Drain cath image guided visceral pq 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

$1,820.00

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.

$2,275.00

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.

$216.71 with Geisinger_Medicaid vs $5,870.00 with Blue_Cross — 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
Geisinger_Medicaid All_Plans $216.71 ↓ -88%
UPMC_Medicaid All_Plans $216.71 ↓ -88%
PA_Health_&_Wellness_Medicaid All_Plans $216.71 ↓ -88%
Highmark_Wholecare_Gateway_Medicaid All_Plans $216.71 ↓ -88%
Health_Partners_Medicaid All_Other_Plans $216.71 ↓ -88%
Amerihealth_Caritas_Medicaid All_Plans $246.19 ↓ -86%
Aetna_Better_Health_Kids All_Plans $589.46 ↓ -68%
WellSpan_Capital_Blue_Cross All_Plans $1,365.00 ↓ -25%
Geisinger All_Plans $1,365.00 ↓ -25%
UPMC UPMC_For_Kids $1,365.00 ↓ -25%
UPMC Employees_And_Dependents $1,365.00 ↓ -25%
Cigna All_Plans $1,451.91 ↓ -20%
Blue_Cross_BlueJourney_Medicare All_Plans $1,600.51 ↓ -12%
Highmark_Medicare All_Plans $1,616.52 ↓ -11%
Aetna_Advantra_Medicare All_Plans $1,648.53 ↓ -9%
Aetna_Medicare All_Plans $1,648.53 ↓ -9%
Devoted_Medicare All_Plans $1,680.54 ↓ -8%
Geisinger_Gold_Medicare All_Plans $1,680.54 ↓ -8%
United_Medicare ISNP_DSNP_Plans $1,680.54 ↓ -8%
Highmark_Wholecare_Gateway_Medicare All_Plans $1,687.74 ↓ -7%
UPMC_Medicare UPMC_for_Life_Complete_Care $1,688.54 ↓ -7%
UPMC_Medicare UPMC_for_Life_Community_HealthChoices $1,688.54 ↓ -7%
Amerihealth_Medicare All_Plans $1,688.54 ↓ -7%
PA_Health_&_Wellness_Medicare All_Plans $1,728.55 ↓ -5%
Jefferson_Health_Medicare_Advantage All_Plans $1,728.55 ↓ -5%
PHC All_Plans $1,820.00 ↑ +0%
Aetna All_Plans $1,847.30 ↑ +2%
First_Health_Network All_Plans $2,031.58 ↑ +12%
United_Healthcare All_Plans $2,133.95 ↑ +17%
Highmark Higmark_Healthy_Kids $2,480.79 ↑ +36%
Health_Partners_Medicaid Kidz_Partners $2,640.84 ↑ +45%
United_Medicaid Community_Plan_For_Kids $2,800.89 ↑ +54%
Blue_Cross Capital_Cares_4_kids $4,109.00 ↑ +126%
Blue_Cross Capital_Blue_Performance_PPO $4,396.00 ↑ +142%
Blue_Cross Capital_Blue_Cross_Healthy_Benefits_PPO $4,696.00 ↑ +158%
Highmark Blue_Cross_High_Performance_Network $4,841.06 ↑ +166%
Highmark Choice_Blue_PPO $4,841.06 ↑ +166%
Highmark Performance_Blue $4,841.06 ↑ +166%
Highmark All_Other_Plans $5,832.74 ↑ +220%
Blue_Cross All_Other_Plans $5,870.00 ↑ +223%

Visitor-reported prices

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Drain cath image guided visceral pq at other Pennsylvania hospitals

Hospital City Cash price Negotiated range
UPMC Altoona Altoona $3,876.60 $173.37 – $5,168.80
UPMC Carlisle Carlisle $3,637.20 $220.18 – $5,152.70
UPMC Community Osteopathic Harrisburg $3,637.20 $234.05 – $5,152.70
UPMC East Monroeville $7,281.60 $190.71 – $9,708.80
UPMC Hamot Erie $8,322.60 $190.71 – $2,246.66
UPMC Northwest Seneca $7,281.60 $190.71 – $1,621.93
UPMC Hanover Hanover $3,637.20 $220.18 – $2,476.51
UPMC Jameson New Castle $3,025.20 $190.71 – $2,085.34

All Pennsylvania hospitals for this procedure →