Etonogestrel implant system at WellSpan Good Samaritan Hospital
252 S. 4th St., Lebanon, PA · Wellspan · · NPI 1407928500
$4,771.20
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.
$5,964.00
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.
$796.20 with Amerihealth_Caritas_Medicaid vs $5,325.85 with First_Health_Network — 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 |
|---|---|---|---|
| Amerihealth_Caritas_Medicaid | All_Plans | $796.20 | ↓ -83% |
| Blue_Cross | Capital_Cares_4_kids | $850.24 | ↓ -82% |
| Blue_Cross | Capital_Blue_Cross_Healthy_Benefits_PPO | $971.70 | ↓ -80% |
| PA_Health_&_Wellness_Medicaid | All_Plans | $995.25 | ↓ -79% |
| Health_Partners_Medicaid | All_Other_Plans | $995.25 | ↓ -79% |
| Highmark_Wholecare_Gateway_Medicaid | All_Plans | $995.25 | ↓ -79% |
| Geisinger_Medicaid | All_Plans | $995.25 | ↓ -79% |
| UPMC_Medicaid | All_Plans | $1,103.08 | ↓ -77% |
| Blue_Cross | All_Other_Plans | $1,214.63 | ↓ -75% |
| Blue_Cross | Capital_Blue_Performance_PPO | $1,214.63 | ↓ -75% |
| Health_Partners_Medicaid | Kidz_Partners | $1,789.20 | ↓ -63% |
| Aetna_Better_Health_Kids | All_Plans | $2,707.08 | ↓ -43% |
| WellSpan_Capital_Blue_Cross | All_Plans | $3,578.40 | ↓ -25% |
| UPMC | Employees_And_Dependents | $3,578.40 | ↓ -25% |
| UPMC | UPMC_For_Kids | $3,578.40 | ↓ -25% |
| Geisinger | All_Plans | $3,578.40 | ↓ -25% |
| Cigna | All_Plans | $4,336.26 | ↓ -9% |
| United_Healthcare | All_Plans | $4,664.19 | ↓ -2% |
| PHC | All_Plans | $4,771.20 | ↑ +0% |
| Aetna | All_Plans | $4,842.77 | ↑ +2% |
| First_Health_Network | All_Plans | $5,325.85 | ↑ +12% |
Visitor-reported prices
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Etonogestrel implant system at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $2,906.40 | $952.90 – $4,372.68 |
| UPMC Carlisle | Carlisle | $693.60 | $141.11 – $1,571.21 |
| UPMC Cole | Coudersport | $967.20 | $446.85 – $1,289.60 |
| UPMC Community Osteopathic | Harrisburg | $693.60 | $206.00 – $1,845.30 |
| UPMC Northwest | Seneca | $3,428.00 | $1,536.64 – $1,536.64 |
| UPMC Hanover | Hanover | $693.60 | $836.01 – $1,571.21 |
| UPMC Horizon-Greenville | Greenville | $3,852.80 | $952.90 – $1,508.92 |
| UPMC Kane | Kane | $1,177.80 | $701.69 – $2,404.97 |