Contrast baths charges at WellSpan Good Samaritan Hospital
252 S. 4th St., Lebanon, PA · Wellspan · · NPI 1407928500
$118.40
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.
$148.00
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.
$13.09 with Blue_Cross_BlueJourney_Medicare vs $421.00 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 |
|---|---|---|---|
| Blue_Cross_BlueJourney_Medicare | All_Plans | $13.09 | ↓ -89% |
| Highmark_Medicare | All_Plans | $13.22 | ↓ -89% |
| Aetna_Medicare | All_Plans | $13.48 | ↓ -89% |
| Aetna_Advantra_Medicare | All_Plans | $13.48 | ↓ -89% |
| Geisinger_Gold_Medicare | All_Plans | $13.74 | ↓ -88% |
| United_Medicare | ISNP_DSNP_Plans | $13.74 | ↓ -88% |
| Devoted_Medicare | All_Plans | $13.74 | ↓ -88% |
| Highmark_Wholecare_Gateway_Medicare | All_Plans | $13.80 | ↓ -88% |
| UPMC_Medicare | UPMC_for_Life_Complete_Care | $13.81 | ↓ -88% |
| UPMC_Medicare | UPMC_for_Life_Community_HealthChoices | $13.81 | ↓ -88% |
| Amerihealth_Medicare | All_Plans | $13.81 | ↓ -88% |
| PA_Health_&_Wellness_Medicare | All_Plans | $14.14 | ↓ -88% |
| Jefferson_Health_Medicare_Advantage | All_Plans | $14.14 | ↓ -88% |
| Highmark | Higmark_Healthy_Kids | $20.29 | ↓ -83% |
| United_Medicaid | Community_Plan_For_Kids | $22.91 | ↓ -81% |
| Highmark | Performance_Blue | $39.59 | ↓ -67% |
| Highmark | Choice_Blue_PPO | $39.59 | ↓ -67% |
| Highmark | Blue_Cross_High_Performance_Network | $39.59 | ↓ -67% |
| Health_Partners_Medicaid | Kidz_Partners | $44.40 | ↓ -63% |
| Highmark | All_Other_Plans | $47.70 | ↓ -60% |
| PA_Health_&_Wellness_Medicaid | All_Plans | $50.00 | ↓ -58% |
| UPMC_Medicaid | All_Plans | $50.00 | ↓ -58% |
| Geisinger_Medicaid | All_Plans | $50.00 | ↓ -58% |
| Health_Partners_Medicaid | All_Other_Plans | $50.00 | ↓ -58% |
| Highmark_Wholecare_Gateway_Medicaid | All_Plans | $50.00 | ↓ -58% |
| Amerihealth_Caritas_Medicaid | All_Plans | $56.80 | ↓ -52% |
| WellSpan_Capital_Blue_Cross | All_Plans | $88.80 | ↓ -25% |
| UPMC | Employees_And_Dependents | $88.80 | ↓ -25% |
| UPMC | UPMC_For_Kids | $88.80 | ↓ -25% |
| Geisinger | All_Plans | $88.80 | ↓ -25% |
| Cigna | All_Plans | $94.45 | ↓ -20% |
| PHC | All_Plans | $118.40 | ↑ +0% |
| Aetna | All_Plans | $120.18 | ↑ +2% |
| First_Health_Network | All_Plans | $132.16 | ↑ +12% |
| Aetna_Better_Health_Kids | All_Plans | $136.00 | ↑ +15% |
| United_Healthcare | All_Plans | $138.82 | ↑ +17% |
| Blue_Cross | Capital_Cares_4_kids | $294.70 | ↑ +149% |
| Blue_Cross | Capital_Blue_Performance_PPO | $323.00 | ↑ +173% |
| Blue_Cross | Capital_Blue_Cross_Healthy_Benefits_PPO | $393.60 | ↑ +232% |
| Blue_Cross | All_Other_Plans | $421.00 | ↑ +256% |
Visitor-reported prices
Comments
Contrast baths charges at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $130.80 | $25.48 – $174.40 |
| UPMC Cole | Coudersport | $65.40 | $15.12 – $87.20 |
| UPMC East | Monroeville | $83.40 | $25.73 – $111.20 |
| UPMC Hanover | Hanover | $69.60 | $17.00 – $193.00 |
| UPMC Jameson | New Castle | $97.20 | $10.08 – $85.00 |
| UPMC Kane | Kane | $90.60 | $30.66 – $60.68 |
| UPMC Magee | Pittsburgh | $76.20 | $11.09 – $69.55 |
| UPMC McKeesport | Mckeesport | $85.80 | $11.09 – $69.55 |