2,800.77 | ↑ +47% |
| Health_Partners_Medicaid | Kidz_Partners | $2,981.47 | ↑ +57% |
| United_Medicaid | Community_Plan_For_Kids | $3,162.16 | ↑ +66% |
| Blue_Cross | All_Other_Plans | $3,432.00 | ↑ +80% |
| Highmark | Performance_Blue | $5,465.48 | ↑ +187% |
| Highmark | Blue_Cross_High_Performance_Network | $5,465.48 | ↑ +187% |
| Highmark | Choice_Blue_PPO | $5,465.48 | ↑ +187% |
| Aetna_Better_Health_Kids | All_Plans | $6,420.00 | ↑ +237% |
| Highmark | All_Other_Plans | $6,585.07 | ↑ +246% |
Visitor-reported prices
Comments
Application skin substitute graft face/scalp/neck/genit/hnd/ft <100 sq cm 1st 25 sq cm at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $1,279.80 | $219.71 – $1,883.47 |
| UPMC Carlisle | Carlisle | $2,460.00 | $229.93 – $3,485.00 |
| UPMC Cole | Coudersport | $900.60 | $88.70 – $1,041.88 |
| UPMC Hamot | Erie | $2,425.80 | $219.71 – $2,536.45 |
| UPMC Northwest | Seneca | $2,992.20 | $219.71 – $1,401.85 |
| UPMC Hanover | Hanover | $2,460.00 | $229.93 – $2,795.94 |
| UPMC Horizon-Greenville | Greenville | $1,325.40 | $219.71 – $1,883.47 |
| UPMC Jameson | New Castle | $1,325.40 | $219.71 – $2,354.33 |