Cosyntropin 0.25 mg solution for injection 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

$215.20

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.

$269.00

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.

$19.26 with Blue_Cross vs $215.20 with PHC — 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 Capital_Cares_4_kids $19.26 ↓ -91%
Blue_Cross Capital_Blue_Cross_Healthy_Benefits_PPO $22.02 ↓ -90%
Highmark_Wholecare_Gateway_Medicaid All_Plans $25.37 ↓ -88%
Health_Partners_Medicaid All_Other_Plans $25.37 ↓ -88%
Geisinger_Medicaid All_Plans $25.37 ↓ -88%
Amerihealth_Caritas_Medicaid All_Plans $25.37 ↓ -88%
Blue_Cross All_Other_Plans $27.52 ↓ -87%
Blue_Cross Capital_Blue_Performance_PPO $27.52 ↓ -87%
UPMC_Medicaid All_Plans $29.08 ↓ -86%
Aetna All_Plans $77.12 ↓ -64%
First_Health_Network All_Plans $84.84 ↓ -61%
United_Healthcare All_Plans $89.66 ↓ -58%
Cigna All_Plans $116.90 ↓ -46%
UPMC Employees_And_Dependents $161.40 ↓ -25%
WellSpan_Capital_Blue_Cross All_Plans $161.40 ↓ -25%
Geisinger All_Plans $161.40 ↓ -25%
UPMC UPMC_For_Kids $161.40 ↓ -25%
PHC All_Plans $215.20 ↑ +0%

Visitor-reported prices

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Cosyntropin 0.25 mg solution for injection at other Pennsylvania hospitals

Hospital City Cash price Negotiated range
UPMC Altoona Altoona $316.80 $16.02 – $316.80
UPMC Bedford Everett $646.40 $16.02 – $727.20
UPMC Carlisle Carlisle $63.60 $1.37 – $38.23
UPMC Cole Coudersport $1,113.60 $25.37 – $1,484.80
UPMC Community Osteopathic Harrisburg $63.60 $2.00 – $352.55
UPMC East Monroeville $1,265.60 $16.02 – $1,265.60
UPMC Hamot Erie $1,411.20 $16.02 – $91.43
UPMC Northwest Seneca $844.80 $16.02 – $549.54

All Pennsylvania hospitals for this procedure →