Echo tee probe placement image acquisition interpretation & report 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

$3,646.40

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.

$4,558.00

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.

$299.36 with Highmark_Wholecare_Gateway_Medicaid vs $4,275.40 with United_Healthcare — 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
Highmark_Wholecare_Gateway_Medicaid All_Plans $299.36 ↓ -92%
PA_Health_&_Wellness_Medicaid All_Plans $299.36 ↓ -92%
Geisinger_Medicaid All_Plans $299.36 ↓ -92%
UPMC_Medicaid All_Plans $299.36 ↓ -92%
Health_Partners_Medicaid All_Other_Plans $299.36 ↓ -92%
Amerihealth_Caritas_Medicaid All_Plans $340.08 ↓ -91%
Blue_Cross_BlueJourney_Medicare All_Plans $541.62 ↓ -85%
Highmark_Medicare All_Plans $547.04 ↓ -85%
Aetna_Advantra_Medicare All_Plans $557.87 ↓ -85%
Aetna_Medicare All_Plans $557.87 ↓ -85%
Geisinger_Gold_Medicare All_Plans $568.70 ↓ -84%
Devoted_Medicare All_Plans $568.70 ↓ -84%
United_Medicare ISNP_DSNP_Plans $568.70 ↓ -84%
Highmark_Wholecare_Gateway_Medicare All_Plans $571.14 ↓ -84%
Amerihealth_Medicare All_Plans $571.41 ↓ -84%
UPMC_Medicare UPMC_for_Life_Community_HealthChoices $571.41 ↓ -84%
UPMC_Medicare UPMC_for_Life_Complete_Care $571.41 ↓ -84%
Jefferson_Health_Medicare_Advantage All_Plans $584.95 ↓ -84%
PA_Health_&_Wellness_Medicare All_Plans $584.95 ↓ -84%
Aetna_Better_Health_Kids All_Plans $814.27 ↓ -78%
Highmark Higmark_Healthy_Kids $839.51 ↓ -77%
Health_Partners_Medicaid Kidz_Partners $893.67 ↓ -75%
United_Medicaid Community_Plan_For_Kids $947.84 ↓ -74%
Highmark Blue_Cross_High_Performance_Network $1,638.24 ↓ -55%
Highmark Performance_Blue $1,638.24 ↓ -55%
Highmark Choice_Blue_PPO $1,638.24 ↓ -55%
Highmark All_Other_Plans $1,973.83 ↓ -46%
Blue_Cross Capital_Cares_4_kids $2,402.40 ↓ -34%
Blue_Cross Capital_Blue_Performance_PPO $2,571.00 ↓ -29%
WellSpan_Capital_Blue_Cross All_Plans $2,734.80 ↓ -25%
UPMC Employees_And_Dependents $2,734.80 ↓ -25%
UPMC UPMC_For_Kids $2,734.80 ↓ -25%
Geisinger All_Plans $2,734.80 ↓ -25%
Blue_Cross Capital_Blue_Cross_Healthy_Benefits_PPO $2,745.60 ↓ -25%
Cigna All_Plans $2,908.92 ↓ -20%
Blue_Cross All_Other_Plans $3,432.00 ↓ -6%
PHC All_Plans $3,646.40 ↑ +0%
Aetna All_Plans $3,701.10 ↑ +2%
First_Health_Network All_Plans $4,070.29 ↑ +12%
United_Healthcare All_Plans $4,275.40 ↑ +17%

Visitor-reported prices

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Echo tee probe placement image acquisition interpretation & report at other Pennsylvania hospitals

Hospital City Cash price Negotiated range
UPMC Altoona Altoona $834.60 $132.93 – $1,060.00
UPMC Bedford Everett $852.60 $188.60 – $1,278.90
UPMC Carlisle Carlisle $1,737.60 $174.14 – $2,461.60
UPMC Community Osteopathic Harrisburg $1,875.00 $174.14 – $1,353.20
UPMC East Monroeville $1,324.20 $258.36 – $1,765.60
UPMC Hamot Erie $888.00 $255.92 – $1,011.29
UPMC Northwest Seneca $1,641.60 $263.44 – $991.96
UPMC Hanover Hanover $1,737.60 $174.14 – $1,038.10

All Pennsylvania hospitals for this procedure →