Gamunex-c/gammaked at WellSpan Good Samaritan Hospital
252 S. 4th St., Lebanon, PA · Wellspan · · NPI 1407928500
$4,813.00
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.
?
What you pay up front if you don't use insurance.
$6,016.25
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.
?
The hospital's undiscounted list price — almost no one pays this.
$53.12 with Blue_Cross vs $3,073.92 with United_Healthcare — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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_Blue_Performance_PPO | $53.12 | ↓ -99% |
| WellSpan_Capital_Blue_Cross | All_Plans | $57.74 | ↓ -99% |
| Blue_Cross | Capital_Cares_4_kids | $185.92 | ↓ -96% |
| Blue_Cross | Capital_Blue_Cross_Healthy_Benefits_PPO | $212.48 | ↓ -96% |
| Blue_Cross_BlueJourney_Medicare | All_Plans | $244.82 | ↓ -95% |
| Amerihealth_Caritas_Medicaid | All_Plans | $244.82 | ↓ -95% |
| Highmark_Wholecare_Gateway_Medicaid | All_Plans | $244.82 | ↓ -95% |
| Health_Partners_Medicaid | All_Other_Plans | $244.82 | ↓ -95% |
| Geisinger_Medicaid | All_Plans | $244.82 | ↓ -95% |
| Highmark_Medicare | All_Plans | $247.27 | ↓ -95% |
| UPMC_Medicaid | All_Plans | $249.20 | ↓ -95% |
| Aetna_Advantra_Medicare | All_Plans | $252.16 | ↓ -95% |
| Aetna_Medicare | All_Plans | $252.16 | ↓ -95% |
| Devoted_Medicare | All_Plans | $257.06 | ↓ -95% |
| Geisinger_Gold_Medicare | All_Plans | $257.06 | ↓ -95% |
| United_Medicare | ISNP_DSNP_Plans | $257.06 | ↓ -95% |
| Highmark_Wholecare_Gateway_Medicare | All_Plans | $258.16 | ↓ -95% |
| Amerihealth_Medicare | All_Plans | $258.29 | ↓ -95% |
| UPMC_Medicare | UPMC_for_Life_Complete_Care | $258.29 | ↓ -95% |
| UPMC_Medicare | UPMC_for_Life_Community_HealthChoices | $258.29 | ↓ -95% |
| PA_Health_&_Wellness_Medicare | All_Plans | $264.41 | ↓ -95% |
| Jefferson_Health_Medicare_Advantage | All_Plans | $264.41 | ↓ -95% |
| Blue_Cross | All_Other_Plans | $265.60 | ↓ -94% |
| Highmark | Higmark_Healthy_Kids | $379.47 | ↓ -92% |
| Health_Partners_Medicaid | Kidz_Partners | $403.95 | ↓ -92% |
| United_Medicaid | Community_Plan_For_Kids | $428.44 | ↓ -91% |
| Highmark | Performance_Blue | $740.51 | ↓ -85% |
| Highmark | Blue_Cross_High_Performance_Network | $740.51 | ↓ -85% |
| Highmark | Choice_Blue_PPO | $740.51 | ↓ -85% |
| Aetna | All_Plans | $744.25 | ↓ -85% |
| First_Health_Network | All_Plans | $818.68 | ↓ -83% |
| Cigna | All_Plans | $846.13 | ↓ -82% |
| Highmark | All_Other_Plans | $892.20 | ↓ -81% |
| UPMC | Employees_And_Dependents | $928.80 | ↓ -81% |
| UPMC | UPMC_For_Kids | $928.80 | ↓ -81% |
| Geisinger | All_Plans | $928.80 | ↓ -81% |
| PHC | All_Plans | $1,238.40 | ↓ -74% |
| United_Healthcare | All_Plans | $3,073.92 | ↓ -36% |
Visitor-reported prices
Comments
Gamunex-c/gammaked at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $359.20 | $30.92 – $324.80 |
| UPMC Bedford | Everett | $345.60 | $17.66 – $386.10 |
| UPMC Cole | Coudersport | $3,381.60 | $48.96 – $2,486.40 |
| UPMC East | Monroeville | $433.60 | $30.92 – $433.60 |
| UPMC Hamot | Erie | $362.40 | $30.92 – $90.45 |
| UPMC Northwest | Seneca | $345.60 | $30.92 – $52.88 |
| UPMC Horizon-Greenville | Greenville | $343.20 | $30.92 – $91.87 |
| UPMC Jameson | New Castle | $616.80 | $30.92 – $93.22 |