CT angio hrt w/3d image at WellSpan Good Samaritan Hospital
252 S. 4th St., Lebanon, PA · Wellspan · · NPI 1407928500
$407.00
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.
$2,107.00
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.
$352.78 with Blue_Cross_BlueJourney_Medicare vs $3,432.00 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 |
|---|---|---|---|
| Blue_Cross_BlueJourney_Medicare | All_Plans | $352.78 | ↓ -13% |
| Highmark_Medicare | All_Plans | $356.31 | ↓ -12% |
| Aetna_Advantra_Medicare | All_Plans | $363.36 | ↓ -11% |
| Aetna_Medicare | All_Plans | $363.36 | ↓ -11% |
| WellSpan_Capital_Blue_Cross | All_Plans | $364.00 | ↓ -11% |
| Devoted_Medicare | All_Plans | $370.42 | ↓ -9% |
| Geisinger_Gold_Medicare | All_Plans | $370.42 | ↓ -9% |
| United_Medicare | ISNP_DSNP_Plans | $370.42 | ↓ -9% |
| Highmark_Wholecare_Gateway_Medicare | All_Plans | $372.01 | ↓ -9% |
| Amerihealth_Medicare | All_Plans | $372.18 | ↓ -9% |
| UPMC_Medicare | UPMC_for_Life_Complete_Care | $372.18 | ↓ -9% |
| UPMC_Medicare | UPMC_for_Life_Community_HealthChoices | $372.18 | ↓ -9% |
| Health_Partners_Medicaid | All_Other_Plans | $374.18 | ↓ -8% |
| UPMC_Medicaid | All_Plans | $374.18 | ↓ -8% |
| PA_Health_&_Wellness_Medicaid | All_Plans | $374.18 | ↓ -8% |
| Highmark_Wholecare_Gateway_Medicaid | All_Plans | $374.18 | ↓ -8% |
| Geisinger_Medicaid | All_Plans | $374.18 | ↓ -8% |
| PA_Health_&_Wellness_Medicare | All_Plans | $381.00 | ↓ -6% |
| Jefferson_Health_Medicare_Advantage | All_Plans | $381.00 | ↓ -6% |
| Amerihealth_Caritas_Medicaid | All_Plans | $425.06 | ↑ +4% |
| Highmark | Higmark_Healthy_Kids | $546.81 | ↑ +34% |
| Health_Partners_Medicaid | Kidz_Partners | $582.09 | ↑ +43% |
| United_Medicaid | Community_Plan_For_Kids | $617.37 | ↑ +52% |
| Aetna | All_Plans | $957.00 | ↑ +135% |
| Aetna_Better_Health_Kids | All_Plans | $1,017.76 | ↑ +150% |
| First_Health_Network | All_Plans | $1,052.00 | ↑ +158% |
| Highmark | Choice_Blue_PPO | $1,067.05 | ↑ +162% |
| Highmark | Performance_Blue | $1,067.05 | ↑ +162% |
| Highmark | Blue_Cross_High_Performance_Network | $1,067.05 | ↑ +162% |
| Geisinger | All_Plans | $1,264.20 | ↑ +211% |
| UPMC | Employees_And_Dependents | $1,264.20 | ↑ +211% |
| UPMC | UPMC_For_Kids | $1,264.20 | ↑ +211% |
| Highmark | All_Other_Plans | $1,285.64 | ↑ +216% |
| Cigna | All_Plans | $1,344.69 | ↑ +230% |
| PHC | All_Plans | $1,685.60 | ↑ +314% |
| United_Healthcare | All_Plans | $1,976.37 | ↑ +386% |
| Blue_Cross | Capital_Cares_4_kids | $2,402.40 | ↑ +490% |
| Blue_Cross | Capital_Blue_Performance_PPO | $2,571.00 | ↑ +532% |
| Blue_Cross | Capital_Blue_Cross_Healthy_Benefits_PPO | $2,745.60 | ↑ +575% |
| Blue_Cross | All_Other_Plans | $3,432.00 | ↑ +743% |
Visitor-reported prices
Comments
CT angio hrt w/3d image at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $1,424.40 | $56.72 – $588.52 |
| UPMC Community Osteopathic | Harrisburg | $1,424.40 | $82.80 – $1,494.70 |
| UPMC Hamot | Erie | $1,820.40 | $270.53 – $562.36 |
| UPMC Hanover | Hanover | $1,424.40 | $271.26 – $588.52 |
| UPMC Kane | Kane | $2,457.60 | $329.27 – $725.82 |
| UPMC Lititz | Lititz | $1,424.40 | $271.26 – $588.52 |
| UPMC Magee | Pittsburgh | $2,753.40 | $318.66 – $562.36 |
| UPMC Memorial | York | $1,424.40 | $271.26 – $1,628.28 |