Bx breast pq tomo guide at WellSpan Good Samaritan Hospital
252 S. 4th St., Lebanon, PA · Wellspan · · NPI 1407928500
$2,471.20
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.
$3,089.00
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.
$157.32 with Aetna_Better_Health_Kids vs $13,785.07 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 |
|---|---|---|---|
| Aetna_Better_Health_Kids | All_Plans | $157.32 | ↓ -94% |
| Aetna | All_Plans | $489.44 | ↓ -80% |
| UPMC | UPMC_For_Kids | $524.40 | ↓ -79% |
| Geisinger | All_Plans | $524.40 | ↓ -79% |
| WellSpan_Capital_Blue_Cross | All_Plans | $524.40 | ↓ -79% |
| UPMC | Employees_And_Dependents | $524.40 | ↓ -79% |
| First_Health_Network | All_Plans | $538.38 | ↓ -78% |
| Cigna | All_Plans | $557.79 | ↓ -77% |
| PHC | All_Plans | $699.20 | ↓ -72% |
| United_Healthcare | All_Plans | $819.81 | ↓ -67% |
| Highmark_Wholecare_Gateway_Medicaid | All_Plans | $2,871.96 | ↑ +16% |
| Blue_Cross_BlueJourney_Medicare | All_Plans | $3,782.64 | ↑ +53% |
| Health_Partners_Medicaid | All_Other_Plans | $3,782.64 | ↑ +53% |
| Highmark_Medicare | All_Plans | $3,820.47 | ↑ +55% |
| Aetna_Medicare | All_Plans | $3,896.12 | ↑ +58% |
| Aetna_Advantra_Medicare | All_Plans | $3,896.12 | ↑ +58% |
| Geisinger_Gold_Medicare | All_Plans | $3,971.77 | ↑ +61% |
| Devoted_Medicare | All_Plans | $3,971.77 | ↑ +61% |
| United_Medicare | ISNP_DSNP_Plans | $3,971.77 | ↑ +61% |
| Highmark_Wholecare_Gateway_Medicare | All_Plans | $3,988.79 | ↑ +61% |
| UPMC_Medicare | UPMC_for_Life_Community_HealthChoices | $3,990.69 | ↑ +61% |
| Amerihealth_Medicare | All_Plans | $3,990.69 | ↑ +61% |
| UPMC_Medicare | UPMC_for_Life_Complete_Care | $3,990.69 | ↑ +61% |
| Jefferson_Health_Medicare_Advantage | All_Plans | $4,085.25 | ↑ +65% |
| PA_Health_&_Wellness_Medicare | All_Plans | $4,085.25 | ↑ +65% |
| Highmark | Higmark_Healthy_Kids | $5,863.09 | ↑ +137% |
| Blue_Cross | Capital_Blue_Performance_PPO | $6,066.00 | ↑ +145% |
| Health_Partners_Medicaid | Kidz_Partners | $6,241.36 | ↑ +153% |
| Blue_Cross | Capital_Blue_Cross_Healthy_Benefits_PPO | $6,480.80 | ↑ +162% |
| United_Medicaid | Community_Plan_For_Kids | $6,619.62 | ↑ +168% |
| Blue_Cross | Capital_Cares_4_kids | $6,956.60 | ↑ +182% |
| Blue_Cross | All_Other_Plans | $8,101.00 | ↑ +228% |
| Highmark | Performance_Blue | $11,441.35 | ↑ +363% |
| Highmark | Blue_Cross_High_Performance_Network | $11,441.35 | ↑ +363% |
| Highmark | Choice_Blue_PPO | $11,441.35 | ↑ +363% |
| Highmark | All_Other_Plans | $13,785.07 | ↑ +458% |
Visitor-reported prices
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Bx breast pq tomo guide at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $7,249.80 | $47.21 – $10,270.55 |
| UPMC Community Osteopathic | Harrisburg | $7,249.80 | $47.21 – $10,270.55 |
| UPMC Hanover | Hanover | $7,249.80 | $47.21 – $5,852.98 |
| UPMC Lititz | Lititz | $7,249.80 | $47.21 – $5,884.59 |
| UPMC Memorial | York | $7,249.80 | $15.15 – $5,875.04 |
| UPMC Somerset | Somerset | $7,249.80 | $18.40 – $3,942.46 |
| WellSpan Ephrata Community Hospital | Ephrata | $2,424.80 | $2,871.96 – $2,871.96 |
| WellSpan Evangelical Community Hospital | Lewisburg | $9,758.40 | $86.34 – $86.34 |