Evoked oa emissions ltd at WellSpan Good Samaritan Hospital
252 S. 4th St., Lebanon, PA · Wellspan · · NPI 1407928500
$151.20
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.
?
What you pay up front if you don't use insurance.
$189.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$42.01 with UPMC_Medicaid vs $1,121.02 with Highmark — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 |
|---|---|---|---|
| UPMC_Medicaid | All_Plans | $42.01 | ↓ -72% |
| Geisinger_Medicaid | All_Plans | $42.01 | ↓ -72% |
| Health_Partners_Medicaid | All_Other_Plans | $42.01 | ↓ -72% |
| Highmark_Wholecare_Gateway_Medicaid | All_Plans | $42.01 | ↓ -72% |
| PA_Health_&_Wellness_Medicaid | All_Plans | $42.01 | ↓ -72% |
| Amerihealth_Caritas_Medicaid | All_Plans | $47.73 | ↓ -68% |
| Blue_Cross | Capital_Blue_Performance_PPO | $55.54 | ↓ -63% |
| Blue_Cross | Capital_Cares_4_kids | $77.28 | ↓ -49% |
| Blue_Cross | Capital_Blue_Cross_Healthy_Benefits_PPO | $88.32 | ↓ -42% |
| Blue_Cross | All_Other_Plans | $110.39 | ↓ -27% |
| UPMC | Employees_And_Dependents | $113.40 | ↓ -25% |
| UPMC | UPMC_For_Kids | $113.40 | ↓ -25% |
| WellSpan_Capital_Blue_Cross | All_Plans | $113.40 | ↓ -25% |
| Geisinger | All_Plans | $113.40 | ↓ -25% |
| Aetna_Better_Health_Kids | All_Plans | $114.27 | ↓ -24% |
| Cigna | All_Plans | $120.62 | ↓ -20% |
| PHC | All_Plans | $151.20 | ↑ +0% |
| Aetna | All_Plans | $153.47 | ↑ +2% |
| First_Health_Network | All_Plans | $168.78 | ↑ +12% |
| United_Healthcare | All_Plans | $177.28 | ↑ +17% |
| Blue_Cross_BlueJourney_Medicare | All_Plans | $307.61 | ↑ +103% |
| Highmark_Medicare | All_Plans | $310.69 | ↑ +105% |
| Aetna_Advantra_Medicare | All_Plans | $316.84 | ↑ +110% |
| Aetna_Medicare | All_Plans | $316.84 | ↑ +110% |
| United_Medicare | ISNP_DSNP_Plans | $322.99 | ↑ +114% |
| Devoted_Medicare | All_Plans | $322.99 | ↑ +114% |
| Geisinger_Gold_Medicare | All_Plans | $322.99 | ↑ +114% |
| Highmark_Wholecare_Gateway_Medicare | All_Plans | $324.37 | ↑ +115% |
| UPMC_Medicare | UPMC_for_Life_Complete_Care | $324.53 | ↑ +115% |
| Amerihealth_Medicare | All_Plans | $324.53 | ↑ +115% |
| UPMC_Medicare | UPMC_for_Life_Community_HealthChoices | $324.53 | ↑ +115% |
| Jefferson_Health_Medicare_Advantage | All_Plans | $332.22 | ↑ +120% |
| PA_Health_&_Wellness_Medicare | All_Plans | $332.22 | ↑ +120% |
| Highmark | Higmark_Healthy_Kids | $476.80 | ↑ +215% |
| Health_Partners_Medicaid | Kidz_Partners | $507.56 | ↑ +236% |
| United_Medicaid | Community_Plan_For_Kids | $538.32 | ↑ +256% |
| Highmark | Performance_Blue | $930.43 | ↑ +515% |
| Highmark | Choice_Blue_PPO | $930.43 | ↑ +515% |
| Highmark | Blue_Cross_High_Performance_Network | $930.43 | ↑ +515% |
| Highmark | All_Other_Plans | $1,121.02 | ↑ +641% |
Visitor-reported prices
Comments
Evoked oa emissions ltd at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Hamot | Erie | $119.40 | $36.97 – $375.76 |
| UPMC Horizon-Greenville | Greenville | $145.80 | $36.97 – $320.63 |
| UPMC Presbyterian | Pittsburgh | $446.40 | $32.16 – $326.57 |
| Uniontown Hospital | Uniontown | $353.50 | $13.39 – $434.70 |