Drng of eyelid abscess 67700 at WellSpan Good Samaritan Hospital
252 S. 4th St., Lebanon, PA · Wellspan · · NPI 1407928500
$914.40
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.
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What you pay up front if you don't use insurance.
$1,143.00
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.
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The hospital's undiscounted list price — almost no one pays this.
$48.13 with UPMC_Medicaid vs $3,432.00 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 →
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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 ?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 |
|---|---|---|---|
| UPMC_Medicaid | All_Plans | $48.13 | ↓ -95% |
| Highmark_Wholecare_Gateway_Medicaid | All_Plans | $48.13 | ↓ -95% |
| Blue_Cross_BlueJourney_Medicare | All_Plans | $295.29 | ↓ -68% |
| Health_Partners_Medicaid | All_Other_Plans | $295.29 | ↓ -68% |
| Highmark_Medicare | All_Plans | $298.24 | ↓ -67% |
| Aetna_Medicare | All_Plans | $304.15 | ↓ -67% |
| Aetna_Advantra_Medicare | All_Plans | $304.15 | ↓ -67% |
| Geisinger_Gold_Medicare | All_Plans | $310.05 | ↓ -66% |
| Devoted_Medicare | All_Plans | $310.05 | ↓ -66% |
| United_Medicare | ISNP_DSNP_Plans | $310.05 | ↓ -66% |
| Highmark_Wholecare_Gateway_Medicare | All_Plans | $311.38 | ↓ -66% |
| Amerihealth_Medicare | All_Plans | $311.53 | ↓ -66% |
| UPMC_Medicare | UPMC_for_Life_Community_HealthChoices | $311.53 | ↓ -66% |
| UPMC_Medicare | UPMC_for_Life_Complete_Care | $311.53 | ↓ -66% |
| Jefferson_Health_Medicare_Advantage | All_Plans | $318.91 | ↓ -65% |
| PA_Health_&_Wellness_Medicare | All_Plans | $318.91 | ↓ -65% |
| Highmark | Higmark_Healthy_Kids | $457.70 | ↓ -50% |
| Health_Partners_Medicaid | Kidz_Partners | $487.23 | ↓ -47% |
| United_Medicaid | Community_Plan_For_Kids | $516.76 | ↓ -43% |
| WellSpan_Capital_Blue_Cross | All_Plans | $685.80 | ↓ -25% |
| UPMC | Employees_And_Dependents | $685.80 | ↓ -25% |
| UPMC | UPMC_For_Kids | $685.80 | ↓ -25% |
| Geisinger | All_Plans | $685.80 | ↓ -25% |
| Cigna | All_Plans | $729.46 | ↓ -20% |
| Highmark | Blue_Cross_High_Performance_Network | $893.16 | ↓ -2% |
| Highmark | Choice_Blue_PPO | $893.16 | ↓ -2% |
| Highmark | Performance_Blue | $893.16 | ↓ -2% |
| PHC | All_Plans | $914.40 | ↑ +0% |
| Aetna | All_Plans | $928.12 | ↑ +2% |
| First_Health_Network | All_Plans | $1,020.70 | ↑ +12% |
| United_Healthcare | All_Plans | $1,072.13 | ↑ +17% |
| Highmark | All_Other_Plans | $1,076.13 | ↑ +18% |
| Blue_Cross | Capital_Cares_4_kids | $2,402.40 | ↑ +163% |
| Blue_Cross | Capital_Blue_Performance_PPO | $2,571.00 | ↑ +181% |
| Blue_Cross | Capital_Blue_Cross_Healthy_Benefits_PPO | $2,745.60 | ↑ +200% |
| Blue_Cross | All_Other_Plans | $3,432.00 | ↑ +275% |
Visitor-reported prices
Comments
Drng of eyelid abscess 67700 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $770.40 | $157.28 – $1,091.40 |
| UPMC Community Osteopathic | Harrisburg | $770.40 | $174.91 – $3,905.78 |
| UPMC East | Monroeville | $5,161.80 | $173.94 – $6,882.40 |
| UPMC Hamot | Erie | $5,268.60 | $173.94 – $1,232.68 |
| UPMC Hanover | Hanover | $770.40 | $174.91 – $3,905.78 |
| UPMC Horizon-Greenville | Greenville | $4,148.40 | $167.13 – $534.78 |
| UPMC Jameson | New Castle | $1,363.20 | $167.13 – $1,254.43 |
| UPMC Lititz | Lititz | $770.40 | $172.95 – $3,905.78 |