Doppler upper/lower extremity arteries limited bilateral 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

$514.40

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.

$643.00

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.

$60.99 with Geisinger_Medicaid vs $603.13 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
Geisinger_Medicaid All_Plans $60.99 ↓ -88%
PA_Health_&_Wellness_Medicaid All_Plans $60.99 ↓ -88%
Health_Partners_Medicaid All_Other_Plans $60.99 ↓ -88%
UPMC_Medicaid All_Plans $60.99 ↓ -88%
Highmark_Wholecare_Gateway_Medicaid All_Plans $60.99 ↓ -88%
Amerihealth_Caritas_Medicaid All_Plans $69.28 ↓ -87%
Blue_Cross_BlueJourney_Medicare All_Plans $127.33 ↓ -75%
Highmark_Medicare All_Plans $128.60 ↓ -75%
Aetna_Advantra_Medicare All_Plans $131.15 ↓ -75%
Aetna_Medicare All_Plans $131.15 ↓ -75%
Devoted_Medicare All_Plans $133.70 ↓ -74%
United_Medicare ISNP_DSNP_Plans $133.70 ↓ -74%
Geisinger_Gold_Medicare All_Plans $133.70 ↓ -74%
Highmark_Wholecare_Gateway_Medicare All_Plans $134.27 ↓ -74%
UPMC_Medicare UPMC_for_Life_Community_HealthChoices $134.33 ↓ -74%
Amerihealth_Medicare All_Plans $134.33 ↓ -74%
UPMC_Medicare UPMC_for_Life_Complete_Care $134.33 ↓ -74%
PA_Health_&_Wellness_Medicare All_Plans $137.52 ↓ -73%
Jefferson_Health_Medicare_Advantage All_Plans $137.52 ↓ -73%
Aetna_Better_Health_Kids All_Plans $165.89 ↓ -68%
Highmark Higmark_Healthy_Kids $197.36 ↓ -62%
Health_Partners_Medicaid Kidz_Partners $210.09 ↓ -59%
United_Medicaid Community_Plan_For_Kids $222.83 ↓ -57%
Blue_Cross Capital_Cares_4_kids $262.92 ↓ -49%
Blue_Cross Capital_Blue_Cross_Healthy_Benefits_PPO $300.47 ↓ -42%
Blue_Cross All_Other_Plans $375.58 ↓ -27%
Cigna All_Plans $378.79 ↓ -26%
Highmark Performance_Blue $385.14 ↓ -25%
Highmark Choice_Blue_PPO $385.14 ↓ -25%
Highmark Blue_Cross_High_Performance_Network $385.14 ↓ -25%
WellSpan_Capital_Blue_Cross All_Plans $385.80 ↓ -25%
UPMC Employees_And_Dependents $385.80 ↓ -25%
UPMC UPMC_For_Kids $385.80 ↓ -25%
Geisinger All_Plans $385.80 ↓ -25%
Highmark All_Other_Plans $464.03 ↓ -10%
PHC All_Plans $514.40 ↑ +0%
Aetna All_Plans $522.12 ↑ +2%
First_Health_Network All_Plans $574.20 ↑ +12%
United_Healthcare All_Plans $603.13 ↑ +17%

Visitor-reported prices

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Doppler upper/lower extremity arteries limited bilateral at other Pennsylvania hospitals

Hospital City Cash price Negotiated range
UPMC Altoona Altoona $325.80 $37.11 – $434.40
UPMC Bedford Everett $327.00 $44.34 – $490.50
UPMC Carlisle Carlisle $547.20 $47.13 – $801.00
UPMC Cole Coudersport $276.00 $51.23 – $305.60
UPMC Community Osteopathic Harrisburg $547.20 $47.13 – $464.95
UPMC East Monroeville $391.80 $53.67 – $522.40
UPMC Hamot Erie $201.60 $53.67 – $333.51
UPMC Northwest Seneca $339.60 $53.67 – $341.27

All Pennsylvania hospitals for this procedure →