Binder abdominal lg 12 x 62-74 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

$80.80

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.

$101.00

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.

$36.56 with Health_Partners_Medicaid vs $133.24 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 →

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
Health_Partners_Medicaid All_Other_Plans $36.56 ↓ -55%
Blue_Cross_BlueJourney_Medicare All_Plans $36.56 ↓ -55%
Highmark_Medicare All_Plans $36.93 ↓ -54%
Aetna_Advantra_Medicare All_Plans $37.66 ↓ -53%
Aetna_Medicare All_Plans $37.66 ↓ -53%
Devoted_Medicare All_Plans $38.39 ↓ -52%
Geisinger_Gold_Medicare All_Plans $38.39 ↓ -52%
United_Medicare ISNP_DSNP_Plans $38.39 ↓ -52%
Highmark_Wholecare_Gateway_Medicare All_Plans $38.55 ↓ -52%
Amerihealth_Medicare All_Plans $38.57 ↓ -52%
UPMC_Medicare UPMC_for_Life_Complete_Care $38.57 ↓ -52%
UPMC_Medicare UPMC_for_Life_Community_HealthChoices $38.57 ↓ -52%
Jefferson_Health_Medicare_Advantage All_Plans $39.48 ↓ -51%
PA_Health_&_Wellness_Medicare All_Plans $39.48 ↓ -51%
Blue_Cross Capital_Cares_4_kids $41.30 ↓ -49%
Highmark_Wholecare_Gateway_Medicaid All_Plans $43.28 ↓ -46%
Blue_Cross Capital_Blue_Cross_Healthy_Benefits_PPO $47.20 ↓ -42%
Highmark Higmark_Healthy_Kids $56.67 ↓ -30%
Blue_Cross All_Other_Plans $58.99 ↓ -27%
Health_Partners_Medicaid Kidz_Partners $60.32 ↓ -25%
WellSpan_Capital_Blue_Cross All_Plans $60.60 ↓ -25%
UPMC Employees_And_Dependents $60.60 ↓ -25%
UPMC UPMC_For_Kids $60.60 ↓ -25%
Geisinger All_Plans $60.60 ↓ -25%
United_Medicaid Community_Plan_For_Kids $63.98 ↓ -21%
Cigna All_Plans $64.46 ↓ -20%
PHC All_Plans $80.80 ↑ +0%
Aetna All_Plans $82.01 ↑ +1%
First_Health_Network All_Plans $90.19 ↑ +12%
United_Healthcare All_Plans $94.74 ↑ +17%
Highmark Blue_Cross_High_Performance_Network $110.58 ↑ +37%
Highmark Choice_Blue_PPO $110.58 ↑ +37%
Highmark Performance_Blue $110.58 ↑ +37%
Highmark All_Other_Plans $133.24 ↑ +65%

Visitor-reported prices

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Binder abdominal lg 12 x 62-74 at other Pennsylvania hospitals

Hospital City Cash price Negotiated range
WellSpan Chambersburg Hospital Chambersburg $80.80 $36.56 – $162.63
WellSpan Ephrata Community Hospital Ephrata $80.80 $36.56 – $117.71
WellSpan Surgery & Rehabilitation Hospital York PA 17403 $80.80 $36.56 – $117.71
WellSpan Waynesboro Hospital Waynesboro $80.80 $36.56 – $124.30
WellSpan Gettysburg Hospital Gettysburg $80.80 $36.56 – $117.71

All Pennsylvania hospitals for this procedure →