Ceftazidime and avibactam 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

$2,988.00

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.

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What you pay up front if you don't use insurance.

$3,735.00

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.

$113.62 with Blue_Cross vs $2,988.00 with PHC — 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
Blue_Cross Capital_Blue_Performance_PPO $113.62 ↓ -96%
WellSpan_Capital_Blue_Cross All_Plans $123.50 ↓ -96%
Blue_Cross Capital_Cares_4_kids $318.14 ↓ -89%
Blue_Cross Capital_Blue_Cross_Healthy_Benefits_PPO $363.58 ↓ -88%
Blue_Cross_BlueJourney_Medicare All_Plans $418.92 ↓ -86%
Amerihealth_Caritas_Medicaid All_Plans $418.92 ↓ -86%
Highmark_Wholecare_Gateway_Medicaid All_Plans $418.92 ↓ -86%
Health_Partners_Medicaid All_Other_Plans $418.92 ↓ -86%
Geisinger_Medicaid All_Plans $418.92 ↓ -86%
Highmark_Medicare All_Plans $423.11 ↓ -86%
Aetna_Advantra_Medicare All_Plans $431.49 ↓ -86%
Aetna_Medicare All_Plans $431.49 ↓ -86%
UPMC_Medicaid All_Plans $435.64 ↓ -85%
Devoted_Medicare All_Plans $439.87 ↓ -85%
Geisinger_Gold_Medicare All_Plans $439.87 ↓ -85%
United_Medicare ISNP_DSNP_Plans $439.87 ↓ -85%
Highmark_Wholecare_Gateway_Medicare All_Plans $441.75 ↓ -85%
Amerihealth_Medicare All_Plans $441.96 ↓ -85%
UPMC_Medicare UPMC_for_Life_Complete_Care $441.96 ↓ -85%
UPMC_Medicare UPMC_for_Life_Community_HealthChoices $441.96 ↓ -85%
PA_Health_&_Wellness_Medicare All_Plans $452.43 ↓ -85%
Jefferson_Health_Medicare_Advantage All_Plans $452.43 ↓ -85%
Blue_Cross All_Other_Plans $454.48 ↓ -85%
Highmark Higmark_Healthy_Kids $649.33 ↓ -78%
Health_Partners_Medicaid Kidz_Partners $691.22 ↓ -77%
United_Medicaid Community_Plan_For_Kids $733.11 ↓ -75%
Highmark Performance_Blue $1,267.11 ↓ -58%
Highmark Blue_Cross_High_Performance_Network $1,267.11 ↓ -58%
Highmark Choice_Blue_PPO $1,267.11 ↓ -58%
Aetna All_Plans $1,273.52 ↓ -57%
United_Healthcare All_Plans $1,343.36 ↓ -55%
First_Health_Network All_Plans $1,400.87 ↓ -53%
Cigna All_Plans $1,407.00 ↓ -53%
Highmark All_Other_Plans $1,526.67 ↓ -49%
Geisinger All_Plans $2,241.00 ↓ -25%
UPMC UPMC_For_Kids $2,241.00 ↓ -25%
UPMC Employees_And_Dependents $2,241.00 ↓ -25%
PHC All_Plans $2,988.00 ↑ +0%

Visitor-reported prices

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Ceftazidime and avibactam at other Pennsylvania hospitals

Hospital City Cash price Negotiated range
UPMC Altoona Altoona $851.40 $51.53 – $284.00
UPMC Bedford Everett $296.00 $37.79 – $333.00
UPMC Carlisle Carlisle $237.00 $54.12 – $335.75
UPMC Cole Coudersport $450.00 $104.73 – $600.00
UPMC Community Osteopathic Harrisburg $237.00 $79.00 – $335.75
UPMC East Monroeville $935.40 $46.52 – $311.20
UPMC Hamot Erie $1,070.40 $51.53 – $113.11
UPMC Hanover Hanover $237.00 $103.68 – $167.57

All Pennsylvania hospitals for this procedure →