Bronchial challenge at WellSpan Good Samaritan Hospital
252 S. 4th St., Lebanon, PA · Wellspan · · NPI 1407928500
$873.60
Cash price 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.
$1,092.00
Gross charge 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.
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The hospital's undiscounted list price — almost no one pays this.
$23.75 with UPMC_Medicaid vs $1,121.02 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 →
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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 ?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 ?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 | $23.75 | ↓ -97% |
| Health_Partners_Medicaid | All_Other_Plans | $23.75 | ↓ -97% |
| Geisinger_Medicaid | All_Plans | $23.75 | ↓ -97% |
| PA_Health_&_Wellness_Medicaid | All_Plans | $23.75 | ↓ -97% |
| Highmark_Wholecare_Gateway_Medicaid | All_Plans | $23.75 | ↓ -97% |
| Amerihealth_Caritas_Medicaid | All_Plans | $26.98 | ↓ -97% |
| Aetna_Better_Health_Kids | All_Plans | $64.60 | ↓ -93% |
| Blue_Cross_BlueJourney_Medicare | All_Plans | $307.61 | ↓ -65% |
| Highmark_Medicare | All_Plans | $310.69 | ↓ -64% |
| Aetna_Advantra_Medicare | All_Plans | $316.84 | ↓ -64% |
| Aetna_Medicare | All_Plans | $316.84 | ↓ -64% |
| Devoted_Medicare | All_Plans | $322.99 | ↓ -63% |
| United_Medicare | ISNP_DSNP_Plans | $322.99 | ↓ -63% |
| Geisinger_Gold_Medicare | All_Plans | $322.99 | ↓ -63% |
| Highmark_Wholecare_Gateway_Medicare | All_Plans | $324.37 | ↓ -63% |
| UPMC_Medicare | UPMC_for_Life_Community_HealthChoices | $324.53 | ↓ -63% |
| UPMC_Medicare | UPMC_for_Life_Complete_Care | $324.53 | ↓ -63% |
| Amerihealth_Medicare | All_Plans | $324.53 | ↓ -63% |
| Jefferson_Health_Medicare_Advantage | All_Plans | $332.22 | ↓ -62% |
| PA_Health_&_Wellness_Medicare | All_Plans | $332.22 | ↓ -62% |
| Blue_Cross | Capital_Cares_4_kids | $446.52 | ↓ -49% |
| Highmark | Higmark_Healthy_Kids | $476.80 | ↓ -45% |
| Health_Partners_Medicaid | Kidz_Partners | $507.56 | ↓ -42% |
| Blue_Cross | Capital_Blue_Cross_Healthy_Benefits_PPO | $510.29 | ↓ -42% |
| United_Medicaid | Community_Plan_For_Kids | $538.32 | ↓ -38% |
| Blue_Cross | All_Other_Plans | $637.84 | ↓ -27% |
| WellSpan_Capital_Blue_Cross | All_Plans | $655.20 | ↓ -25% |
| UPMC | Employees_And_Dependents | $655.20 | ↓ -25% |
| UPMC | UPMC_For_Kids | $655.20 | ↓ -25% |
| Geisinger | All_Plans | $655.20 | ↓ -25% |
| Cigna | All_Plans | $696.91 | ↓ -20% |
| PHC | All_Plans | $873.60 | ↑ +0% |
| Aetna | All_Plans | $886.70 | ↑ +1% |
| Highmark | Blue_Cross_High_Performance_Network | $930.43 | ↑ +7% |
| Highmark | Performance_Blue | $930.43 | ↑ +7% |
| Highmark | Choice_Blue_PPO | $930.43 | ↑ +7% |
| First_Health_Network | All_Plans | $975.16 | ↑ +12% |
| United_Healthcare | All_Plans | $1,024.30 | ↑ +17% |
| Highmark | All_Other_Plans | $1,121.02 | ↑ +28% |
Visitor-reported prices
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Bronchial challenge at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $335.40 | $11.40 – $447.20 |
| UPMC Carlisle | Carlisle | $650.40 | $14.93 – $921.40 |
| UPMC Cole | Coudersport | $114.60 | $19.95 – $195.04 |
| UPMC Community Osteopathic | Harrisburg | $650.40 | $14.93 – $921.40 |
| UPMC Hamot | Erie | $624.00 | $20.90 – $375.76 |
| UPMC Northwest | Seneca | $520.20 | $20.90 – $311.72 |
| UPMC Hanover | Hanover | $650.40 | $14.93 – $475.97 |
| UPMC Horizon-Greenville | Greenville | $1,082.40 | $20.90 – $320.63 |