Chest X-ray (single view) 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

$292.80

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.

Full explanation →

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

$366.00

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.

$10.14 with Blue_Cross vs $497.84 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 →

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 $10.14 ↓ -97%
Health_Partners_Medicaid All_Other_Plans $19.35 ↓ -93%
Geisinger_Medicaid All_Plans $19.35 ↓ -93%
PA_Health_&_Wellness_Medicaid All_Plans $19.35 ↓ -93%
Highmark_Wholecare_Gateway_Medicaid All_Plans $19.35 ↓ -93%
UPMC_Medicaid All_Plans $19.35 ↓ -93%
Amerihealth_Caritas_Medicaid All_Plans $21.98 ↓ -92%
Blue_Cross Capital_Cares_4_kids $46.52 ↓ -84%
Aetna_Better_Health_Kids All_Plans $52.63 ↓ -82%
Blue_Cross All_Other_Plans $66.46 ↓ -77%
Blue_Cross_BlueJourney_Medicare All_Plans $86.98 ↓ -70%
Highmark_Medicare All_Plans $87.85 ↓ -70%
Aetna_Medicare All_Plans $89.59 ↓ -69%
Aetna_Advantra_Medicare All_Plans $89.59 ↓ -69%
United_Medicare ISNP_DSNP_Plans $91.33 ↓ -69%
Devoted_Medicare All_Plans $91.33 ↓ -69%
Geisinger_Gold_Medicare All_Plans $91.33 ↓ -69%
Highmark_Wholecare_Gateway_Medicare All_Plans $91.72 ↓ -69%
UPMC_Medicare UPMC_for_Life_Community_HealthChoices $91.76 ↓ -69%
UPMC_Medicare UPMC_for_Life_Complete_Care $91.76 ↓ -69%
Amerihealth_Medicare All_Plans $91.76 ↓ -69%
PA_Health_&_Wellness_Medicare All_Plans $93.94 ↓ -68%
Jefferson_Health_Medicare_Advantage All_Plans $93.94 ↓ -68%
WellSpan_Capital_Blue_Cross All_Plans $111.00 ↓ -62%
Highmark Higmark_Healthy_Kids $134.82 ↓ -54%
Health_Partners_Medicaid Kidz_Partners $143.52 ↓ -51%
United_Medicaid Community_Plan_For_Kids $152.22 ↓ -48%
Blue_Cross Capital_Blue_Cross_Healthy_Benefits_PPO $171.03 ↓ -42%
Cigna All_Plans $215.61 ↓ -26%
UPMC UPMC_For_Kids $219.60 ↓ -25%
UPMC Employees_And_Dependents $219.60 ↓ -25%
Geisinger All_Plans $219.60 ↓ -25%
Highmark Choice_Blue_PPO $263.09 ↓ -10%
Highmark Blue_Cross_High_Performance_Network $263.09 ↓ -10%
Highmark Performance_Blue $263.09 ↓ -10%
PHC All_Plans $292.80 ↑ +0%
Aetna All_Plans $297.19 ↑ +1%
Highmark All_Other_Plans $316.98 ↑ +8%
First_Health_Network All_Plans $326.84 ↑ +12%
United_Healthcare All_Plans $497.84 ↑ +70%

Visitor-reported prices

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Chest X-ray (single view) at other Pennsylvania hospitals

Hospital City Cash price Negotiated range
UPMC Altoona Altoona $83.40 $6.43 – $111.20
UPMC Bedford Everett $100.20 $16.25 – $150.30
UPMC Carlisle Carlisle $188.40 $4.66 – $134.77
UPMC Cole Coudersport $102.60 $16.25 – $136.80
UPMC Community Osteopathic Harrisburg $188.40 $6.80 – $114.02
UPMC East Monroeville $436.20 $6.49 – $581.60
UPMC Hamot Erie $487.80 $6.43 – $118.50
UPMC Northwest Seneca $108.60 $16.69 – $88.15

All Pennsylvania hospitals for this procedure →