Blood split unit 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

$861.60

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.

Full explanation →

What you pay up front if you don't use insurance.

$1,077.00

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.

$66.18 with Blue_Cross vs $900.48 with United_Healthcare — 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_Blue_Performance_PPO $66.18 ↓ -92%
Highmark_Wholecare_Gateway_Medicaid All_Plans $106.35 ↓ -88%
Blue_Cross_BlueJourney_Medicare All_Plans $141.80 ↓ -84%
Health_Partners_Medicaid All_Other_Plans $141.80 ↓ -84%
Highmark_Medicare All_Plans $143.22 ↓ -83%
Aetna_Medicare All_Plans $146.05 ↓ -83%
Aetna_Advantra_Medicare All_Plans $146.05 ↓ -83%
United_Medicare ISNP_DSNP_Plans $148.89 ↓ -83%
Geisinger_Gold_Medicare All_Plans $148.89 ↓ -83%
Devoted_Medicare All_Plans $148.89 ↓ -83%
Highmark_Wholecare_Gateway_Medicare All_Plans $149.53 ↓ -83%
Amerihealth_Medicare All_Plans $149.60 ↓ -83%
UPMC_Medicare UPMC_for_Life_Community_HealthChoices $149.60 ↓ -83%
UPMC_Medicare UPMC_for_Life_Complete_Care $149.60 ↓ -83%
Jefferson_Health_Medicare_Advantage All_Plans $153.14 ↓ -82%
PA_Health_&_Wellness_Medicare All_Plans $153.14 ↓ -82%
Aetna_Better_Health_Kids All_Plans $172.80 ↓ -80%
Highmark Higmark_Healthy_Kids $219.79 ↓ -74%
Health_Partners_Medicaid Kidz_Partners $233.97 ↓ -73%
United_Medicaid Community_Plan_For_Kids $248.15 ↓ -71%
Blue_Cross Capital_Cares_4_kids $392.54 ↓ -54%
Highmark Blue_Cross_High_Performance_Network $428.90 ↓ -50%
Highmark Performance_Blue $428.90 ↓ -50%
Highmark Choice_Blue_PPO $428.90 ↓ -50%
Blue_Cross Capital_Blue_Cross_Healthy_Benefits_PPO $448.61 ↓ -48%
Highmark All_Other_Plans $516.76 ↓ -40%
Blue_Cross All_Other_Plans $560.74 ↓ -35%
WellSpan_Capital_Blue_Cross All_Plans $576.00 ↓ -33%
UPMC Employees_And_Dependents $576.00 ↓ -33%
UPMC UPMC_For_Kids $576.00 ↓ -33%
Geisinger All_Plans $576.00 ↓ -33%
Cigna All_Plans $612.67 ↓ -29%
PHC All_Plans $768.00 ↓ -11%
Aetna All_Plans $779.52 ↓ -10%
First_Health_Network All_Plans $857.28 ↓ -1%
United_Healthcare All_Plans $900.48 ↑ +5%

Visitor-reported prices

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Blood split unit at other Pennsylvania hospitals

Hospital City Cash price Negotiated range
UPMC Altoona Altoona $247.80 $50.19 – $330.40
UPMC Bedford Everett $315.00 $48.78 – $472.50
UPMC Carlisle Carlisle $192.60 $43.98 – $272.85
UPMC Community Osteopathic Harrisburg $192.60 $64.20 – $525.22
UPMC East Monroeville $173.40 $50.67 – $231.20
UPMC Hamot Erie $275.40 $50.19 – $168.51
UPMC Northwest Seneca $300.60 $69.44 – $146.01
UPMC Hanover Hanover $192.60 $72.67 – $525.22

All Pennsylvania hospitals for this procedure →