Dexa bone density study >=1 sites appendicular skeleton (peripheral) 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

$323.20

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.

$404.00

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.

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The hospital's undiscounted list price — almost no one pays this.

$18.30 with Blue_Cross vs $497.84 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.

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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_Blue_Performance_PPO $18.30 ↓ -94%
PA_Health_&_Wellness_Medicaid All_Plans $34.35 ↓ -89%
Health_Partners_Medicaid All_Other_Plans $34.35 ↓ -89%
Geisinger_Medicaid All_Plans $34.35 ↓ -89%
Highmark_Wholecare_Gateway_Medicaid All_Plans $34.35 ↓ -89%
UPMC_Medicaid All_Plans $34.35 ↓ -89%
Amerihealth_Caritas_Medicaid All_Plans $39.02 ↓ -88%
Blue_Cross Capital_Cares_4_kids $83.96 ↓ -74%
Blue_Cross_BlueJourney_Medicare All_Plans $86.98 ↓ -73%
Highmark_Medicare All_Plans $87.85 ↓ -73%
Aetna_Medicare All_Plans $89.59 ↓ -72%
Aetna_Advantra_Medicare All_Plans $89.59 ↓ -72%
Geisinger_Gold_Medicare All_Plans $91.33 ↓ -72%
United_Medicare ISNP_DSNP_Plans $91.33 ↓ -72%
Devoted_Medicare All_Plans $91.33 ↓ -72%
Highmark_Wholecare_Gateway_Medicare All_Plans $91.72 ↓ -72%
UPMC_Medicare UPMC_for_Life_Community_HealthChoices $91.76 ↓ -72%
UPMC_Medicare UPMC_for_Life_Complete_Care $91.76 ↓ -72%
Amerihealth_Medicare All_Plans $91.76 ↓ -72%
Aetna_Better_Health_Kids All_Plans $93.43 ↓ -71%
PA_Health_&_Wellness_Medicare All_Plans $93.94 ↓ -71%
Jefferson_Health_Medicare_Advantage All_Plans $93.94 ↓ -71%
Blue_Cross Capital_Blue_Cross_Healthy_Benefits_PPO $95.95 ↓ -70%
Blue_Cross All_Other_Plans $119.94 ↓ -63%
Highmark Higmark_Healthy_Kids $134.82 ↓ -58%
Health_Partners_Medicaid Kidz_Partners $143.52 ↓ -56%
United_Medicaid Community_Plan_For_Kids $152.22 ↓ -53%
WellSpan_Capital_Blue_Cross All_Plans $221.00 ↓ -32%
Cigna All_Plans $238.00 ↓ -26%
UPMC UPMC_For_Kids $242.40 ↓ -25%
Geisinger All_Plans $242.40 ↓ -25%
UPMC Employees_And_Dependents $242.40 ↓ -25%
Highmark Performance_Blue $263.09 ↓ -19%
Highmark Choice_Blue_PPO $263.09 ↓ -19%
Highmark Blue_Cross_High_Performance_Network $263.09 ↓ -19%
Highmark All_Other_Plans $316.98 ↓ -2%
PHC All_Plans $323.20 ↑ +0%
Aetna All_Plans $328.05 ↑ +2%
First_Health_Network All_Plans $360.77 ↑ +12%
United_Healthcare All_Plans $497.84 ↑ +54%

Visitor-reported prices

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Dexa bone density study >=1 sites appendicular skeleton (peripheral) at other Pennsylvania hospitals

Hospital City Cash price Negotiated range
UPMC Carlisle Carlisle $188.40 $23.16 – $266.90
UPMC Cole Coudersport $104.40 $28.85 – $139.20
UPMC Community Osteopathic Harrisburg $188.40 $23.16 – $266.90
UPMC Hamot Erie $121.20 $23.98 – $118.50
UPMC Northwest Seneca $121.20 $30.23 – $88.15
UPMC Hanover Hanover $188.40 $23.16 – $134.58
UPMC Horizon-Greenville Greenville $121.20 $28.85 – $94.64
UPMC Kane Kane $139.80 $30.23 – $88.65

All Pennsylvania hospitals for this procedure →