Design mlc device for imrt 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

$4,412.00

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.

$5,515.00

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.

$361.61 with Blue_Cross_BlueJourney_Medicare vs $5,173.07 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 $361.61 ↓ -92%
Highmark_Medicare All_Plans $365.23 ↓ -92%
Aetna_Medicare All_Plans $372.46 ↓ -92%
Aetna_Advantra_Medicare All_Plans $372.46 ↓ -92%
Devoted_Medicare All_Plans $379.69 ↓ -91%
Geisinger_Gold_Medicare All_Plans $379.69 ↓ -91%
United_Medicare ISNP_DSNP_Plans $379.69 ↓ -91%
Highmark_Wholecare_Gateway_Medicare All_Plans $381.32 ↓ -91%
UPMC_Medicare UPMC_for_Life_Complete_Care $381.50 ↓ -91%
Amerihealth_Medicare All_Plans $381.50 ↓ -91%
UPMC_Medicare UPMC_for_Life_Community_HealthChoices $381.50 ↓ -91%
Jefferson_Health_Medicare_Advantage All_Plans $390.54 ↓ -91%
PA_Health_&_Wellness_Medicare All_Plans $390.54 ↓ -91%
Highmark Higmark_Healthy_Kids $560.50 ↓ -87%
Health_Partners_Medicaid Kidz_Partners $596.66 ↓ -86%
United_Medicaid Community_Plan_For_Kids $632.82 ↓ -86%
Blue_Cross Capital_Blue_Performance_PPO $636.93 ↓ -86%
Aetna_Better_Health_Kids All_Plans $992.70 ↓ -78%
Blue_Cross Capital_Cares_4_kids $1,070.65 ↓ -76%
Highmark Choice_Blue_PPO $1,093.76 ↓ -75%
Highmark Performance_Blue $1,093.76 ↓ -75%
Highmark Blue_Cross_High_Performance_Network $1,093.76 ↓ -75%
Blue_Cross Capital_Blue_Cross_Healthy_Benefits_PPO $1,223.61 ↓ -72%
Highmark All_Other_Plans $1,317.82 ↓ -70%
Blue_Cross All_Other_Plans $1,529.51 ↓ -65%
Cigna All_Plans $2,870.01 ↓ -35%
WellSpan_Capital_Blue_Cross All_Plans $3,309.00 ↓ -25%
UPMC Employees_And_Dependents $3,309.00 ↓ -25%
UPMC UPMC_For_Kids $3,309.00 ↓ -25%
Geisinger All_Plans $3,309.00 ↓ -25%
PHC All_Plans $4,412.00 ↑ +0%
Aetna All_Plans $4,478.18 ↑ +2%
First_Health_Network All_Plans $4,924.90 ↑ +12%
United_Healthcare All_Plans $5,173.07 ↑ +17%

Visitor-reported prices

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Design mlc device for imrt at other Pennsylvania hospitals

Hospital City Cash price Negotiated range
UPMC Altoona Altoona $7,088.40 $361.48 – $9,451.20
UPMC Carlisle Carlisle $1,479.60 $192.60 – $2,096.10
UPMC Community Osteopathic Harrisburg $1,479.60 $286.65 – $2,096.10
UPMC East Monroeville $1,882.80 $349.94 – $2,510.40
UPMC Northwest Seneca $1,254.00 $316.51 – $702.81
UPMC Horizon-Greenville Greenville $1,254.00 $312.46 – $702.81
UPMC Lititz Lititz $1,479.60 $286.65 – $1,189.22
UPMC Magee Pittsburgh $1,785.00 $326.63 – $702.81

All Pennsylvania hospitals for this procedure →