Ecg 12 lead tracing only 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

$314.40

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.

Full explanation →

What you pay up front if you don't use insurance.

$393.00

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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$13.08 with PA_Health_&_Wellness_Medicaid vs $368.63 with United_Healthcare — same scan, same building. Share

Negotiated rates by payer
?

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
PA_Health_&_Wellness_Medicaid All_Plans $13.08 ↓ -96%
Geisinger_Medicaid All_Plans $13.08 ↓ -96%
UPMC_Medicaid All_Plans $13.08 ↓ -96%
Highmark_Wholecare_Gateway_Medicaid All_Plans $13.08 ↓ -96%
Health_Partners_Medicaid All_Other_Plans $13.08 ↓ -96%
Amerihealth_Caritas_Medicaid All_Plans $14.85 ↓ -95%
Aetna_Better_Health_Kids All_Plans $35.56 ↓ -89%
Blue_Cross_BlueJourney_Medicare All_Plans $58.68 ↓ -81%
Highmark_Medicare All_Plans $59.27 ↓ -81%
Aetna_Medicare All_Plans $60.44 ↓ -81%
Aetna_Advantra_Medicare All_Plans $60.44 ↓ -81%
Devoted_Medicare All_Plans $61.61 ↓ -80%
United_Medicare ISNP_DSNP_Plans $61.61 ↓ -80%
Geisinger_Gold_Medicare All_Plans $61.61 ↓ -80%
Highmark_Wholecare_Gateway_Medicare All_Plans $61.88 ↓ -80%
Amerihealth_Medicare All_Plans $61.91 ↓ -80%
UPMC_Medicare UPMC_for_Life_Community_HealthChoices $61.91 ↓ -80%
UPMC_Medicare UPMC_for_Life_Complete_Care $61.91 ↓ -80%
PA_Health_&_Wellness_Medicare All_Plans $63.37 ↓ -80%
Jefferson_Health_Medicare_Advantage All_Plans $63.37 ↓ -80%
Highmark Higmark_Healthy_Kids $90.95 ↓ -71%
Health_Partners_Medicaid Kidz_Partners $96.82 ↓ -69%
United_Medicaid Community_Plan_For_Kids $102.69 ↓ -67%
Blue_Cross Capital_Cares_4_kids $160.70 ↓ -49%
Highmark Choice_Blue_PPO $177.49 ↓ -44%
Highmark Performance_Blue $177.49 ↓ -44%
Highmark Blue_Cross_High_Performance_Network $177.49 ↓ -44%
Blue_Cross Capital_Blue_Cross_Healthy_Benefits_PPO $183.65 ↓ -42%
Highmark All_Other_Plans $213.85 ↓ -32%
Blue_Cross All_Other_Plans $229.55 ↓ -27%
WellSpan_Capital_Blue_Cross All_Plans $235.80 ↓ -25%
UPMC Employees_And_Dependents $235.80 ↓ -25%
UPMC UPMC_For_Kids $235.80 ↓ -25%
Geisinger All_Plans $235.80 ↓ -25%
Cigna All_Plans $250.81 ↓ -20%
PHC All_Plans $314.40 ↑ +0%
Aetna All_Plans $319.12 ↑ +2%
First_Health_Network All_Plans $350.95 ↑ +12%
United_Healthcare All_Plans $368.63 ↑ +17%

Visitor-reported prices

visitor-reported
Report what you paid sign in to post

Comments

Add a comment sign in to post

Ecg 12 lead tracing only at other Pennsylvania hospitals

Hospital City Cash price Negotiated range
UPMC Altoona Altoona $135.00 $10.46 – $180.00
UPMC Bedford Everett $100.20 $10.98 – $150.30
UPMC Carlisle Carlisle $247.80 $13.28 – $351.05
UPMC Cole Coudersport $154.20 $7.51 – $71.96
UPMC Community Osteopathic Harrisburg $247.80 $13.28 – $205.70
UPMC East Monroeville $85.80 $11.51 – $114.40
UPMC Hamot Erie $180.60 $11.51 – $81.67
UPMC Northwest Seneca $147.60 $11.51 – $69.31

All Pennsylvania hospitals for this procedure →