Diabetes (HbA1c) Test at WellSpan Good Samaritan Hospital
252 S. 4th St., Lebanon, PA · Wellspan · · NPI 1407928500
$25.00
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.
?
What you pay up front if you don't use insurance.
$75.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$8.75 with Health_Partners_Medicaid vs $90.25 with Blue_Cross — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 |
|---|---|---|---|
| Health_Partners_Medicaid | All_Other_Plans | $8.75 | ↓ -65% |
| UPMC_Medicaid | All_Plans | $8.75 | ↓ -65% |
| PA_Health_&_Wellness_Medicaid | All_Plans | $8.75 | ↓ -65% |
| Highmark_Wholecare_Gateway_Medicaid | All_Plans | $8.75 | ↓ -65% |
| Geisinger_Medicaid | All_Plans | $8.75 | ↓ -65% |
| Blue_Cross_BlueJourney_Medicare | All_Plans | $9.71 | ↓ -61% |
| Highmark_Medicare | All_Plans | $9.81 | ↓ -61% |
| Amerihealth_Caritas_Medicaid | All_Plans | $9.94 | ↓ -60% |
| Aetna_Advantra_Medicare | All_Plans | $10.00 | ↓ -60% |
| Aetna_Medicare | All_Plans | $10.00 | ↓ -60% |
| United_Medicare | ISNP_DSNP_Plans | $10.20 | ↓ -59% |
| Devoted_Medicare | All_Plans | $10.20 | ↓ -59% |
| Geisinger_Gold_Medicare | All_Plans | $10.20 | ↓ -59% |
| UPMC_Medicare | UPMC_for_Life_Complete_Care | $10.24 | ↓ -59% |
| Amerihealth_Medicare | All_Plans | $10.24 | ↓ -59% |
| Highmark_Wholecare_Gateway_Medicare | All_Plans | $10.24 | ↓ -59% |
| UPMC_Medicare | UPMC_for_Life_Community_HealthChoices | $10.24 | ↓ -59% |
| PA_Health_&_Wellness_Medicare | All_Plans | $10.49 | ↓ -58% |
| Jefferson_Health_Medicare_Advantage | All_Plans | $10.49 | ↓ -58% |
| Blue_Cross | Capital_Blue_Performance_PPO | $14.17 | ↓ -43% |
| Highmark | Higmark_Healthy_Kids | $15.05 | ↓ -40% |
| Health_Partners_Medicaid | Kidz_Partners | $16.02 | ↓ -36% |
| United_Medicaid | Community_Plan_For_Kids | $16.99 | ↓ -32% |
| Aetna_Better_Health_Kids | All_Plans | $23.80 | ↓ -5% |
| WellSpan_Capital_Blue_Cross | All_Plans | $26.00 | ↑ +4% |
| United_Healthcare | All_Plans | $29.13 | ↑ +17% |
| Highmark | Blue_Cross_High_Performance_Network | $29.37 | ↑ +17% |
| Highmark | Performance_Blue | $29.37 | ↑ +17% |
| Highmark | Choice_Blue_PPO | $29.37 | ↑ +17% |
| Highmark | All_Other_Plans | $35.39 | ↑ +42% |
| Aetna | All_Plans | $40.10 | ↑ +60% |
| First_Health_Network | All_Plans | $44.08 | ↑ +76% |
| UPMC | UPMC_For_Kids | $45.00 | ↑ +80% |
| UPMC | Employees_And_Dependents | $45.00 | ↑ +80% |
| Geisinger | All_Plans | $45.00 | ↑ +80% |
| PHC | All_Plans | $60.00 | ↑ +140% |
| Cigna | All_Plans | $62.60 | ↑ +150% |
| Blue_Cross | Capital_Cares_4_kids | $63.17 | ↑ +153% |
| Blue_Cross | Capital_Blue_Cross_Healthy_Benefits_PPO | $72.20 | ↑ +189% |
| Blue_Cross | All_Other_Plans | $90.25 | ↑ +261% |
Visitor-reported prices
Comments
Diabetes (HbA1c) Test at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $86.40 | $7.00 – $115.20 |
| UPMC Bedford | Everett | $66.60 | $3.50 – $99.90 |
| UPMC Carlisle | Carlisle | $49.20 | $7.00 – $69.70 |
| UPMC Cole | Coudersport | $75.00 | $6.31 – $100.00 |
| UPMC Community Osteopathic | Harrisburg | $49.20 | $7.00 – $67.98 |
| UPMC East | Monroeville | $158.40 | $7.00 – $211.20 |
| UPMC Hamot | Erie | $125.40 | $7.00 – $20.60 |
| UPMC Northwest | Seneca | $74.40 | $7.70 – $10.49 |