Foot X-ray 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

$348.00

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.

$435.00

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.

$19.80 with Blue_Cross vs $497.84 with United_Healthcare — 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 Capital_Blue_Performance_PPO $19.80 ↓ -94%
PA_Health_&_Wellness_Medicaid All_Plans $23.75 ↓ -93%
Health_Partners_Medicaid All_Other_Plans $23.75 ↓ -93%
Highmark_Wholecare_Gateway_Medicaid All_Plans $23.75 ↓ -93%
UPMC_Medicaid All_Plans $23.75 ↓ -93%
Geisinger_Medicaid All_Plans $23.75 ↓ -93%
Amerihealth_Caritas_Medicaid All_Plans $26.98 ↓ -92%
Aetna_Better_Health_Kids All_Plans $64.60 ↓ -81%
Blue_Cross_BlueJourney_Medicare All_Plans $86.98 ↓ -75%
Highmark_Medicare All_Plans $87.85 ↓ -75%
Aetna_Advantra_Medicare All_Plans $89.59 ↓ -74%
Aetna_Medicare All_Plans $89.59 ↓ -74%
Blue_Cross Capital_Cares_4_kids $90.84 ↓ -74%
Geisinger_Gold_Medicare All_Plans $91.33 ↓ -74%
Devoted_Medicare All_Plans $91.33 ↓ -74%
United_Medicare ISNP_DSNP_Plans $91.33 ↓ -74%
Highmark_Wholecare_Gateway_Medicare All_Plans $91.72 ↓ -74%
Amerihealth_Medicare All_Plans $91.76 ↓ -74%
UPMC_Medicare UPMC_for_Life_Complete_Care $91.76 ↓ -74%
UPMC_Medicare UPMC_for_Life_Community_HealthChoices $91.76 ↓ -74%
Jefferson_Health_Medicare_Advantage All_Plans $93.94 ↓ -73%
PA_Health_&_Wellness_Medicare All_Plans $93.94 ↓ -73%
Blue_Cross Capital_Blue_Cross_Healthy_Benefits_PPO $103.82 ↓ -70%
WellSpan_Capital_Blue_Cross All_Plans $112.00 ↓ -68%
Blue_Cross All_Other_Plans $129.77 ↓ -63%
Highmark Higmark_Healthy_Kids $134.82 ↓ -61%
Health_Partners_Medicaid Kidz_Partners $143.52 ↓ -59%
United_Medicaid Community_Plan_For_Kids $152.22 ↓ -56%
Cigna All_Plans $256.26 ↓ -26%
UPMC Employees_And_Dependents $261.00 ↓ -25%
Geisinger All_Plans $261.00 ↓ -25%
UPMC UPMC_For_Kids $261.00 ↓ -25%
Highmark Choice_Blue_PPO $263.09 ↓ -24%
Highmark Performance_Blue $263.09 ↓ -24%
Highmark Blue_Cross_High_Performance_Network $263.09 ↓ -24%
Highmark All_Other_Plans $316.98 ↓ -9%
PHC All_Plans $348.00 ↑ +0%
Aetna All_Plans $353.22 ↑ +2%
First_Health_Network All_Plans $388.46 ↑ +12%
United_Healthcare All_Plans $497.84 ↑ +43%

Visitor-reported prices

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Foot X-ray at other Pennsylvania hospitals

Hospital City Cash price Negotiated range
UPMC Altoona Altoona $179.40 $33.29 – $239.20
UPMC Bedford Everett $115.80 $30.29 – $173.70
UPMC Carlisle Carlisle $188.40 $15.06 – $419.44
UPMC Cole Coudersport $144.60 $31.67 – $192.80
UPMC Community Osteopathic Harrisburg $188.40 $15.06 – $266.90
UPMC East Monroeville $436.20 $30.96 – $581.60
UPMC Hamot Erie $325.20 $19.46 – $118.50
UPMC Northwest Seneca $118.20 $31.25 – $90.67

All Pennsylvania hospitals for this procedure →