Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback at WellSpan Good Samaritan Hospital
252 S. 4th St., Lebanon, PA · Wellspan · · NPI 1407928500
$86.60
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.
$108.25
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.
$1.72 with Blue_Cross vs $76.80 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_Cares_4_kids | $1.72 | ↓ -98% |
| Blue_Cross | Capital_Blue_Cross_Healthy_Benefits_PPO | $1.97 | ↓ -98% |
| Amerihealth_Caritas_Medicaid | All_Plans | $2.26 | ↓ -97% |
| Health_Partners_Medicaid | All_Other_Plans | $2.26 | ↓ -97% |
| Geisinger_Medicaid | All_Plans | $2.26 | ↓ -97% |
| Highmark_Wholecare_Gateway_Medicaid | All_Plans | $2.26 | ↓ -97% |
| UPMC_Medicaid | All_Plans | $2.34 | ↓ -97% |
| Blue_Cross | All_Other_Plans | $2.46 | ↓ -97% |
| Blue_Cross | Capital_Blue_Performance_PPO | $2.46 | ↓ -97% |
| Aetna | All_Plans | $6.88 | ↓ -92% |
| United_Healthcare | All_Plans | $7.23 | ↓ -92% |
| First_Health_Network | All_Plans | $7.57 | ↓ -91% |
| Cigna | All_Plans | $12.53 | ↓ -86% |
| Geisinger | All_Plans | $57.60 | ↓ -33% |
| UPMC | UPMC_For_Kids | $57.60 | ↓ -33% |
| UPMC | Employees_And_Dependents | $57.60 | ↓ -33% |
| WellSpan_Capital_Blue_Cross | All_Plans | $63.75 | ↓ -26% |
| PHC | All_Plans | $76.80 | ↓ -11% |
Visitor-reported prices
Comments
Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $61.40 | $1.43 – $151.18 |
| UPMC Bedford | Everett | $480.00 | $1.43 – $540.00 |
| UPMC Cole | Coudersport | $144.60 | $2.26 – $192.80 |
| UPMC Horizon-Greenville | Greenville | $634.20 | $1.43 – $385.28 |
| UPMC Jameson | New Castle | $21.00 | $1.43 – $153.84 |
| UPMC Kane | Kane | $19.20 | $2.26 – $8.55 |
| UPMC Mercy | Pittsburgh | $532.80 | $1.43 – $151.18 |
| UPMC Muncy | Muncy | $42.00 | $2.26 – $15.36 |