Cystatin c at WellSpan Good Samaritan Hospital
252 S. 4th St., Lebanon, PA · Wellspan · · NPI 1407928500
$77.60
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.
$97.00
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.
$18.52 with Blue_Cross_BlueJourney_Medicare vs $126.42 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 | $18.52 | ↓ -76% |
| Highmark_Medicare | All_Plans | $18.71 | ↓ -76% |
| Highmark_Wholecare_Gateway_Medicaid | All_Plans | $19.00 | ↓ -76% |
| PA_Health_&_Wellness_Medicaid | All_Plans | $19.00 | ↓ -76% |
| UPMC_Medicaid | All_Plans | $19.00 | ↓ -76% |
| Geisinger_Medicaid | All_Plans | $19.00 | ↓ -76% |
| Health_Partners_Medicaid | All_Other_Plans | $19.00 | ↓ -76% |
| Aetna_Advantra_Medicare | All_Plans | $19.08 | ↓ -75% |
| Aetna_Medicare | All_Plans | $19.08 | ↓ -75% |
| Geisinger_Gold_Medicare | All_Plans | $19.45 | ↓ -75% |
| United_Medicare | ISNP_DSNP_Plans | $19.45 | ↓ -75% |
| Devoted_Medicare | All_Plans | $19.45 | ↓ -75% |
| Highmark_Wholecare_Gateway_Medicare | All_Plans | $19.53 | ↓ -75% |
| UPMC_Medicare | UPMC_for_Life_Complete_Care | $19.54 | ↓ -75% |
| Amerihealth_Medicare | All_Plans | $19.54 | ↓ -75% |
| UPMC_Medicare | UPMC_for_Life_Community_HealthChoices | $19.54 | ↓ -75% |
| Jefferson_Health_Medicare_Advantage | All_Plans | $20.00 | ↓ -74% |
| PA_Health_&_Wellness_Medicare | All_Plans | $20.00 | ↓ -74% |
| Amerihealth_Caritas_Medicaid | All_Plans | $21.58 | ↓ -72% |
| Highmark | Higmark_Healthy_Kids | $28.71 | ↓ -63% |
| Health_Partners_Medicaid | Kidz_Partners | $30.56 | ↓ -61% |
| United_Medicaid | Community_Plan_For_Kids | $32.41 | ↓ -58% |
| Aetna_Better_Health_Kids | All_Plans | $51.68 | ↓ -33% |
| United_Healthcare | All_Plans | $55.56 | ↓ -28% |
| Highmark | Blue_Cross_High_Performance_Network | $56.02 | ↓ -28% |
| Highmark | Performance_Blue | $56.02 | ↓ -28% |
| Highmark | Choice_Blue_PPO | $56.02 | ↓ -28% |
| WellSpan_Capital_Blue_Cross | All_Plans | $58.20 | ↓ -25% |
| UPMC | Employees_And_Dependents | $58.20 | ↓ -25% |
| UPMC | UPMC_For_Kids | $58.20 | ↓ -25% |
| Geisinger | All_Plans | $58.20 | ↓ -25% |
| Highmark | All_Other_Plans | $67.49 | ↓ -13% |
| Aetna | All_Plans | $76.49 | ↓ -1% |
| PHC | All_Plans | $77.60 | ↑ +0% |
| Cigna | All_Plans | $80.96 | ↑ +4% |
| First_Health_Network | All_Plans | $84.08 | ↑ +8% |
| Blue_Cross | Capital_Cares_4_kids | $88.50 | ↑ +14% |
| Blue_Cross | Capital_Blue_Cross_Healthy_Benefits_PPO | $101.14 | ↑ +30% |
| Blue_Cross | Capital_Blue_Performance_PPO | $104.93 | ↑ +35% |
| Blue_Cross | All_Other_Plans | $126.42 | ↑ +63% |
Visitor-reported prices
Comments
Cystatin c at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $108.00 | $15.20 – $144.00 |
| UPMC Bedford | Everett | $78.60 | $6.68 – $117.90 |
| UPMC Carlisle | Carlisle | $94.20 | $15.20 – $133.45 |
| UPMC Community Osteopathic | Harrisburg | $94.20 | $15.20 – $133.45 |
| UPMC East | Monroeville | $272.40 | $15.20 – $363.20 |
| UPMC Hamot | Erie | $205.80 | $15.20 – $35.32 |
| UPMC Northwest | Seneca | $119.40 | $16.72 – $20.00 |
| UPMC Hanover | Hanover | $94.20 | $15.20 – $29.63 |