Fluidotherapy charges pt 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

$141.60

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.

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

$177.00

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.

$14.79 with Blue_Cross_BlueJourney_Medicare vs $421.00 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 $14.79 ↓ -90%
Highmark_Medicare All_Plans $14.94 ↓ -89%
Aetna_Medicare All_Plans $15.23 ↓ -89%
Aetna_Advantra_Medicare All_Plans $15.23 ↓ -89%
United_Medicare ISNP_DSNP_Plans $15.53 ↓ -89%
Geisinger_Gold_Medicare All_Plans $15.53 ↓ -89%
Devoted_Medicare All_Plans $15.53 ↓ -89%
UPMC_Medicare UPMC_for_Life_Community_HealthChoices $15.60 ↓ -89%
Highmark_Wholecare_Gateway_Medicare All_Plans $15.60 ↓ -89%
UPMC_Medicare UPMC_for_Life_Complete_Care $15.60 ↓ -89%
Amerihealth_Medicare All_Plans $15.60 ↓ -89%
Jefferson_Health_Medicare_Advantage All_Plans $15.97 ↓ -89%
PA_Health_&_Wellness_Medicare All_Plans $15.97 ↓ -89%
Highmark Higmark_Healthy_Kids $22.92 ↓ -84%
United_Medicaid Community_Plan_For_Kids $25.88 ↓ -82%
Highmark Blue_Cross_High_Performance_Network $44.74 ↓ -68%
Highmark Performance_Blue $44.74 ↓ -68%
Highmark Choice_Blue_PPO $44.74 ↓ -68%
PA_Health_&_Wellness_Medicaid All_Plans $50.00 ↓ -65%
Health_Partners_Medicaid All_Other_Plans $50.00 ↓ -65%
Highmark_Wholecare_Gateway_Medicaid All_Plans $50.00 ↓ -65%
Geisinger_Medicaid All_Plans $50.00 ↓ -65%
UPMC_Medicaid All_Plans $50.00 ↓ -65%
Health_Partners_Medicaid Kidz_Partners $53.10 ↓ -63%
Highmark All_Other_Plans $53.90 ↓ -62%
Amerihealth_Caritas_Medicaid All_Plans $56.80 ↓ -60%
WellSpan_Capital_Blue_Cross All_Plans $106.20 ↓ -25%
UPMC Employees_And_Dependents $106.20 ↓ -25%
UPMC UPMC_For_Kids $106.20 ↓ -25%
Geisinger All_Plans $106.20 ↓ -25%
Cigna All_Plans $112.96 ↓ -20%
Aetna_Better_Health_Kids All_Plans $136.00 ↓ -4%
PHC All_Plans $141.60 ↑ +0%
Aetna All_Plans $143.72 ↑ +1%
First_Health_Network All_Plans $158.06 ↑ +12%
United_Healthcare All_Plans $166.03 ↑ +17%
Blue_Cross Capital_Cares_4_kids $294.70 ↑ +108%
Blue_Cross Capital_Blue_Performance_PPO $323.00 ↑ +128%
Blue_Cross Capital_Blue_Cross_Healthy_Benefits_PPO $393.60 ↑ +178%
Blue_Cross All_Other_Plans $421.00 ↑ +197%

Visitor-reported prices

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Fluidotherapy charges pt at other Pennsylvania hospitals

Hospital City Cash price Negotiated range
UPMC Carlisle Carlisle $75.00 $17.12 – $387.00
UPMC Cole Coudersport $82.20 $14.63 – $109.60
UPMC Northwest Seneca $85.80 $15.32 – $85.87
UPMC Hanover Hanover $87.00 $17.69 – $148.00
UPMC Kane Kane $123.00 $15.32 – $71.21
UPMC Mercy Pittsburgh $165.60 $15.32 – $37.21
UPMC Muncy Muncy $118.20 $15.32 – $39.30
UPMC Passavant-McCandless Pittsburgh $95.40 $15.32 – $42.72

All Pennsylvania hospitals for this procedure →