Coronary angio/lv gram/lt heart at WellSpan Good Samaritan Hospital
252 S. 4th St., Lebanon, PA · Wellspan · · NPI 1407928500
$13,615.20
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.
$17,019.00
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.
$3,063.42 with Aetna_Better_Health_Kids vs $17,160.00 with First_Health_Network — 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 |
|---|---|---|---|
| Aetna_Better_Health_Kids | All_Plans | $3,063.42 | ↓ -78% |
| Blue_Cross_BlueJourney_Medicare | All_Plans | $3,177.23 | ↓ -77% |
| Highmark_Medicare | All_Plans | $3,209.00 | ↓ -76% |
| Health_Partners_Medicaid | All_Other_Plans | $3,216.41 | ↓ -76% |
| Aetna_Advantra_Medicare | All_Plans | $3,272.55 | ↓ -76% |
| Aetna_Medicare | All_Plans | $3,272.55 | ↓ -76% |
| Geisinger_Gold_Medicare | All_Plans | $3,336.09 | ↓ -75% |
| United_Medicare | ISNP_DSNP_Plans | $3,336.09 | ↓ -75% |
| Devoted_Medicare | All_Plans | $3,336.09 | ↓ -75% |
| Highmark_Wholecare_Gateway_Medicare | All_Plans | $3,350.39 | ↓ -75% |
| UPMC_Medicare | UPMC_for_Life_Complete_Care | $3,351.98 | ↓ -75% |
| Amerihealth_Medicare | All_Plans | $3,351.98 | ↓ -75% |
| UPMC_Medicare | UPMC_for_Life_Community_HealthChoices | $3,351.98 | ↓ -75% |
| Jefferson_Health_Medicare_Advantage | All_Plans | $3,431.41 | ↓ -75% |
| PA_Health_&_Wellness_Medicare | All_Plans | $3,431.41 | ↓ -75% |
| Highmark | Higmark_Healthy_Kids | $4,924.71 | ↓ -64% |
| Health_Partners_Medicaid | Kidz_Partners | $5,242.43 | ↓ -61% |
| United_Medicaid | Community_Plan_For_Kids | $5,560.15 | ↓ -59% |
| Highmark | Choice_Blue_PPO | $9,610.17 | ↓ -29% |
| Highmark | Blue_Cross_High_Performance_Network | $9,610.17 | ↓ -29% |
| Highmark | Performance_Blue | $9,610.17 | ↓ -29% |
| WellSpan_Capital_Blue_Cross | All_Plans | $10,211.40 | ↓ -25% |
| Geisinger | All_Plans | $10,211.40 | ↓ -25% |
| UPMC | UPMC_For_Kids | $10,211.40 | ↓ -25% |
| UPMC | Employees_And_Dependents | $10,211.40 | ↓ -25% |
| Cigna | All_Plans | $10,861.53 | ↓ -20% |
| Blue_Cross | Capital_Cares_4_kids | $11,416.30 | ↓ -16% |
| Highmark | All_Other_Plans | $11,578.78 | ↓ -15% |
| Blue_Cross | Capital_Blue_Performance_PPO | $12,211.00 | ↓ -10% |
| Blue_Cross | Capital_Blue_Cross_Healthy_Benefits_PPO | $13,047.20 | ↓ -4% |
| PHC | All_Plans | $13,615.20 | ↑ +0% |
| Aetna | All_Plans | $15,600.00 | ↑ +15% |
| United_Healthcare | All_Plans | $15,963.82 | ↑ +17% |
| Blue_Cross | All_Other_Plans | $16,309.00 | ↑ +20% |
| First_Health_Network | All_Plans | $17,160.00 | ↑ +26% |
Visitor-reported prices
Comments
Coronary angio/lv gram/lt heart at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $9,964.80 | $1,309.04 – $13,286.40 |
| UPMC Carlisle | Carlisle | $4,655.40 | $717.74 – $17,298.00 |
| UPMC Community Osteopathic | Harrisburg | $4,655.40 | $1,016.56 – $8,184.75 |
| UPMC East | Monroeville | $6,775.20 | $1,321.51 – $9,033.60 |
| UPMC Hamot | Erie | $20,801.40 | $1,309.04 – $4,459.95 |
| UPMC Northwest | Seneca | $8,070.00 | $1,564.80 – $3,311.78 |
| UPMC Hanover | Hanover | $4,655.40 | $1,016.56 – $4,986.69 |
| UPMC Jameson | New Castle | $7,875.00 | $892.40 – $3,833.07 |