Br punct aspir ea add, l 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

$303.20

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.

$379.00

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.

$25.49 with UPMC_Medicaid vs $1,616.00 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 →

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
UPMC_Medicaid All_Plans $25.49 ↓ -92%
Highmark_Wholecare_Gateway_Medicaid All_Plans $25.49 ↓ -92%
Health_Partners_Medicaid All_Other_Plans $25.49 ↓ -92%
Geisinger_Medicaid All_Plans $25.49 ↓ -92%
PA_Health_&_Wellness_Medicaid All_Plans $25.49 ↓ -92%
Amerihealth_Caritas_Medicaid All_Plans $28.95 ↓ -90%
Aetna_Better_Health_Kids All_Plans $69.33 ↓ -77%
Aetna All_Plans $212.24 ↓ -30%
WellSpan_Capital_Blue_Cross All_Plans $227.40 ↓ -25%
UPMC Employees_And_Dependents $227.40 ↓ -25%
UPMC UPMC_For_Kids $227.40 ↓ -25%
Geisinger All_Plans $227.40 ↓ -25%
First_Health_Network All_Plans $233.46 ↓ -23%
Cigna All_Plans $241.88 ↓ -20%
PHC All_Plans $303.20 ↑ +0%
United_Healthcare All_Plans $355.50 ↑ +17%
Blue_Cross Capital_Cares_4_kids $1,131.20 ↑ +273%
Blue_Cross Capital_Blue_Performance_PPO $1,209.00 ↑ +299%
Blue_Cross Capital_Blue_Cross_Healthy_Benefits_PPO $1,292.80 ↑ +326%
Blue_Cross All_Other_Plans $1,616.00 ↑ +433%

Visitor-reported prices

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Br punct aspir ea add, l at other Pennsylvania hospitals

Hospital City Cash price Negotiated range
UPMC Altoona Altoona $231.60 $20.39 – $308.80
UPMC Bedford Everett $401.40 $21.41 – $602.10
UPMC Carlisle Carlisle $497.40 $25.90 – $9,539.00
UPMC Community Osteopathic Harrisburg $497.40 $26.71 – $704.65
UPMC Northwest Seneca $361.80 $22.43 – $144.73
UPMC Hanover Hanover $497.40 $25.90 – $67.28
UPMC Lititz Lititz $497.40 $18.43 – $66.60
UPMC Magee Pittsburgh $203.40 $20.27 – $68.61

All Pennsylvania hospitals for this procedure →