Dx bronchoscope/lavage 31624 at WellSpan Good Samaritan Hospital
252 S. 4th St., Lebanon, PA · Wellspan · · NPI 1407928500
$3,598.40
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.
$4,498.00
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.
$168.94 with Highmark_Wholecare_Gateway_Medicaid vs $6,207.96 with Highmark — 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 |
|---|---|---|---|
| Highmark_Wholecare_Gateway_Medicaid | All_Plans | $168.94 | ↓ -95% |
| Geisinger_Medicaid | All_Plans | $168.94 | ↓ -95% |
| Health_Partners_Medicaid | All_Other_Plans | $168.94 | ↓ -95% |
| UPMC_Medicaid | All_Plans | $168.94 | ↓ -95% |
| PA_Health_&_Wellness_Medicaid | All_Plans | $168.94 | ↓ -95% |
| Amerihealth_Caritas_Medicaid | All_Plans | $191.91 | ↓ -95% |
| Aetna_Better_Health_Kids | All_Plans | $459.51 | ↓ -87% |
| Blue_Cross_BlueJourney_Medicare | All_Plans | $1,703.47 | ↓ -53% |
| Highmark_Medicare | All_Plans | $1,720.50 | ↓ -52% |
| Aetna_Advantra_Medicare | All_Plans | $1,754.57 | ↓ -51% |
| Aetna_Medicare | All_Plans | $1,754.57 | ↓ -51% |
| Geisinger_Gold_Medicare | All_Plans | $1,788.64 | ↓ -50% |
| United_Medicare | ISNP_DSNP_Plans | $1,788.64 | ↓ -50% |
| Devoted_Medicare | All_Plans | $1,788.64 | ↓ -50% |
| Highmark_Wholecare_Gateway_Medicare | All_Plans | $1,796.31 | ↓ -50% |
| UPMC_Medicare | UPMC_for_Life_Complete_Care | $1,797.16 | ↓ -50% |
| UPMC_Medicare | UPMC_for_Life_Community_HealthChoices | $1,797.16 | ↓ -50% |
| Amerihealth_Medicare | All_Plans | $1,797.16 | ↓ -50% |
| PA_Health_&_Wellness_Medicare | All_Plans | $1,839.75 | ↓ -49% |
| Jefferson_Health_Medicare_Advantage | All_Plans | $1,839.75 | ↓ -49% |
| Aetna | All_Plans | $2,518.88 | ↓ -30% |
| Highmark | Higmark_Healthy_Kids | $2,640.38 | ↓ -27% |
| WellSpan_Capital_Blue_Cross | All_Plans | $2,698.80 | ↓ -25% |
| UPMC | Employees_And_Dependents | $2,698.80 | ↓ -25% |
| UPMC | UPMC_For_Kids | $2,698.80 | ↓ -25% |
| Geisinger | All_Plans | $2,698.80 | ↓ -25% |
| First_Health_Network | All_Plans | $2,770.77 | ↓ -23% |
| Health_Partners_Medicaid | Kidz_Partners | $2,810.73 | ↓ -22% |
| Cigna | All_Plans | $2,870.62 | ↓ -20% |
| United_Medicaid | Community_Plan_For_Kids | $2,981.07 | ↓ -17% |
| PHC | All_Plans | $3,598.40 | ↑ +0% |
| United_Healthcare | All_Plans | $4,219.12 | ↑ +17% |
| Blue_Cross | Capital_Blue_Performance_PPO | $4,396.00 | ↑ +22% |
| Blue_Cross | Capital_Blue_Cross_Healthy_Benefits_PPO | $4,696.00 | ↑ +31% |
| Highmark | Blue_Cross_High_Performance_Network | $5,152.49 | ↑ +43% |
| Highmark | Choice_Blue_PPO | $5,152.49 | ↑ +43% |
| Highmark | Performance_Blue | $5,152.49 | ↑ +43% |
| Blue_Cross | Capital_Cares_4_kids | $5,670.70 | ↑ +58% |
| Blue_Cross | All_Other_Plans | $5,870.00 | ↑ +63% |
| Highmark | All_Other_Plans | $6,207.96 | ↑ +73% |
Visitor-reported prices
Comments
Dx bronchoscope/lavage 31624 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $1,773.00 | $135.15 – $2,364.00 |
| UPMC Bedford | Everett | $4,629.60 | $121.32 – $6,944.40 |
| UPMC Carlisle | Carlisle | $2,168.40 | $171.64 – $3,071.90 |
| UPMC Community Osteopathic | Harrisburg | $2,168.40 | $182.45 – $3,071.90 |
| UPMC East | Monroeville | $3,761.40 | $148.66 – $5,015.20 |
| UPMC Hamot | Erie | $4,190.40 | $148.66 – $2,391.19 |
| UPMC Northwest | Seneca | $4,661.40 | $103.91 – $1,726.28 |
| UPMC Hanover | Hanover | $2,168.40 | $171.64 – $2,635.82 |