Aspiration fine needle (fna) biopsy w/ultrasound guidance 1st lesion at WellSpan Good Samaritan Hospital
252 S. 4th St., Lebanon, PA · Wellspan · · NPI 1407928500
$1,326.40
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.
$1,658.00
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.
$74.73 with PA_Health_&_Wellness_Medicaid vs $3,498.00 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 |
|---|---|---|---|
| PA_Health_&_Wellness_Medicaid | All_Plans | $74.73 | ↓ -94% |
| Geisinger_Medicaid | All_Plans | $74.73 | ↓ -94% |
| Health_Partners_Medicaid | All_Other_Plans | $74.73 | ↓ -94% |
| Highmark_Wholecare_Gateway_Medicaid | All_Plans | $74.73 | ↓ -94% |
| UPMC_Medicaid | All_Plans | $74.73 | ↓ -94% |
| Amerihealth_Caritas_Medicaid | All_Plans | $84.89 | ↓ -94% |
| Aetna_Better_Health_Kids | All_Plans | $203.25 | ↓ -85% |
| Blue_Cross_BlueJourney_Medicare | All_Plans | $695.02 | ↓ -48% |
| Highmark_Medicare | All_Plans | $701.97 | ↓ -47% |
| Aetna_Advantra_Medicare | All_Plans | $715.87 | ↓ -46% |
| Aetna_Medicare | All_Plans | $715.87 | ↓ -46% |
| Geisinger_Gold_Medicare | All_Plans | $729.77 | ↓ -45% |
| United_Medicare | ISNP_DSNP_Plans | $729.77 | ↓ -45% |
| Devoted_Medicare | All_Plans | $729.77 | ↓ -45% |
| Highmark_Wholecare_Gateway_Medicare | All_Plans | $732.90 | ↓ -45% |
| UPMC_Medicare | UPMC_for_Life_Complete_Care | $733.25 | ↓ -45% |
| UPMC_Medicare | UPMC_for_Life_Community_HealthChoices | $733.25 | ↓ -45% |
| Amerihealth_Medicare | All_Plans | $733.25 | ↓ -45% |
| Jefferson_Health_Medicare_Advantage | All_Plans | $750.62 | ↓ -43% |
| PA_Health_&_Wellness_Medicare | All_Plans | $750.62 | ↓ -43% |
| Blue_Cross | Capital_Blue_Cross_Healthy_Benefits_PPO | $774.78 | ↓ -42% |
| WellSpan_Capital_Blue_Cross | All_Plans | $994.80 | ↓ -25% |
| UPMC | Employees_And_Dependents | $994.80 | ↓ -25% |
| UPMC | UPMC_For_Kids | $994.80 | ↓ -25% |
| Geisinger | All_Plans | $994.80 | ↓ -25% |
| Cigna | All_Plans | $1,058.14 | ↓ -20% |
| Highmark | Higmark_Healthy_Kids | $1,077.28 | ↓ -19% |
| Health_Partners_Medicaid | Kidz_Partners | $1,146.78 | ↓ -14% |
| United_Medicaid | Community_Plan_For_Kids | $1,216.29 | ↓ -8% |
| PHC | All_Plans | $1,326.40 | ↑ +0% |
| Aetna | All_Plans | $1,346.30 | ↑ +2% |
| First_Health_Network | All_Plans | $1,480.59 | ↑ +12% |
| United_Healthcare | All_Plans | $1,555.20 | ↑ +17% |
| Highmark | Performance_Blue | $2,102.23 | ↑ +58% |
| Highmark | Choice_Blue_PPO | $2,102.23 | ↑ +58% |
| Highmark | Blue_Cross_High_Performance_Network | $2,102.23 | ↑ +58% |
| Blue_Cross | Capital_Cares_4_kids | $2,448.60 | ↑ +85% |
| Highmark | All_Other_Plans | $2,532.86 | ↑ +91% |
| Blue_Cross | Capital_Blue_Performance_PPO | $2,620.00 | ↑ +98% |
| Blue_Cross | All_Other_Plans | $3,498.00 | ↑ +164% |
Visitor-reported prices
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Aspiration fine needle (fna) biopsy w/ultrasound guidance 1st lesion at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $559.20 | $59.78 – $745.60 |
| UPMC Bedford | Everett | $1,597.80 | $62.77 – $2,396.70 |
| UPMC Carlisle | Carlisle | $2,304.60 | $75.92 – $3,264.85 |
| UPMC Cole | Coudersport | $112.20 | $51.84 – $2,325.85 |
| UPMC Community Osteopathic | Harrisburg | $2,304.60 | $80.70 – $3,264.85 |
| UPMC East | Monroeville | $570.60 | $65.76 – $760.80 |
| UPMC Hamot | Erie | $543.60 | $65.76 – $975.61 |
| UPMC Northwest | Seneca | $777.00 | $65.76 – $704.33 |