Gadopentetate dimeglumine 469.01 mg/ml (46.9 %) intravenous (wrapper) at WellSpan Good Samaritan Hospital
252 S. 4th St., Lebanon, PA · Wellspan · · NPI 1407928500
$10.40
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.
$13.00
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.
$4.54 with Blue_Cross vs $12.19 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 →
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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 | $4.54 | ↓ -56% |
| First_Health_Network | All_Plans | $4.94 | ↓ -53% |
| Blue_Cross | Capital_Blue_Cross_Healthy_Benefits_PPO | $5.18 | ↓ -50% |
| Cigna | All_Plans | $5.22 | ↓ -50% |
| Blue_Cross | Capital_Blue_Performance_PPO | $6.48 | ↓ -38% |
| Blue_Cross | All_Other_Plans | $6.48 | ↓ -38% |
| WellSpan_Capital_Blue_Cross | All_Plans | $7.80 | ↓ -25% |
| UPMC | Employees_And_Dependents | $7.80 | ↓ -25% |
| UPMC | UPMC_For_Kids | $7.80 | ↓ -25% |
| Geisinger | All_Plans | $7.80 | ↓ -25% |
| PHC | All_Plans | $10.40 | ↑ +0% |
| Aetna | All_Plans | $10.56 | ↑ +2% |
| United_Healthcare | All_Plans | $12.19 | ↑ +17% |
Visitor-reported prices
Comments
Gadopentetate dimeglumine 469.01 mg/ml (46.9 %) intravenous (wrapper) at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $14.40 | $0.93 – $8.80 |
| UPMC Bedford | Everett | $10.80 | $0.93 – $13.14 |
| UPMC Cole | Coudersport | $25.20 | $1.48 – $33.60 |
| UPMC East | Monroeville | $15.00 | $0.93 – $9.60 |
| UPMC Hamot | Erie | $55.80 | $0.93 – $4.74 |
| UPMC Northwest | Seneca | $19.20 | $0.93 – $12.30 |
| UPMC Horizon-Greenville | Greenville | $7.20 | $0.93 – $12.08 |
| UPMC Jameson | New Castle | $7.20 | $0.93 – $4.82 |