Fem/popl revasc w/stent at WellSpan Good Samaritan Hospital
252 S. 4th St., Lebanon, PA · Wellspan · · NPI 1407928500
$16,129.60
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.
$20,162.00
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.
$531.94 with Geisinger_Medicaid vs $40,825.05 with Highmark — 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 |
|---|---|---|---|
| Geisinger_Medicaid | All_Plans | $531.94 | ↓ -97% |
| UPMC_Medicaid | All_Plans | $531.94 | ↓ -97% |
| PA_Health_&_Wellness_Medicaid | All_Plans | $531.94 | ↓ -97% |
| Highmark_Wholecare_Gateway_Medicaid | All_Plans | $531.94 | ↓ -97% |
| Health_Partners_Medicaid | All_Other_Plans | $531.94 | ↓ -97% |
| Amerihealth_Caritas_Medicaid | All_Plans | $604.28 | ↓ -96% |
| Aetna_Better_Health_Kids | All_Plans | $6,420.00 | ↓ -60% |
| Blue_Cross_BlueJourney_Medicare | All_Plans | $11,202.44 | ↓ -31% |
| Aetna | All_Plans | $11,290.72 | ↓ -30% |
| Highmark_Medicare | All_Plans | $11,314.46 | ↓ -30% |
| Aetna_Advantra_Medicare | All_Plans | $11,538.51 | ↓ -28% |
| Aetna_Medicare | All_Plans | $11,538.51 | ↓ -28% |
| Devoted_Medicare | All_Plans | $11,762.56 | ↓ -27% |
| Geisinger_Gold_Medicare | All_Plans | $11,762.56 | ↓ -27% |
| United_Medicare | ISNP_DSNP_Plans | $11,762.56 | ↓ -27% |
| Highmark_Wholecare_Gateway_Medicare | All_Plans | $11,812.97 | ↓ -27% |
| Amerihealth_Medicare | All_Plans | $11,818.57 | ↓ -27% |
| UPMC_Medicare | UPMC_for_Life_Complete_Care | $11,818.57 | ↓ -27% |
| UPMC_Medicare | UPMC_for_Life_Community_HealthChoices | $11,818.57 | ↓ -27% |
| Geisinger | All_Plans | $12,097.20 | ↓ -25% |
| UPMC | UPMC_For_Kids | $12,097.20 | ↓ -25% |
| WellSpan_Capital_Blue_Cross | All_Plans | $12,097.20 | ↓ -25% |
| UPMC | Employees_And_Dependents | $12,097.20 | ↓ -25% |
| Jefferson_Health_Medicare_Advantage | All_Plans | $12,098.64 | ↓ -25% |
| PA_Health_&_Wellness_Medicare | All_Plans | $12,098.64 | ↓ -25% |
| First_Health_Network | All_Plans | $12,419.79 | ↓ -23% |
| Cigna | All_Plans | $12,867.39 | ↓ -20% |
| PHC | All_Plans | $16,129.60 | ↑ +0% |
| Highmark | Higmark_Healthy_Kids | $17,363.78 | ↑ +8% |
| Health_Partners_Medicaid | Kidz_Partners | $18,484.03 | ↑ +15% |
| United_Healthcare | All_Plans | $18,911.96 | ↑ +17% |
| United_Medicaid | Community_Plan_For_Kids | $19,604.27 | ↑ +22% |
| Blue_Cross | Capital_Blue_Performance_PPO | $28,500.00 | ↑ +77% |
| Blue_Cross | Capital_Blue_Cross_Healthy_Benefits_PPO | $30,452.00 | ↑ +89% |
| Highmark | Choice_Blue_PPO | $33,884.02 | ↑ +110% |
| Highmark | Blue_Cross_High_Performance_Network | $33,884.02 | ↑ +110% |
| Highmark | Performance_Blue | $33,884.02 | ↑ +110% |
| Blue_Cross | All_Other_Plans | $38,065.00 | ↑ +136% |
| Highmark | All_Other_Plans | $40,825.05 | ↑ +153% |
Visitor-reported prices
Comments
Fem/popl revasc w/stent at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $34,982.40 | $11,025.95 – $46,643.20 |
| UPMC Carlisle | Carlisle | $17,281.80 | $1,016.56 – $24,482.55 |
| UPMC Community Osteopathic | Harrisburg | $17,281.80 | $1,016.56 – $24,482.55 |
| UPMC East | Monroeville | $67,293.00 | $10,841.06 – $89,724.00 |
| UPMC Hamot | Erie | $33,906.00 | $468.11 – $16,073.32 |
| UPMC Northwest | Seneca | $34,620.00 | $9,805.28 – $13,195.02 |
| UPMC Hanover | Hanover | $17,281.80 | $1,016.56 – $20,648.82 |
| UPMC Jameson | New Castle | $17,020.20 | $892.40 – $16,356.95 |