Felbamate (felbatol(r)) - sendout at WellSpan Good Samaritan Hospital
252 S. 4th St., Lebanon, PA · Wellspan · · NPI 1407928500
$92.80
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.
$116.00
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.
$13.98 with Highmark_Wholecare_Gateway_Medicaid vs $118.72 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 →
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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 |
|---|---|---|---|
| Highmark_Wholecare_Gateway_Medicaid | All_Plans | $13.98 | ↓ -85% |
| Blue_Cross_BlueJourney_Medicare | All_Plans | $18.64 | ↓ -80% |
| Highmark_Medicare | All_Plans | $18.83 | ↓ -80% |
| Geisinger_Medicaid | All_Plans | $19.13 | ↓ -79% |
| Health_Partners_Medicaid | All_Other_Plans | $19.13 | ↓ -79% |
| Aetna_Medicare | All_Plans | $19.20 | ↓ -79% |
| Aetna_Advantra_Medicare | All_Plans | $19.20 | ↓ -79% |
| Devoted_Medicare | All_Plans | $19.57 | ↓ -79% |
| United_Medicare | ISNP_DSNP_Plans | $19.57 | ↓ -79% |
| Geisinger_Gold_Medicare | All_Plans | $19.57 | ↓ -79% |
| Highmark_Wholecare_Gateway_Medicare | All_Plans | $19.66 | ↓ -79% |
| UPMC_Medicare | UPMC_for_Life_Community_HealthChoices | $19.67 | ↓ -79% |
| Amerihealth_Medicare | All_Plans | $19.67 | ↓ -79% |
| UPMC_Medicare | UPMC_for_Life_Complete_Care | $19.67 | ↓ -79% |
| Jefferson_Health_Medicare_Advantage | All_Plans | $20.13 | ↓ -78% |
| PA_Health_&_Wellness_Medicare | All_Plans | $20.13 | ↓ -78% |
| Aetna_Better_Health_Kids | All_Plans | $20.88 | ↓ -78% |
| Blue_Cross | Capital_Blue_Performance_PPO | $21.48 | ↓ -77% |
| Highmark | Higmark_Healthy_Kids | $28.89 | ↓ -69% |
| Health_Partners_Medicaid | Kidz_Partners | $30.76 | ↓ -67% |
| United_Medicaid | Community_Plan_For_Kids | $32.62 | ↓ -65% |
| Blue_Cross | Capital_Blue_Cross_Healthy_Benefits_PPO | $54.21 | ↓ -42% |
| United_Healthcare | All_Plans | $55.92 | ↓ -40% |
| Highmark | Performance_Blue | $56.38 | ↓ -39% |
| Highmark | Choice_Blue_PPO | $56.38 | ↓ -39% |
| Highmark | Blue_Cross_High_Performance_Network | $56.38 | ↓ -39% |
| Highmark | All_Other_Plans | $67.93 | ↓ -27% |
| WellSpan_Capital_Blue_Cross | All_Plans | $69.60 | ↓ -25% |
| UPMC | Employees_And_Dependents | $69.60 | ↓ -25% |
| UPMC | UPMC_For_Kids | $69.60 | ↓ -25% |
| Geisinger | All_Plans | $69.60 | ↓ -25% |
| Aetna | All_Plans | $76.98 | ↓ -17% |
| Blue_Cross | Capital_Cares_4_kids | $83.10 | ↓ -10% |
| First_Health_Network | All_Plans | $84.63 | ↓ -9% |
| PHC | All_Plans | $92.80 | ↑ +0% |
| Cigna | All_Plans | $96.81 | ↑ +4% |
| Blue_Cross | All_Other_Plans | $118.72 | ↑ +28% |
Visitor-reported prices
Comments
Felbamate (felbatol(r)) - sendout at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $178.80 | $13.92 – $238.40 |
| UPMC East | Monroeville | $370.80 | $14.05 – $494.40 |
| UPMC Hamot | Erie | $304.80 | $13.92 – $20.13 |
| UPMC Horizon-Greenville | Greenville | $112.80 | $16.69 – $22.51 |
| UPMC McKeesport | Mckeesport | $125.40 | $14.05 – $20.50 |
| UPMC Wellsboro | Wellsboro | $226.20 | $14.55 – $18.42 |
| UPMC Williamsport | Williamsport | $226.20 | $14.55 – $20.35 |
| Uniontown Hospital | Uniontown | $34.00 | $17.62 – $38.72 |