Change of ureter tube/stent 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

$3,307.20

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.

$4,134.00

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.

$744.12 with Aetna_Better_Health_Kids vs $7,374.46 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 →

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
Aetna_Better_Health_Kids All_Plans $744.12 ↓ -78%
Highmark_Wholecare_Gateway_Medicaid All_Plans $1,536.38 ↓ -54%
Health_Partners_Medicaid All_Other_Plans $2,023.56 ↓ -39%
Blue_Cross_BlueJourney_Medicare All_Plans $2,023.56 ↓ -39%
Highmark_Medicare All_Plans $2,043.80 ↓ -38%
Aetna_Advantra_Medicare All_Plans $2,084.27 ↓ -37%
Aetna_Medicare All_Plans $2,084.27 ↓ -37%
Devoted_Medicare All_Plans $2,124.74 ↓ -36%
United_Medicare ISNP_DSNP_Plans $2,124.74 ↓ -36%
Geisinger_Gold_Medicare All_Plans $2,124.74 ↓ -36%
Highmark_Wholecare_Gateway_Medicare All_Plans $2,133.84 ↓ -35%
Amerihealth_Medicare All_Plans $2,134.86 ↓ -35%
UPMC_Medicare UPMC_for_Life_Complete_Care $2,134.86 ↓ -35%
UPMC_Medicare UPMC_for_Life_Community_HealthChoices $2,134.86 ↓ -35%
PA_Health_&_Wellness_Medicare All_Plans $2,185.44 ↓ -34%
Jefferson_Health_Medicare_Advantage All_Plans $2,185.44 ↓ -34%
Aetna All_Plans $2,315.04 ↓ -30%
UPMC Employees_And_Dependents $2,480.40 ↓ -25%
WellSpan_Capital_Blue_Cross All_Plans $2,480.40 ↓ -25%
UPMC UPMC_For_Kids $2,480.40 ↓ -25%
Geisinger All_Plans $2,480.40 ↓ -25%
First_Health_Network All_Plans $2,546.54 ↓ -23%
Cigna All_Plans $2,638.32 ↓ -20%
Highmark Higmark_Healthy_Kids $3,136.52 ↓ -5%
PHC All_Plans $3,307.20 ↑ +0%
Health_Partners_Medicaid Kidz_Partners $3,338.87 ↑ +1%
United_Medicaid Community_Plan_For_Kids $3,541.23 ↑ +7%
United_Healthcare All_Plans $3,877.69 ↑ +17%
Blue_Cross Capital_Blue_Performance_PPO $4,396.00 ↑ +33%
Blue_Cross Capital_Blue_Cross_Healthy_Benefits_PPO $4,696.00 ↑ +42%
Blue_Cross Capital_Cares_4_kids $5,670.70 ↑ +71%
Blue_Cross All_Other_Plans $5,870.00 ↑ +77%
Highmark Blue_Cross_High_Performance_Network $6,120.66 ↑ +85%
Highmark Choice_Blue_PPO $6,120.66 ↑ +85%
Highmark Performance_Blue $6,120.66 ↑ +85%
Highmark All_Other_Plans $7,374.46 ↑ +123%

Visitor-reported prices

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Change of ureter tube/stent at other Pennsylvania hospitals

Hospital City Cash price Negotiated range
UPMC Carlisle Carlisle $3,457.20 $148.72 – $4,897.70
UPMC Community Osteopathic Harrisburg $3,457.20 $150.33 – $4,897.70
UPMC Hanover Hanover $3,457.20 $150.33 – $3,131.10
UPMC Lititz Lititz $3,457.20 $148.72 – $3,148.02
UPMC Magee Pittsburgh $2,680.20 $155.03 – $2,148.31
UPMC Memorial York $3,457.20 $150.33 – $3,142.91
UPMC Mercy Pittsburgh $2,270.40 $151.47 – $2,148.31
UPMC Presbyterian Pittsburgh $4,240.80 $151.47 – $2,148.31

All Pennsylvania hospitals for this procedure →