Drug assay voriconazole 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

$82.40

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.

$103.00

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.

$27.11 with Health_Partners_Medicaid vs $172.66 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
Health_Partners_Medicaid All_Other_Plans $27.11 ↓ -67%
Highmark_Wholecare_Gateway_Medicaid All_Plans $27.11 ↓ -67%
UPMC_Medicaid All_Plans $27.11 ↓ -67%
PA_Health_&_Wellness_Medicaid All_Plans $27.11 ↓ -67%
Blue_Cross_BlueJourney_Medicare All_Plans $27.11 ↓ -67%
Geisinger_Medicaid All_Plans $27.11 ↓ -67%
Highmark_Medicare All_Plans $27.38 ↓ -67%
Aetna_Advantra_Medicare All_Plans $27.92 ↓ -66%
Aetna_Medicare All_Plans $27.92 ↓ -66%
Devoted_Medicare All_Plans $28.47 ↓ -65%
United_Medicare ISNP_DSNP_Plans $28.47 ↓ -65%
Geisinger_Gold_Medicare All_Plans $28.47 ↓ -65%
Highmark_Wholecare_Gateway_Medicare All_Plans $28.59 ↓ -65%
UPMC_Medicare UPMC_for_Life_Community_HealthChoices $28.60 ↓ -65%
UPMC_Medicare UPMC_for_Life_Complete_Care $28.60 ↓ -65%
Amerihealth_Medicare All_Plans $28.60 ↓ -65%
Blue_Cross Capital_Blue_Performance_PPO $29.08 ↓ -65%
Jefferson_Health_Medicare_Advantage All_Plans $29.28 ↓ -64%
PA_Health_&_Wellness_Medicare All_Plans $29.28 ↓ -64%
Amerihealth_Caritas_Medicaid All_Plans $30.80 ↓ -63%
Highmark Higmark_Healthy_Kids $42.02 ↓ -49%
Health_Partners_Medicaid Kidz_Partners $44.73 ↓ -46%
United_Medicaid Community_Plan_For_Kids $47.44 ↓ -42%
Blue_Cross Capital_Blue_Cross_Healthy_Benefits_PPO $48.13 ↓ -42%
WellSpan_Capital_Blue_Cross All_Plans $61.80 ↓ -25%
UPMC Employees_And_Dependents $61.80 ↓ -25%
UPMC UPMC_For_Kids $61.80 ↓ -25%
Geisinger All_Plans $61.80 ↓ -25%
Aetna_Better_Health_Kids All_Plans $73.75 ↓ -10%
United_Healthcare All_Plans $81.33 ↓ -1%
Highmark Blue_Cross_High_Performance_Network $82.00 ↓ -0%
Highmark Performance_Blue $82.00 ↓ -0%
Highmark Choice_Blue_PPO $82.00 ↓ -0%
PHC All_Plans $82.40 ↑ +0%
Cigna All_Plans $85.96 ↑ +4%
Highmark All_Other_Plans $98.80 ↑ +20%
Aetna All_Plans $111.96 ↑ +36%
Blue_Cross Capital_Cares_4_kids $120.86 ↑ +47%
First_Health_Network All_Plans $123.08 ↑ +49%
Blue_Cross All_Other_Plans $172.66 ↑ +110%

Visitor-reported prices

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Drug assay voriconazole at other Pennsylvania hospitals

Hospital City Cash price Negotiated range
UPMC Carlisle Carlisle $190.80 $21.69 – $270.30
UPMC Community Osteopathic Harrisburg $190.80 $21.69 – $270.30
UPMC Hanover Hanover $190.80 $21.69 – $43.38
UPMC Lititz Lititz $190.80 $21.69 – $43.38
UPMC Memorial York $190.80 $12.36 – $134.32
UPMC Somerset Somerset $190.80 $15.01 – $30.15
WellSpan Chambersburg Hospital Chambersburg $95.20 $21.69 – $120.59
WellSpan Ephrata Community Hospital Ephrata $104.00 $21.69 – $123.08

All Pennsylvania hospitals for this procedure →