Coronary angio/lv gram/rt&lt heart 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

$14,824.80

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.

$18,531.00

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.

$3,177.23 with Blue_Cross_BlueJourney_Medicare vs $17,382.08 with United_Healthcare — 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
Blue_Cross_BlueJourney_Medicare All_Plans $3,177.23 ↓ -79%
Highmark_Medicare All_Plans $3,209.00 ↓ -78%
Health_Partners_Medicaid All_Other_Plans $3,216.41 ↓ -78%
Aetna_Advantra_Medicare All_Plans $3,272.55 ↓ -78%
Aetna_Medicare All_Plans $3,272.55 ↓ -78%
Aetna_Better_Health_Kids All_Plans $3,335.58 ↓ -78%
Devoted_Medicare All_Plans $3,336.09 ↓ -77%
United_Medicare ISNP_DSNP_Plans $3,336.09 ↓ -77%
Geisinger_Gold_Medicare All_Plans $3,336.09 ↓ -77%
Highmark_Wholecare_Gateway_Medicare All_Plans $3,350.39 ↓ -77%
UPMC_Medicare UPMC_for_Life_Complete_Care $3,351.98 ↓ -77%
Amerihealth_Medicare All_Plans $3,351.98 ↓ -77%
UPMC_Medicare UPMC_for_Life_Community_HealthChoices $3,351.98 ↓ -77%
Jefferson_Health_Medicare_Advantage All_Plans $3,431.41 ↓ -77%
PA_Health_&_Wellness_Medicare All_Plans $3,431.41 ↓ -77%
Highmark Higmark_Healthy_Kids $4,924.71 ↓ -67%
Health_Partners_Medicaid Kidz_Partners $5,242.43 ↓ -65%
United_Medicaid Community_Plan_For_Kids $5,560.15 ↓ -62%
Highmark Choice_Blue_PPO $9,610.17 ↓ -35%
Highmark Blue_Cross_High_Performance_Network $9,610.17 ↓ -35%
Highmark Performance_Blue $9,610.17 ↓ -35%
WellSpan_Capital_Blue_Cross All_Plans $11,118.60 ↓ -25%
Geisinger All_Plans $11,118.60 ↓ -25%
UPMC UPMC_For_Kids $11,118.60 ↓ -25%
UPMC Employees_And_Dependents $11,118.60 ↓ -25%
Blue_Cross Capital_Cares_4_kids $11,416.30 ↓ -23%
Highmark All_Other_Plans $11,578.78 ↓ -22%
Cigna All_Plans $11,826.48 ↓ -20%
Blue_Cross Capital_Blue_Performance_PPO $12,211.00 ↓ -18%
Blue_Cross Capital_Blue_Cross_Healthy_Benefits_PPO $13,047.20 ↓ -12%
PHC All_Plans $14,824.80 ↑ +0%
Aetna All_Plans $15,600.00 ↑ +5%
Blue_Cross All_Other_Plans $16,309.00 ↑ +10%
First_Health_Network All_Plans $17,160.00 ↑ +16%
United_Healthcare All_Plans $17,382.08 ↑ +17%

Visitor-reported prices

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Coronary angio/lv gram/rt&lt heart at other Pennsylvania hospitals

Hospital City Cash price Negotiated range
UPMC Altoona Altoona $11,731.80 $1,506.28 – $15,642.40
UPMC Carlisle Carlisle $6,549.60 $1,016.56 – $9,278.60
UPMC Community Osteopathic Harrisburg $6,549.60 $1,016.56 – $9,278.60
UPMC East Monroeville $7,430.40 $1,520.62 – $9,907.20
UPMC Hamot Erie $21,844.20 $1,506.28 – $4,459.95
UPMC Northwest Seneca $10,049.40 $1,850.92 – $3,311.78
UPMC Hanover Hanover $6,549.60 $1,016.56 – $6,085.58
UPMC Jameson New Castle $9,062.40 $892.40 – $3,833.07

All Pennsylvania hospitals for this procedure →