Circumcise/surg/28 days or < 54160 at WellSpan Good Samaritan Hospital
252 S. 4th St., Lebanon, PA · Wellspan · · NPI 1407928500
$433.60
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.
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What you pay up front if you don't use insurance.
$542.00
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.
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The hospital's undiscounted list price — almost no one pays this.
$160.00 with Geisinger_Medicaid vs $8,101.00 with Blue_Cross — 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 |
|---|---|---|---|
| Geisinger_Medicaid | All_Plans | $160.00 | ↓ -63% |
| UPMC_Medicaid | All_Plans | $160.00 | ↓ -63% |
| PA_Health_&_Wellness_Medicaid | All_Plans | $160.00 | ↓ -63% |
| Highmark_Wholecare_Gateway_Medicaid | All_Plans | $160.00 | ↓ -63% |
| Health_Partners_Medicaid | All_Other_Plans | $160.00 | ↓ -63% |
| Amerihealth_Caritas_Medicaid | All_Plans | $181.76 | ↓ -58% |
| WellSpan_Capital_Blue_Cross | All_Plans | $325.20 | ↓ -25% |
| UPMC | Employees_And_Dependents | $325.20 | ↓ -25% |
| UPMC | UPMC_For_Kids | $325.20 | ↓ -25% |
| Geisinger | All_Plans | $325.20 | ↓ -25% |
| Cigna | All_Plans | $345.90 | ↓ -20% |
| PHC | All_Plans | $433.60 | ↑ +0% |
| Aetna_Better_Health_Kids | All_Plans | $435.20 | ↑ +0% |
| Aetna | All_Plans | $440.10 | ↑ +1% |
| First_Health_Network | All_Plans | $484.01 | ↑ +12% |
| United_Healthcare | All_Plans | $508.40 | ↑ +17% |
| Blue_Cross_BlueJourney_Medicare | All_Plans | $659.34 | ↑ +52% |
| Highmark_Medicare | All_Plans | $665.93 | ↑ +54% |
| Aetna_Advantra_Medicare | All_Plans | $679.12 | ↑ +57% |
| Aetna_Medicare | All_Plans | $679.12 | ↑ +57% |
| United_Medicare | ISNP_DSNP_Plans | $692.31 | ↑ +60% |
| Devoted_Medicare | All_Plans | $692.31 | ↑ +60% |
| Geisinger_Gold_Medicare | All_Plans | $692.31 | ↑ +60% |
| Highmark_Wholecare_Gateway_Medicare | All_Plans | $695.27 | ↑ +60% |
| UPMC_Medicare | UPMC_for_Life_Complete_Care | $695.60 | ↑ +60% |
| UPMC_Medicare | UPMC_for_Life_Community_HealthChoices | $695.60 | ↑ +60% |
| Amerihealth_Medicare | All_Plans | $695.60 | ↑ +60% |
| PA_Health_&_Wellness_Medicare | All_Plans | $712.09 | ↑ +64% |
| Jefferson_Health_Medicare_Advantage | All_Plans | $712.09 | ↑ +64% |
| Highmark | Higmark_Healthy_Kids | $1,021.98 | ↑ +136% |
| Health_Partners_Medicaid | Kidz_Partners | $1,087.91 | ↑ +151% |
| United_Medicaid | Community_Plan_For_Kids | $1,153.85 | ↑ +166% |
| Highmark | Performance_Blue | $1,994.31 | ↑ +360% |
| Highmark | Choice_Blue_PPO | $1,994.31 | ↑ +360% |
| Highmark | Blue_Cross_High_Performance_Network | $1,994.31 | ↑ +360% |
| Highmark | All_Other_Plans | $2,402.83 | ↑ +454% |
| Blue_Cross | Capital_Cares_4_kids | $5,670.70 | ↑ +1208% |
| Blue_Cross | Capital_Blue_Performance_PPO | $6,066.00 | ↑ +1299% |
| Blue_Cross | Capital_Blue_Cross_Healthy_Benefits_PPO | $6,480.80 | ↑ +1395% |
| Blue_Cross | All_Other_Plans | $8,101.00 | ↑ +1768% |
Visitor-reported prices
Comments
Circumcise/surg/28 days or < 54160 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $1,219.20 | $162.56 – $1,727.20 |
| UPMC Hanover | Hanover | $1,219.20 | $162.56 – $1,020.21 |
| UPMC Horizon-Greenville | Greenville | $593.40 | $31.88 – $687.26 |
| UPMC Lititz | Lititz | $1,219.20 | $162.56 – $1,025.73 |
| UPMC Memorial | York | $1,219.20 | $106.05 – $1,024.06 |
| WellSpan Chambersburg Hospital | Chambersburg | $433.60 | $160.00 – $3,069.77 |
| WellSpan Ephrata Community Hospital | Ephrata | $433.60 | $160.00 – $435.20 |
| Uniontown Hospital | Uniontown | $801.50 | $140.80 – $1,403.76 |