Fibrin degradation d dimer quantitative at WellSpan Good Samaritan Hospital

252 S. 4th St., Lebanon, PA · Wellspan · · NPI 1407928500

Source: hospital's published price file ↗ · Published Jan 1, 2026 · Ingested Sep 17, 2026

$60.80

Cash price

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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.

Full explanation →

What you pay up front if you don't use insurance.

$76.00

Gross charge

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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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$10.18 with Blue_Cross_BlueJourney_Medicare vs $75.28 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 →

Payer
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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
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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_BlueJourney_Medicare All_Plans $10.18 ↓ -83%
Highmark_Medicare All_Plans $10.28 ↓ -83%
Aetna_Medicare All_Plans $10.49 ↓ -83%
Aetna_Advantra_Medicare All_Plans $10.49 ↓ -83%
United_Medicare ISNP_DSNP_Plans $10.69 ↓ -82%
Geisinger_Gold_Medicare All_Plans $10.69 ↓ -82%
Devoted_Medicare All_Plans $10.69 ↓ -82%
Highmark_Wholecare_Gateway_Medicare All_Plans $10.73 ↓ -82%
Amerihealth_Medicare All_Plans $10.74 ↓ -82%
UPMC_Medicare UPMC_for_Life_Community_HealthChoices $10.74 ↓ -82%
UPMC_Medicare UPMC_for_Life_Complete_Care $10.74 ↓ -82%
Jefferson_Health_Medicare_Advantage All_Plans $10.99 ↓ -82%
PA_Health_&_Wellness_Medicare All_Plans $10.99 ↓ -82%
Highmark_Wholecare_Gateway_Medicaid All_Plans $13.25 ↓ -78%
UPMC_Medicaid All_Plans $13.25 ↓ -78%
Geisinger_Medicaid All_Plans $13.25 ↓ -78%
Health_Partners_Medicaid All_Other_Plans $13.25 ↓ -78%
PA_Health_&_Wellness_Medicaid All_Plans $13.25 ↓ -78%
Amerihealth_Caritas_Medicaid All_Plans $15.05 ↓ -75%
Highmark Higmark_Healthy_Kids $15.78 ↓ -74%
Health_Partners_Medicaid Kidz_Partners $16.80 ↓ -72%
United_Medicaid Community_Plan_For_Kids $17.82 ↓ -71%
United_Healthcare All_Plans $30.54 ↓ -50%
Highmark Performance_Blue $30.79 ↓ -49%
Highmark Choice_Blue_PPO $30.79 ↓ -49%
Highmark Blue_Cross_High_Performance_Network $30.79 ↓ -49%
Aetna_Better_Health_Kids All_Plans $36.04 ↓ -41%
Highmark All_Other_Plans $37.10 ↓ -39%
Aetna All_Plans $42.04 ↓ -31%
Geisinger All_Plans $45.60 ↓ -25%
WellSpan_Capital_Blue_Cross All_Plans $45.60 ↓ -25%
UPMC Employees_And_Dependents $45.60 ↓ -25%
UPMC UPMC_For_Kids $45.60 ↓ -25%
First_Health_Network All_Plans $46.22 ↓ -24%
Blue_Cross Capital_Cares_4_kids $52.70 ↓ -13%
Blue_Cross Capital_Blue_Cross_Healthy_Benefits_PPO $60.23 ↓ -1%
PHC All_Plans $60.80 ↑ +0%
Cigna All_Plans $63.43 ↑ +4%
Blue_Cross Capital_Blue_Performance_PPO $66.87 ↑ +10%
Blue_Cross All_Other_Plans $75.28 ↑ +24%

Visitor-reported prices

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Fibrin degradation d dimer quantitative at other Pennsylvania hospitals

Hospital City Cash price Negotiated range
UPMC Altoona Altoona $62.40 $10.06 – $83.20
UPMC Bedford Everett $112.80 $3.67 – $169.20
UPMC Carlisle Carlisle $51.60 $10.08 – $73.10
UPMC Community Osteopathic Harrisburg $51.60 $10.08 – $73.10
UPMC East Monroeville $156.60 $10.06 – $208.80
UPMC Hamot Erie $123.60 $10.06 – $20.35
UPMC Northwest Seneca $93.60 $9.23 – $12.19
UPMC Hanover Hanover $51.60 $10.08 – $16.29

All Pennsylvania hospitals for this procedure →