Complx repair fccmnaxghf 13131 at WellSpan Good Samaritan Hospital
252 S. 4th St., Lebanon, PA · Wellspan · · NPI 1407928500
$877.60
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.
$1,097.00
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.
$88.75 with UPMC_Medicaid vs $3,432.00 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 |
|---|---|---|---|
| UPMC_Medicaid | All_Plans | $88.75 | ↓ -90% |
| Geisinger_Medicaid | All_Plans | $88.75 | ↓ -90% |
| Health_Partners_Medicaid | All_Other_Plans | $88.75 | ↓ -90% |
| Highmark_Wholecare_Gateway_Medicaid | All_Plans | $88.75 | ↓ -90% |
| PA_Health_&_Wellness_Medicaid | All_Plans | $88.75 | ↓ -90% |
| Amerihealth_Caritas_Medicaid | All_Plans | $100.82 | ↓ -89% |
| Aetna_Better_Health_Kids | All_Plans | $241.40 | ↓ -72% |
| Blue_Cross_BlueJourney_Medicare | All_Plans | $394.66 | ↓ -55% |
| Highmark_Medicare | All_Plans | $398.61 | ↓ -55% |
| Aetna_Medicare | All_Plans | $406.50 | ↓ -54% |
| Aetna_Advantra_Medicare | All_Plans | $406.50 | ↓ -54% |
| Devoted_Medicare | All_Plans | $414.39 | ↓ -53% |
| United_Medicare | ISNP_DSNP_Plans | $414.39 | ↓ -53% |
| Geisinger_Gold_Medicare | All_Plans | $414.39 | ↓ -53% |
| Highmark_Wholecare_Gateway_Medicare | All_Plans | $416.17 | ↓ -53% |
| UPMC_Medicare | UPMC_for_Life_Community_HealthChoices | $416.37 | ↓ -53% |
| UPMC_Medicare | UPMC_for_Life_Complete_Care | $416.37 | ↓ -53% |
| Amerihealth_Medicare | All_Plans | $416.37 | ↓ -53% |
| Jefferson_Health_Medicare_Advantage | All_Plans | $426.23 | ↓ -51% |
| PA_Health_&_Wellness_Medicare | All_Plans | $426.23 | ↓ -51% |
| Highmark | Higmark_Healthy_Kids | $611.72 | ↓ -30% |
| Health_Partners_Medicaid | Kidz_Partners | $651.19 | ↓ -26% |
| WellSpan_Capital_Blue_Cross | All_Plans | $658.20 | ↓ -25% |
| UPMC | Employees_And_Dependents | $658.20 | ↓ -25% |
| UPMC | UPMC_For_Kids | $658.20 | ↓ -25% |
| Geisinger | All_Plans | $658.20 | ↓ -25% |
| United_Medicaid | Community_Plan_For_Kids | $690.66 | ↓ -21% |
| Cigna | All_Plans | $700.11 | ↓ -20% |
| PHC | All_Plans | $877.60 | ↑ +0% |
| Aetna | All_Plans | $890.76 | ↑ +1% |
| First_Health_Network | All_Plans | $979.62 | ↑ +12% |
| United_Healthcare | All_Plans | $1,028.99 | ↑ +17% |
| Highmark | Performance_Blue | $1,193.73 | ↑ +36% |
| Highmark | Choice_Blue_PPO | $1,193.73 | ↑ +36% |
| Highmark | Blue_Cross_High_Performance_Network | $1,193.73 | ↑ +36% |
| Highmark | All_Other_Plans | $1,438.26 | ↑ +64% |
| Blue_Cross | Capital_Cares_4_kids | $2,402.40 | ↑ +174% |
| Blue_Cross | Capital_Blue_Performance_PPO | $2,571.00 | ↑ +193% |
| Blue_Cross | Capital_Blue_Cross_Healthy_Benefits_PPO | $2,745.60 | ↑ +213% |
| Blue_Cross | All_Other_Plans | $3,432.00 | ↑ +291% |
Visitor-reported prices
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Complx repair fccmnaxghf 13131 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $1,440.60 | $71.00 – $1,920.80 |
| UPMC Bedford | Everett | $4,893.00 | $74.55 – $7,339.50 |
| UPMC Carlisle | Carlisle | $911.40 | $90.17 – $1,291.15 |
| UPMC Cole | Coudersport | $1,693.20 | $74.55 – $1,041.88 |
| UPMC Community Osteopathic | Harrisburg | $911.40 | $90.17 – $2,315.26 |
| UPMC East | Monroeville | $3,824.40 | $78.10 – $5,099.20 |
| UPMC Hamot | Erie | $3,123.00 | $78.10 – $729.80 |
| UPMC Northwest | Seneca | $2,186.40 | $78.10 – $479.78 |