Gadoxetate 0.25 mmol/ml (181.43 mg/ml) intravenous solution at WellSpan Good Samaritan Hospital
252 S. 4th St., Lebanon, PA · Wellspan · · NPI 1407928500
$51.20
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.
$64.00
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.
$12.40 with Blue_Cross vs $177.01 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 →
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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 | $12.40 | ↓ -76% |
| Blue_Cross | Capital_Blue_Cross_Healthy_Benefits_PPO | $14.18 | ↓ -72% |
| Blue_Cross | All_Other_Plans | $17.72 | ↓ -65% |
| WellSpan_Capital_Blue_Cross | All_Plans | $38.40 | ↓ -25% |
| Geisinger | All_Plans | $38.40 | ↓ -25% |
| UPMC | Employees_And_Dependents | $38.40 | ↓ -25% |
| UPMC | UPMC_For_Kids | $38.40 | ↓ -25% |
| First_Health_Network | All_Plans | $49.26 | ↓ -4% |
| PHC | All_Plans | $51.20 | ↑ +0% |
| Cigna | All_Plans | $51.49 | ↑ +1% |
| Aetna | All_Plans | $51.97 | ↑ +2% |
| United_Healthcare | All_Plans | $60.03 | ↑ +17% |
| Blue_Cross | Capital_Blue_Performance_PPO | $177.01 | ↑ +246% |
Visitor-reported prices
Comments
Gadoxetate 0.25 mmol/ml (181.43 mg/ml) intravenous solution at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $42.00 | $9.30 – $56.00 |
| UPMC Bedford | Everett | $116.40 | $9.30 – $174.60 |
| UPMC East | Monroeville | $63.00 | $9.30 – $84.00 |
| UPMC Hamot | Erie | $70.80 | $9.30 – $40.13 |
| UPMC Northwest | Seneca | $108.60 | $9.30 – $42.89 |
| UPMC Horizon-Greenville | Greenville | $211.20 | $9.30 – $42.11 |
| UPMC Jameson | New Castle | $62.40 | $9.30 – $20.93 |
| UPMC Magee | Pittsburgh | $111.60 | $9.30 – $20.93 |