Control of nosebleedantersmpl 30901 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

$575.20

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.

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What you pay up front if you don't use insurance.

$719.00

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.

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The hospital's undiscounted list price — almost no one pays this.

$33.75 with UPMC_Medicaid vs $1,616.00 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
UPMC_Medicaid All_Plans $33.75 ↓ -94%
Highmark_Wholecare_Gateway_Medicaid All_Plans $33.75 ↓ -94%
Health_Partners_Medicaid All_Other_Plans $33.75 ↓ -94%
Geisinger_Medicaid All_Plans $33.75 ↓ -94%
PA_Health_&_Wellness_Medicaid All_Plans $33.75 ↓ -94%
Amerihealth_Caritas_Medicaid All_Plans $38.34 ↓ -93%
Aetna_Better_Health_Kids All_Plans $91.80 ↓ -84%
Blue_Cross_BlueJourney_Medicare All_Plans $127.33 ↓ -78%
Highmark_Medicare All_Plans $128.60 ↓ -78%
Aetna_Medicare All_Plans $131.15 ↓ -77%
Aetna_Advantra_Medicare All_Plans $131.15 ↓ -77%
Geisinger_Gold_Medicare All_Plans $133.70 ↓ -77%
United_Medicare ISNP_DSNP_Plans $133.70 ↓ -77%
Devoted_Medicare All_Plans $133.70 ↓ -77%
Highmark_Wholecare_Gateway_Medicare All_Plans $134.27 ↓ -77%
UPMC_Medicare UPMC_for_Life_Complete_Care $134.33 ↓ -77%
Amerihealth_Medicare All_Plans $134.33 ↓ -77%
UPMC_Medicare UPMC_for_Life_Community_HealthChoices $134.33 ↓ -77%
PA_Health_&_Wellness_Medicare All_Plans $137.52 ↓ -76%
Jefferson_Health_Medicare_Advantage All_Plans $137.52 ↓ -76%
Highmark Higmark_Healthy_Kids $197.36 ↓ -66%
Health_Partners_Medicaid Kidz_Partners $210.09 ↓ -63%
United_Medicaid Community_Plan_For_Kids $222.83 ↓ -61%
Highmark Blue_Cross_High_Performance_Network $385.14 ↓ -33%
Highmark Choice_Blue_PPO $385.14 ↓ -33%
Highmark Performance_Blue $385.14 ↓ -33%
WellSpan_Capital_Blue_Cross All_Plans $431.40 ↓ -25%
UPMC Employees_And_Dependents $431.40 ↓ -25%
UPMC UPMC_For_Kids $431.40 ↓ -25%
Geisinger All_Plans $431.40 ↓ -25%
Cigna All_Plans $458.87 ↓ -20%
Highmark All_Other_Plans $464.03 ↓ -19%
PHC All_Plans $575.20 ↑ +0%
Aetna All_Plans $583.83 ↑ +2%
First_Health_Network All_Plans $642.07 ↑ +12%
United_Healthcare All_Plans $674.42 ↑ +17%
Blue_Cross Capital_Cares_4_kids $1,131.20 ↑ +97%
Blue_Cross Capital_Blue_Performance_PPO $1,209.00 ↑ +110%
Blue_Cross Capital_Blue_Cross_Healthy_Benefits_PPO $1,292.80 ↑ +125%
Blue_Cross All_Other_Plans $1,616.00 ↑ +181%

Visitor-reported prices

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Control of nosebleedantersmpl 30901 at other Pennsylvania hospitals

Hospital City Cash price Negotiated range
UPMC Altoona Altoona $561.60 $27.00 – $748.80
UPMC Bedford Everett $289.20 $28.35 – $433.80
UPMC Carlisle Carlisle $520.80 $34.29 – $1,016.56
UPMC Cole Coudersport $302.40 $19.13 – $2,325.85
UPMC Community Osteopathic Harrisburg $520.80 $34.29 – $1,016.56
UPMC East Monroeville $444.60 $29.70 – $592.80
UPMC Hamot Erie $566.40 $29.70 – $178.73
UPMC Northwest Seneca $388.80 $29.70 – $163.58

All Pennsylvania hospitals for this procedure →