Critical care 30-74 minutes at WellSpan Good Samaritan Hospital
252 S. 4th St., Lebanon, PA · Wellspan · · NPI 1407928500
$2,227.20
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.
$2,784.00
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.
$189.54 with UPMC_Medicaid vs $7,555.00 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 |
|---|---|---|---|
| UPMC_Medicaid | All_Plans | $189.54 | ↓ -91% |
| Health_Partners_Medicaid | All_Other_Plans | $189.54 | ↓ -91% |
| PA_Health_&_Wellness_Medicaid | All_Plans | $189.54 | ↓ -91% |
| Geisinger_Medicaid | All_Plans | $189.54 | ↓ -91% |
| Amerihealth_Caritas_Medicaid | All_Plans | $215.31 | ↓ -90% |
| Highmark_Wholecare_Gateway_Medicaid | All_Plans | $255.03 | ↓ -89% |
| Aetna_Better_Health_Kids | All_Plans | $515.54 | ↓ -77% |
| Blue_Cross_BlueJourney_Medicare | All_Plans | $832.35 | ↓ -63% |
| Highmark_Medicare | All_Plans | $840.67 | ↓ -62% |
| Aetna_Medicare | All_Plans | $857.32 | ↓ -62% |
| Aetna_Advantra_Medicare | All_Plans | $857.32 | ↓ -62% |
| Geisinger_Gold_Medicare | All_Plans | $873.97 | ↓ -61% |
| Devoted_Medicare | All_Plans | $873.97 | ↓ -61% |
| United_Medicare | ISNP_DSNP_Plans | $873.97 | ↓ -61% |
| Highmark_Wholecare_Gateway_Medicare | All_Plans | $877.71 | ↓ -61% |
| UPMC_Medicare | UPMC_for_Life_Complete_Care | $878.13 | ↓ -61% |
| UPMC_Medicare | UPMC_for_Life_Community_HealthChoices | $878.13 | ↓ -61% |
| Amerihealth_Medicare | All_Plans | $878.13 | ↓ -61% |
| Jefferson_Health_Medicare_Advantage | All_Plans | $898.94 | ↓ -60% |
| PA_Health_&_Wellness_Medicare | All_Plans | $898.94 | ↓ -60% |
| Highmark | Higmark_Healthy_Kids | $1,290.14 | ↓ -42% |
| Health_Partners_Medicaid | Kidz_Partners | $1,373.38 | ↓ -38% |
| United_Medicaid | Community_Plan_For_Kids | $1,456.61 | ↓ -35% |
| WellSpan_Capital_Blue_Cross | All_Plans | $1,670.40 | ↓ -25% |
| UPMC | Employees_And_Dependents | $1,670.40 | ↓ -25% |
| UPMC | UPMC_For_Kids | $1,670.40 | ↓ -25% |
| Geisinger | All_Plans | $1,670.40 | ↓ -25% |
| Cigna | All_Plans | $1,776.75 | ↓ -20% |
| United_Healthcare | All_Plans | $1,836.00 | ↓ -18% |
| PHC | All_Plans | $2,227.20 | ↑ +0% |
| Aetna | All_Plans | $2,260.61 | ↑ +2% |
| First_Health_Network | All_Plans | $2,486.11 | ↑ +12% |
| Highmark | Performance_Blue | $2,517.61 | ↑ +13% |
| Highmark | Choice_Blue_PPO | $2,517.61 | ↑ +13% |
| Highmark | Blue_Cross_High_Performance_Network | $2,517.61 | ↑ +13% |
| Highmark | All_Other_Plans | $3,033.33 | ↑ +36% |
| Blue_Cross | Capital_Cares_4_kids | $5,288.50 | ↑ +137% |
| Blue_Cross | Capital_Blue_Performance_PPO | $5,809.00 | ↑ +161% |
| Blue_Cross | Capital_Blue_Cross_Healthy_Benefits_PPO | $6,044.00 | ↑ +171% |
| Blue_Cross | All_Other_Plans | $7,555.00 | ↑ +239% |
Visitor-reported prices
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Critical care 30-74 minutes at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $2,460.60 | $151.63 – $3,280.80 |
| UPMC Bedford | Everett | $1,087.80 | $159.21 – $1,631.70 |
| UPMC Carlisle | Carlisle | $2,304.00 | $192.57 – $3,264.00 |
| UPMC Cole | Coudersport | $1,185.60 | $159.21 – $553.28 |
| UPMC Community Osteopathic | Harrisburg | $2,304.00 | $192.57 – $1,303.05 |
| UPMC East | Monroeville | $1,501.80 | $166.79 – $2,002.40 |
| UPMC Hamot | Erie | $2,664.00 | $166.79 – $1,001.31 |
| UPMC Northwest | Seneca | $1,263.00 | $166.79 – $843.50 |