Carboprost tromethamine 250 mcg/ml intramuscular solution at WellSpan Good Samaritan Hospital
252 S. 4th St., Lebanon, PA · Wellspan · · NPI 1407928500
$1,921.80
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.
$2,402.25
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.
$52.59 with Blue_Cross vs $1,201.13 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 →
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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 |
|---|---|---|---|
| Blue_Cross | Capital_Blue_Performance_PPO | $52.59 | ↓ -97% |
| WellSpan_Capital_Blue_Cross | All_Plans | $60.20 | ↓ -97% |
| Blue_Cross | Capital_Cares_4_kids | $73.63 | ↓ -96% |
| Aetna_Better_Health_Kids | All_Plans | $76.14 | ↓ -96% |
| Health_Partners_Medicaid | All_Other_Plans | $102.10 | ↓ -95% |
| Blue_Cross_BlueJourney_Medicare | All_Plans | $102.10 | ↓ -95% |
| Highmark_Medicare | All_Plans | $103.12 | ↓ -95% |
| Aetna_Advantra_Medicare | All_Plans | $105.16 | ↓ -95% |
| Aetna_Medicare | All_Plans | $105.16 | ↓ -95% |
| Blue_Cross | All_Other_Plans | $105.18 | ↓ -95% |
| Devoted_Medicare | All_Plans | $107.21 | ↓ -94% |
| United_Medicare | ISNP_DSNP_Plans | $107.21 | ↓ -94% |
| Geisinger_Gold_Medicare | All_Plans | $107.21 | ↓ -94% |
| Highmark_Wholecare_Gateway_Medicare | All_Plans | $107.66 | ↓ -94% |
| UPMC_Medicare | UPMC_for_Life_Complete_Care | $107.72 | ↓ -94% |
| UPMC_Medicare | UPMC_for_Life_Community_HealthChoices | $107.72 | ↓ -94% |
| Amerihealth_Medicare | All_Plans | $107.72 | ↓ -94% |
| Jefferson_Health_Medicare_Advantage | All_Plans | $110.27 | ↓ -94% |
| PA_Health_&_Wellness_Medicare | All_Plans | $110.27 | ↓ -94% |
| Highmark | Higmark_Healthy_Kids | $158.26 | ↓ -92% |
| Health_Partners_Medicaid | Kidz_Partners | $168.47 | ↓ -91% |
| United_Medicaid | Community_Plan_For_Kids | $178.68 | ↓ -91% |
| Blue_Cross | Capital_Blue_Cross_Healthy_Benefits_PPO | $197.67 | ↓ -90% |
| Geisinger | All_Plans | $253.80 | ↓ -87% |
| UPMC | Employees_And_Dependents | $253.80 | ↓ -87% |
| UPMC | UPMC_For_Kids | $253.80 | ↓ -87% |
| Cigna | All_Plans | $269.96 | ↓ -86% |
| Highmark | Choice_Blue_PPO | $308.82 | ↓ -84% |
| Highmark | Blue_Cross_High_Performance_Network | $308.82 | ↓ -84% |
| Highmark | Performance_Blue | $308.82 | ↓ -84% |
| PHC | All_Plans | $338.40 | ↓ -82% |
| Aetna | All_Plans | $343.48 | ↓ -82% |
| Highmark | All_Other_Plans | $372.08 | ↓ -81% |
| First_Health_Network | All_Plans | $377.74 | ↓ -80% |
| United_Healthcare | All_Plans | $1,201.13 | ↓ -37% |
Visitor-reported prices
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Carboprost tromethamine 250 mcg/ml intramuscular solution at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| WellSpan Chambersburg Hospital | Chambersburg | $708.80 | $52.59 – $454.17 |
| WellSpan Ephrata Community Hospital | Ephrata | $1,573.60 | $60.20 – $178.68 |
| WellSpan Gettysburg Hospital | Gettysburg | $1,764.00 | $60.20 – $178.68 |