Circumcise/surg/28 days or < 54160 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

$433.60

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.

$542.00

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.

$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 →

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
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

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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

All Pennsylvania hospitals for this procedure →