Cholecystostomy complete w/supervision & interpretation at WellSpan Good Samaritan Hospital
252 S. 4th St., Lebanon, PA · Wellspan · · NPI 1407928500
$8,569.60
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.
?
What you pay up front if you don't use insurance.
$10,712.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$236.25 with Highmark_Wholecare_Gateway_Medicaid vs $26,645.50 with Blue_Cross — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 |
|---|---|---|---|
| Highmark_Wholecare_Gateway_Medicaid | All_Plans | $236.25 | ↓ -97% |
| Blue_Cross_BlueJourney_Medicare | All_Plans | $3,486.08 | ↓ -59% |
| Health_Partners_Medicaid | All_Other_Plans | $3,486.08 | ↓ -59% |
| Highmark_Medicare | All_Plans | $3,520.94 | ↓ -59% |
| Aetna_Medicare | All_Plans | $3,590.66 | ↓ -58% |
| Aetna_Advantra_Medicare | All_Plans | $3,590.66 | ↓ -58% |
| Devoted_Medicare | All_Plans | $3,660.38 | ↓ -57% |
| United_Medicare | ISNP_DSNP_Plans | $3,660.38 | ↓ -57% |
| Geisinger_Gold_Medicare | All_Plans | $3,660.38 | ↓ -57% |
| Highmark_Wholecare_Gateway_Medicare | All_Plans | $3,676.07 | ↓ -57% |
| UPMC_Medicare | UPMC_for_Life_Community_HealthChoices | $3,677.81 | ↓ -57% |
| Amerihealth_Medicare | All_Plans | $3,677.81 | ↓ -57% |
| UPMC_Medicare | UPMC_for_Life_Complete_Care | $3,677.81 | ↓ -57% |
| Jefferson_Health_Medicare_Advantage | All_Plans | $3,764.97 | ↓ -56% |
| PA_Health_&_Wellness_Medicare | All_Plans | $3,764.97 | ↓ -56% |
| Highmark | Higmark_Healthy_Kids | $5,403.42 | ↓ -37% |
| Health_Partners_Medicaid | Kidz_Partners | $5,752.03 | ↓ -33% |
| Aetna | All_Plans | $5,998.72 | ↓ -30% |
| United_Medicaid | Community_Plan_For_Kids | $6,100.64 | ↓ -29% |
| WellSpan_Capital_Blue_Cross | All_Plans | $6,427.20 | ↓ -25% |
| Geisinger | All_Plans | $6,427.20 | ↓ -25% |
| UPMC | Employees_And_Dependents | $6,427.20 | ↓ -25% |
| UPMC | UPMC_For_Kids | $6,427.20 | ↓ -25% |
| First_Health_Network | All_Plans | $6,598.59 | ↓ -23% |
| Cigna | All_Plans | $6,836.40 | ↓ -20% |
| Blue_Cross | Capital_Blue_Performance_PPO | $7,441.00 | ↓ -13% |
| Blue_Cross | Capital_Blue_Cross_Healthy_Benefits_PPO | $7,950.40 | ↓ -7% |
| PHC | All_Plans | $8,569.60 | ↑ +0% |
| Blue_Cross | All_Other_Plans | $9,938.00 | ↑ +16% |
| United_Healthcare | All_Plans | $10,047.86 | ↑ +17% |
| Highmark | Blue_Cross_High_Performance_Network | $10,544.35 | ↑ +23% |
| Highmark | Choice_Blue_PPO | $10,544.35 | ↑ +23% |
| Highmark | Performance_Blue | $10,544.35 | ↑ +23% |
| Highmark | All_Other_Plans | $12,704.32 | ↑ +48% |
| Blue_Cross | Capital_Cares_4_kids | $26,645.50 | ↑ +211% |
Visitor-reported prices
Comments
Cholecystostomy complete w/supervision & interpretation at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $2,867.40 | $845.77 – $3,823.20 |
| UPMC Carlisle | Carlisle | $4,714.20 | $247.59 – $6,678.45 |
| UPMC Community Osteopathic | Harrisburg | $4,714.20 | $247.59 – $6,678.45 |
| UPMC East | Monroeville | $3,079.80 | $834.64 – $3,873.60 |
| UPMC Hamot | Erie | $3,536.40 | $834.64 – $4,893.48 |
| UPMC Northwest | Seneca | $3,158.40 | $829.03 – $3,633.70 |
| UPMC Hanover | Hanover | $4,714.20 | $247.59 – $5,394.10 |
| UPMC Lititz | Lititz | $4,714.20 | $247.59 – $5,423.23 |