Azithromycin 500 mg 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

$25.40

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.

$31.75

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.

Full explanation →

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

$1.55 with Blue_Cross vs $25.00 with PHC — 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 →

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 $1.55 ↓ -94%
Blue_Cross Capital_Blue_Cross_Healthy_Benefits_PPO $1.77 ↓ -93%
Highmark_Wholecare_Gateway_Medicaid All_Plans $2.04 ↓ -92%
Health_Partners_Medicaid All_Other_Plans $2.04 ↓ -92%
Geisinger_Medicaid All_Plans $2.04 ↓ -92%
Amerihealth_Caritas_Medicaid All_Plans $2.04 ↓ -92%
Blue_Cross All_Other_Plans $2.21 ↓ -91%
Blue_Cross Capital_Blue_Performance_PPO $2.21 ↓ -91%
UPMC_Medicaid All_Plans $2.71 ↓ -89%
Aetna All_Plans $6.19 ↓ -76%
First_Health_Network All_Plans $6.81 ↓ -73%
Cigna All_Plans $7.77 ↓ -69%
United_Healthcare All_Plans $8.35 ↓ -67%
Geisinger All_Plans $18.75 ↓ -26%
UPMC UPMC_For_Kids $18.75 ↓ -26%
UPMC Employees_And_Dependents $18.75 ↓ -26%
WellSpan_Capital_Blue_Cross All_Plans $19.05 ↓ -25%
PHC All_Plans $25.00 ↓ -2%

Visitor-reported prices

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Azithromycin 500 mg intravenous solution at other Pennsylvania hospitals

Hospital City Cash price Negotiated range
UPMC Altoona Altoona $20.40 $1.29 – $41.86
UPMC Bedford Everett $136.00 $1.29 – $153.00
UPMC Carlisle Carlisle $6.00 $0.14 – $3.67
UPMC Cole Coudersport $7.20 $2.04 – $9.60
UPMC Community Osteopathic Harrisburg $6.00 $0.20 – $69.70
UPMC East Monroeville $249.60 $1.29 – $249.60
UPMC Hamot Erie $313.60 $1.29 – $7.08
UPMC Northwest Seneca $319.20 $1.29 – $108.64

All Pennsylvania hospitals for this procedure →