Blood Clotting (PTT) Test 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

$30.00

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.

$57.00

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.

$6.01 with Blue_Cross_BlueJourney_Medicare vs $85.07 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 →

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_BlueJourney_Medicare All_Plans $6.01 ↓ -80%
Highmark_Medicare All_Plans $6.07 ↓ -80%
Aetna_Medicare All_Plans $6.19 ↓ -79%
Aetna_Advantra_Medicare All_Plans $6.19 ↓ -79%
Geisinger_Gold_Medicare All_Plans $6.31 ↓ -79%
United_Medicare ISNP_DSNP_Plans $6.31 ↓ -79%
Devoted_Medicare All_Plans $6.31 ↓ -79%
Amerihealth_Medicare All_Plans $6.34 ↓ -79%
UPMC_Medicare UPMC_for_Life_Community_HealthChoices $6.34 ↓ -79%
Highmark_Wholecare_Gateway_Medicare All_Plans $6.34 ↓ -79%
UPMC_Medicare UPMC_for_Life_Complete_Care $6.34 ↓ -79%
PA_Health_&_Wellness_Medicare All_Plans $6.49 ↓ -78%
Jefferson_Health_Medicare_Advantage All_Plans $6.49 ↓ -78%
Highmark Higmark_Healthy_Kids $9.32 ↓ -69%
Highmark_Wholecare_Gateway_Medicaid All_Plans $9.38 ↓ -69%
UPMC_Medicaid All_Plans $9.38 ↓ -69%
PA_Health_&_Wellness_Medicaid All_Plans $9.38 ↓ -69%
Geisinger_Medicaid All_Plans $9.38 ↓ -69%
Health_Partners_Medicaid All_Other_Plans $9.38 ↓ -69%
Health_Partners_Medicaid Kidz_Partners $9.92 ↓ -67%
United_Medicaid Community_Plan_For_Kids $10.52 ↓ -65%
Amerihealth_Caritas_Medicaid All_Plans $10.65 ↓ -65%
United_Healthcare All_Plans $18.03 ↓ -40%
Highmark Performance_Blue $18.18 ↓ -39%
Highmark Blue_Cross_High_Performance_Network $18.18 ↓ -39%
Highmark Choice_Blue_PPO $18.18 ↓ -39%
Highmark All_Other_Plans $21.90 ↓ -27%
Aetna All_Plans $24.82 ↓ -17%
Aetna_Better_Health_Kids All_Plans $25.50 ↓ -15%
First_Health_Network All_Plans $27.29 ↓ -9%
Geisinger All_Plans $34.20 ↑ +14%
WellSpan_Capital_Blue_Cross All_Plans $34.20 ↑ +14%
UPMC Employees_And_Dependents $34.20 ↑ +14%
UPMC UPMC_For_Kids $34.20 ↑ +14%
Blue_Cross Capital_Cares_4_kids $39.05 ↑ +30%
Blue_Cross Capital_Blue_Cross_Healthy_Benefits_PPO $44.63 ↑ +49%
PHC All_Plans $45.60 ↑ +52%
Cigna All_Plans $47.57 ↑ +59%
Blue_Cross All_Other_Plans $55.79 ↑ +86%
Blue_Cross Capital_Blue_Performance_PPO $85.07 ↑ +184%

Visitor-reported prices

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Blood Clotting (PTT) Test at other Pennsylvania hospitals

Hospital City Cash price Negotiated range
UPMC Altoona Altoona $85.20 $5.94 – $108.00
UPMC Bedford Everett $41.40 $2.17 – $62.10
UPMC Carlisle Carlisle $30.60 $5.95 – $43.35
UPMC Cole Coudersport $44.40 $3.91 – $59.20
UPMC Community Osteopathic Harrisburg $34.80 $5.95 – $43.35
UPMC East Monroeville $89.40 $5.94 – $119.20
UPMC Hamot Erie $133.80 $5.94 – $11.60
UPMC Northwest Seneca $119.40 $5.45 – $8.62

All Pennsylvania hospitals for this procedure →