Cauterization chemical granulation tissue at WellSpan Good Samaritan Hospital
252 S. 4th St., Lebanon, PA · Wellspan · · NPI 1407928500
$187.20
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.
$234.00
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.
$32.28 with Geisinger_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 →
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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 |
|---|---|---|---|
| Geisinger_Medicaid | All_Plans | $32.28 | ↓ -83% |
| UPMC_Medicaid | All_Plans | $32.28 | ↓ -83% |
| PA_Health_&_Wellness_Medicaid | All_Plans | $32.28 | ↓ -83% |
| Highmark_Wholecare_Gateway_Medicaid | All_Plans | $32.28 | ↓ -83% |
| Health_Partners_Medicaid | All_Other_Plans | $32.28 | ↓ -83% |
| Amerihealth_Caritas_Medicaid | All_Plans | $36.66 | ↓ -80% |
| Aetna_Better_Health_Kids | All_Plans | $87.79 | ↓ -53% |
| WellSpan_Capital_Blue_Cross | All_Plans | $140.40 | ↓ -25% |
| UPMC | UPMC_For_Kids | $140.40 | ↓ -25% |
| Geisinger | All_Plans | $140.40 | ↓ -25% |
| UPMC | Employees_And_Dependents | $140.40 | ↓ -25% |
| Cigna | All_Plans | $149.34 | ↓ -20% |
| PHC | All_Plans | $187.20 | ↑ +0% |
| Aetna | All_Plans | $190.01 | ↑ +2% |
| Blue_Cross_BlueJourney_Medicare | All_Plans | $196.28 | ↑ +5% |
| Highmark_Medicare | All_Plans | $198.24 | ↑ +6% |
| Aetna_Advantra_Medicare | All_Plans | $202.17 | ↑ +8% |
| Aetna_Medicare | All_Plans | $202.17 | ↑ +8% |
| United_Medicare | ISNP_DSNP_Plans | $206.09 | ↑ +10% |
| Devoted_Medicare | All_Plans | $206.09 | ↑ +10% |
| Geisinger_Gold_Medicare | All_Plans | $206.09 | ↑ +10% |
| Highmark_Wholecare_Gateway_Medicare | All_Plans | $206.98 | ↑ +11% |
| UPMC_Medicare | UPMC_for_Life_Community_HealthChoices | $207.08 | ↑ +11% |
| Amerihealth_Medicare | All_Plans | $207.08 | ↑ +11% |
| UPMC_Medicare | UPMC_for_Life_Complete_Care | $207.08 | ↑ +11% |
| First_Health_Network | All_Plans | $208.96 | ↑ +12% |
| Jefferson_Health_Medicare_Advantage | All_Plans | $211.98 | ↑ +13% |
| PA_Health_&_Wellness_Medicare | All_Plans | $211.98 | ↑ +13% |
| United_Healthcare | All_Plans | $219.49 | ↑ +17% |
| Highmark | Higmark_Healthy_Kids | $304.23 | ↑ +63% |
| Health_Partners_Medicaid | Kidz_Partners | $323.86 | ↑ +73% |
| United_Medicaid | Community_Plan_For_Kids | $343.49 | ↑ +83% |
| Highmark | Performance_Blue | $593.69 | ↑ +217% |
| Highmark | Choice_Blue_PPO | $593.69 | ↑ +217% |
| Highmark | Blue_Cross_High_Performance_Network | $593.69 | ↑ +217% |
| Highmark | All_Other_Plans | $715.30 | ↑ +282% |
| Blue_Cross | Capital_Cares_4_kids | $1,131.20 | ↑ +504% |
| Blue_Cross | Capital_Blue_Performance_PPO | $1,209.00 | ↑ +546% |
| Blue_Cross | Capital_Blue_Cross_Healthy_Benefits_PPO | $1,292.80 | ↑ +591% |
| Blue_Cross | All_Other_Plans | $1,616.00 | ↑ +763% |
Visitor-reported prices
Comments
Cauterization chemical granulation tissue at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $235.20 | $25.82 – $313.60 |
| UPMC Bedford | Everett | $640.80 | $27.11 – $961.20 |
| UPMC Carlisle | Carlisle | $354.00 | $32.79 – $501.50 |
| UPMC Cole | Coudersport | $248.40 | $20.51 – $2,094.25 |
| UPMC Community Osteopathic | Harrisburg | $354.00 | $32.79 – $501.50 |
| UPMC East | Monroeville | $412.20 | $28.40 – $549.60 |
| UPMC Hamot | Erie | $405.00 | $28.40 – $275.52 |
| UPMC Northwest | Seneca | $299.40 | $28.40 – $198.91 |