Factor ix recombinant nos at WellSpan Good Samaritan Hospital
252 S. 4th St., Lebanon, PA · Wellspan · · NPI 1407928500
$3,835.80
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.
$4,794.75
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.
$2.01 with Blue_Cross vs $3,835.80 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 →
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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 | $2.01 | ↓ -100% |
| WellSpan_Capital_Blue_Cross | All_Plans | $2.18 | ↓ -100% |
| Blue_Cross | Capital_Cares_4_kids | $703.50 | ↓ -82% |
| Blue_Cross | Capital_Blue_Cross_Healthy_Benefits_PPO | $804.00 | ↓ -79% |
| Blue_Cross_BlueJourney_Medicare | All_Plans | $924.50 | ↓ -76% |
| Amerihealth_Caritas_Medicaid | All_Plans | $924.50 | ↓ -76% |
| Geisinger_Medicaid | All_Plans | $924.50 | ↓ -76% |
| Health_Partners_Medicaid | All_Other_Plans | $924.50 | ↓ -76% |
| Highmark_Wholecare_Gateway_Medicaid | All_Plans | $924.50 | ↓ -76% |
| Highmark_Medicare | All_Plans | $933.75 | ↓ -76% |
| Aetna_Advantra_Medicare | All_Plans | $952.24 | ↓ -75% |
| Aetna_Medicare | All_Plans | $952.24 | ↓ -75% |
| United_Medicare | ISNP_DSNP_Plans | $970.73 | ↓ -75% |
| Devoted_Medicare | All_Plans | $970.73 | ↓ -75% |
| Geisinger_Gold_Medicare | All_Plans | $970.73 | ↓ -75% |
| Highmark_Wholecare_Gateway_Medicare | All_Plans | $974.89 | ↓ -75% |
| UPMC_Medicaid | All_Plans | $975.00 | ↓ -75% |
| UPMC_Medicare | UPMC_for_Life_Complete_Care | $975.35 | ↓ -75% |
| UPMC_Medicare | UPMC_for_Life_Community_HealthChoices | $975.35 | ↓ -75% |
| Amerihealth_Medicare | All_Plans | $975.35 | ↓ -75% |
| PA_Health_&_Wellness_Medicare | All_Plans | $998.46 | ↓ -74% |
| Jefferson_Health_Medicare_Advantage | All_Plans | $998.46 | ↓ -74% |
| Blue_Cross | All_Other_Plans | $1,005.00 | ↓ -74% |
| Highmark | Higmark_Healthy_Kids | $1,432.98 | ↓ -63% |
| Health_Partners_Medicaid | Kidz_Partners | $1,525.43 | ↓ -60% |
| United_Medicaid | Community_Plan_For_Kids | $1,617.88 | ↓ -58% |
| Highmark | Performance_Blue | $2,796.34 | ↓ -27% |
| Highmark | Blue_Cross_High_Performance_Network | $2,796.34 | ↓ -27% |
| Highmark | Choice_Blue_PPO | $2,796.34 | ↓ -27% |
| Aetna | All_Plans | $2,810.48 | ↓ -27% |
| Geisinger | All_Plans | $2,876.85 | ↓ -25% |
| UPMC | UPMC_For_Kids | $2,876.85 | ↓ -25% |
| UPMC | Employees_And_Dependents | $2,876.85 | ↓ -25% |
| First_Health_Network | All_Plans | $3,091.53 | ↓ -19% |
| Cigna | All_Plans | $3,237.50 | ↓ -16% |
| Highmark | All_Other_Plans | $3,369.16 | ↓ -12% |
| PHC | All_Plans | $3,835.80 | ↑ +0% |
Visitor-reported prices
Comments
Factor ix recombinant nos at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Horizon-Greenville | Greenville | $11.40 | $1.17 – $3.47 |
| UPMC Magee | Pittsburgh | $34.65 | $1.17 – $2.10 |
| UPMC Mercy | Pittsburgh | $15.40 | $1.17 – $2.08 |
| UPMC Passavant-McCandless | Pittsburgh | $34.65 | $1.17 – $2.10 |
| UPMC Presbyterian | Pittsburgh | $34.65 | $1.17 – $2.10 |
| UPMC Western Psychiatric | Pittsburgh | $34.65 | $1.85 – $2.06 |
| UPMC Northwest | Seneca | not published | $1.17 – $2.00 |
| UPMC St. Margaret | Pittsburgh | not published | $1.17 – $2.10 |