Epoetin alfa in ns IV syringe 100 unit/ml (neo/ped) - cnr 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

$1,939.80

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.

$2,424.75

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.

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

$9.27 with Blue_Cross vs $1,939.80 with PHC — 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 $9.27 ↓ -100%
WellSpan_Capital_Blue_Cross All_Plans $10.08 ↓ -99%
Blue_Cross Capital_Cares_4_kids $129.78 ↓ -93%
Blue_Cross Capital_Blue_Cross_Healthy_Benefits_PPO $148.32 ↓ -92%
UPMC_Medicaid All_Plans $159.40 ↓ -92%
Amerihealth_Caritas_Medicaid All_Plans $170.88 ↓ -91%
Highmark_Wholecare_Gateway_Medicaid All_Plans $170.88 ↓ -91%
Health_Partners_Medicaid All_Other_Plans $170.88 ↓ -91%
Geisinger_Medicaid All_Plans $170.88 ↓ -91%
Blue_Cross_BlueJourney_Medicare All_Plans $170.88 ↓ -91%
Highmark_Medicare All_Plans $172.59 ↓ -91%
Aetna_Advantra_Medicare All_Plans $176.01 ↓ -91%
Aetna_Medicare All_Plans $176.01 ↓ -91%
Devoted_Medicare All_Plans $179.42 ↓ -91%
Geisinger_Gold_Medicare All_Plans $179.42 ↓ -91%
United_Medicare ISNP_DSNP_Plans $179.42 ↓ -91%
Highmark_Wholecare_Gateway_Medicare All_Plans $180.19 ↓ -91%
Amerihealth_Medicare All_Plans $180.28 ↓ -91%
UPMC_Medicare UPMC_for_Life_Complete_Care $180.28 ↓ -91%
UPMC_Medicare UPMC_for_Life_Community_HealthChoices $180.28 ↓ -91%
PA_Health_&_Wellness_Medicare All_Plans $184.55 ↓ -90%
Jefferson_Health_Medicare_Advantage All_Plans $184.55 ↓ -90%
Blue_Cross All_Other_Plans $185.40 ↓ -90%
Highmark Higmark_Healthy_Kids $264.86 ↓ -86%
Health_Partners_Medicaid Kidz_Partners $281.95 ↓ -85%
United_Medicaid Community_Plan_For_Kids $299.04 ↓ -85%
United_Healthcare All_Plans $491.52 ↓ -75%
Cigna All_Plans $495.60 ↓ -74%
Highmark Blue_Cross_High_Performance_Network $516.86 ↓ -73%
Highmark Choice_Blue_PPO $516.86 ↓ -73%
Highmark Performance_Blue $516.86 ↓ -73%
Aetna All_Plans $519.48 ↓ -73%
First_Health_Network All_Plans $571.42 ↓ -71%
Highmark All_Other_Plans $622.74 ↓ -68%
UPMC UPMC_For_Kids $1,454.85 ↓ -25%
Geisinger All_Plans $1,454.85 ↓ -25%
UPMC Employees_And_Dependents $1,454.85 ↓ -25%
PHC All_Plans $1,939.80 ↑ +0%

Visitor-reported prices

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Epoetin alfa in ns IV syringe 100 unit/ml (neo/ped) - cnr at other Pennsylvania hospitals

Hospital City Cash price Negotiated range
UPMC Altoona Altoona $102.40 $5.39 – $52.12
UPMC Bedford Everett $80.80 $3.08 – $259.81
UPMC Carlisle Carlisle $641.40 $4.52 – $32.36
UPMC Cole Coudersport $2,661.60 $8.54 – $384.00
UPMC Community Osteopathic Harrisburg $641.40 $6.60 – $32.36
UPMC East Monroeville $153.60 $5.39 – $144.80
UPMC Hamot Erie $122.40 $5.39 – $59.94
UPMC Northwest Seneca $111.20 $5.39 – $109.17

All Pennsylvania hospitals for this procedure →