Diagnostic digital breast tomosynthesis unil 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

$60.80

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.

$76.00

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.

$14.09 with Blue_Cross_BlueJourney_Medicare vs $163.85 with Aetna_Better_Health_Kids — 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 $14.09 ↓ -77%
Highmark_Medicare All_Plans $14.23 ↓ -77%
Aetna_Medicare All_Plans $14.51 ↓ -76%
Aetna_Advantra_Medicare All_Plans $14.51 ↓ -76%
Devoted_Medicare All_Plans $14.79 ↓ -76%
United_Medicare ISNP_DSNP_Plans $14.79 ↓ -76%
Geisinger_Gold_Medicare All_Plans $14.79 ↓ -76%
Amerihealth_Medicare All_Plans $14.86 ↓ -76%
UPMC_Medicare UPMC_for_Life_Community_HealthChoices $14.86 ↓ -76%
UPMC_Medicare UPMC_for_Life_Complete_Care $14.86 ↓ -76%
Highmark_Wholecare_Gateway_Medicare All_Plans $14.86 ↓ -76%
Jefferson_Health_Medicare_Advantage All_Plans $15.22 ↓ -75%
PA_Health_&_Wellness_Medicare All_Plans $15.22 ↓ -75%
Highmark Higmark_Healthy_Kids $21.84 ↓ -64%
Health_Partners_Medicaid Kidz_Partners $22.80 ↓ -63%
United_Medicaid Community_Plan_For_Kids $24.66 ↓ -59%
Blue_Cross Capital_Cares_4_kids $31.08 ↓ -49%
Blue_Cross Capital_Blue_Cross_Healthy_Benefits_PPO $35.51 ↓ -42%
WellSpan_Capital_Blue_Cross All_Plans $39.00 ↓ -36%
Highmark Blue_Cross_High_Performance_Network $42.62 ↓ -30%
Highmark Performance_Blue $42.62 ↓ -30%
Highmark Choice_Blue_PPO $42.62 ↓ -30%
Blue_Cross All_Other_Plans $44.39 ↓ -27%
UPMC UPMC_For_Kids $45.60 ↓ -25%
Geisinger All_Plans $45.60 ↓ -25%
UPMC Employees_And_Dependents $45.60 ↓ -25%
Cigna All_Plans $48.50 ↓ -20%
Highmark All_Other_Plans $51.35 ↓ -16%
PA_Health_&_Wellness_Medicaid All_Plans $60.24 ↓ -1%
Geisinger_Medicaid All_Plans $60.24 ↓ -1%
Health_Partners_Medicaid All_Other_Plans $60.24 ↓ -1%
Highmark_Wholecare_Gateway_Medicaid All_Plans $60.24 ↓ -1%
UPMC_Medicaid All_Plans $60.24 ↓ -1%
PHC All_Plans $60.80 ↑ +0%
Aetna All_Plans $61.71 ↑ +1%
First_Health_Network All_Plans $67.87 ↑ +12%
Amerihealth_Caritas_Medicaid All_Plans $68.43 ↑ +13%
United_Healthcare All_Plans $109.19 ↑ +80%
Aetna_Better_Health_Kids All_Plans $163.85 ↑ +169%

Visitor-reported prices

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Diagnostic digital breast tomosynthesis unil at other Pennsylvania hospitals

Hospital City Cash price Negotiated range
UPMC Cole Coudersport $691.80 $50.60 – $922.40
UPMC Kane Kane $118.80 $53.01 – $407.47
WellSpan Chambersburg Hospital Chambersburg $104.80 $14.09 – $109.19
WellSpan Ephrata Community Hospital Ephrata $60.80 $14.23 – $163.85
Uniontown Hospital Uniontown $331.50 $24.76 – $28.14
WellSpan Waynesboro Hospital Waynesboro $104.80 $14.09 – $109.19
WellSpan Evangelical Community Hospital Lewisburg $103.00 $13.95 – $109.19
WellSpan Gettysburg Hospital Gettysburg $59.20 $14.09 – $163.85

All Pennsylvania hospitals for this procedure →