Chloroprocaine hcl injection at WellSpan Good Samaritan Hospital
252 S. 4th St., Lebanon, PA · Wellspan · · NPI 1407928500
$223.80
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.
$279.75
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.
$0.04 with Blue_Cross vs $223.80 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 →
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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 | $0.04 | ↓ -100% |
| Blue_Cross | Capital_Cares_4_kids | $11.20 | ↓ -95% |
| Highmark_Wholecare_Gateway_Medicaid | All_Plans | $16.00 | ↓ -93% |
| Amerihealth_Caritas_Medicaid | All_Plans | $16.00 | ↓ -93% |
| Blue_Cross | All_Other_Plans | $16.00 | ↓ -93% |
| Geisinger_Medicaid | All_Plans | $16.00 | ↓ -93% |
| UPMC_Medicaid | All_Plans | $16.00 | ↓ -93% |
| Health_Partners_Medicaid | All_Other_Plans | $16.00 | ↓ -93% |
| Aetna | All_Plans | $48.64 | ↓ -78% |
| United_Healthcare | All_Plans | $51.20 | ↓ -77% |
| First_Health_Network | All_Plans | $53.50 | ↓ -76% |
| Cigna | All_Plans | $56.00 | ↓ -75% |
| Blue_Cross | Capital_Blue_Cross_Healthy_Benefits_PPO | $130.73 | ↓ -42% |
| Geisinger | All_Plans | $167.85 | ↓ -25% |
| UPMC | UPMC_For_Kids | $167.85 | ↓ -25% |
| UPMC | Employees_And_Dependents | $167.85 | ↓ -25% |
| WellSpan_Capital_Blue_Cross | All_Plans | $167.85 | ↓ -25% |
| PHC | All_Plans | $223.80 | ↑ +0% |
Visitor-reported prices
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Chloroprocaine hcl injection at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Cole | Coudersport | $4.20 | $0.04 – $5.60 |
| UPMC Kane | Kane | $48.60 | $0.04 – $0.06 |
| UPMC Williamsport | Williamsport | $68.40 | $0.04 – $0.04 |
| WellSpan Ephrata Community Hospital | Ephrata | $179.40 | $24.00 – $84.00 |