Electron microscopy diagnostic at WellSpan Good Samaritan Hospital
252 S. 4th St., Lebanon, PA · Wellspan · · NPI 1407928500
$604.00
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.
$755.00
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.
$24.52 with Blue_Cross vs $3,204.56 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 |
|---|---|---|---|
| Blue_Cross | Capital_Blue_Performance_PPO | $24.52 | ↓ -96% |
| Geisinger_Medicaid | All_Plans | $86.25 | ↓ -86% |
| UPMC_Medicaid | All_Plans | $86.25 | ↓ -86% |
| PA_Health_&_Wellness_Medicaid | All_Plans | $86.25 | ↓ -86% |
| Highmark_Wholecare_Gateway_Medicaid | All_Plans | $86.25 | ↓ -86% |
| Health_Partners_Medicaid | All_Other_Plans | $86.25 | ↓ -86% |
| Amerihealth_Caritas_Medicaid | All_Plans | $97.98 | ↓ -84% |
| Aetna_Better_Health_Kids | All_Plans | $234.60 | ↓ -61% |
| WellSpan_Capital_Blue_Cross | All_Plans | $453.00 | ↓ -25% |
| UPMC | UPMC_For_Kids | $453.00 | ↓ -25% |
| UPMC | Employees_And_Dependents | $453.00 | ↓ -25% |
| Geisinger | All_Plans | $453.00 | ↓ -25% |
| PHC | All_Plans | $604.00 | ↑ +0% |
| Cigna | All_Plans | $630.12 | ↑ +4% |
| Blue_Cross_BlueJourney_Medicare | All_Plans | $806.95 | ↑ +34% |
| Highmark_Medicare | All_Plans | $815.02 | ↑ +35% |
| Aetna_Medicare | All_Plans | $831.16 | ↑ +38% |
| Aetna_Advantra_Medicare | All_Plans | $831.16 | ↑ +38% |
| Devoted_Medicare | All_Plans | $847.30 | ↑ +40% |
| Geisinger_Gold_Medicare | All_Plans | $847.30 | ↑ +40% |
| United_Medicare | ISNP_DSNP_Plans | $847.30 | ↑ +40% |
| Highmark_Wholecare_Gateway_Medicare | All_Plans | $850.93 | ↑ +41% |
| UPMC_Medicare | UPMC_for_Life_Community_HealthChoices | $851.33 | ↑ +41% |
| UPMC_Medicare | UPMC_for_Life_Complete_Care | $851.33 | ↑ +41% |
| Amerihealth_Medicare | All_Plans | $851.33 | ↑ +41% |
| PA_Health_&_Wellness_Medicare | All_Plans | $871.51 | ↑ +44% |
| Jefferson_Health_Medicare_Advantage | All_Plans | $871.51 | ↑ +44% |
| Highmark | Higmark_Healthy_Kids | $1,250.77 | ↑ +107% |
| Health_Partners_Medicaid | Kidz_Partners | $1,331.47 | ↑ +120% |
| United_Medicaid | Community_Plan_For_Kids | $1,412.16 | ↑ +134% |
| Aetna | All_Plans | $1,854.91 | ↑ +207% |
| First_Health_Network | All_Plans | $2,039.05 | ↑ +238% |
| Blue_Cross | Capital_Cares_4_kids | $2,243.19 | ↑ +271% |
| Highmark | Blue_Cross_High_Performance_Network | $2,440.78 | ↑ +304% |
| Highmark | Choice_Blue_PPO | $2,440.78 | ↑ +304% |
| Highmark | Performance_Blue | $2,440.78 | ↑ +304% |
| United_Healthcare | All_Plans | $2,457.87 | ↑ +307% |
| Blue_Cross | Capital_Blue_Cross_Healthy_Benefits_PPO | $2,563.65 | ↑ +324% |
| Highmark | All_Other_Plans | $2,940.77 | ↑ +387% |
| Blue_Cross | All_Other_Plans | $3,204.56 | ↑ +431% |
Visitor-reported prices
Comments
Electron microscopy diagnostic at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $2,422.80 | $17.50 – $3,230.40 |
| UPMC Carlisle | Carlisle | $1,472.40 | $22.93 – $2,085.90 |
| UPMC Community Osteopathic | Harrisburg | $1,472.40 | $22.93 – $1,500.25 |
| UPMC East | Monroeville | $1,137.60 | $69.00 – $1,516.80 |
| UPMC Hamot | Erie | $1,811.40 | $69.00 – $970.76 |
| UPMC Northwest | Seneca | $1,386.00 | $75.90 – $817.76 |
| UPMC Hanover | Hanover | $1,472.40 | $22.93 – $1,248.61 |
| UPMC Jameson | New Castle | $774.00 | $20.12 – $841.13 |