Electron microscopy diagnostic 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

$604.00

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.

$755.00

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.

$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 →

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
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

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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

All Pennsylvania hospitals for this procedure →