Ghs alpha thalasemia, 7 deletions at WellSpan Good Samaritan Hospital
252 S. 4th St., Lebanon, PA · Wellspan · · NPI 1407928500
$408.80
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.
$511.00
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.
$102.26 with Blue_Cross_BlueJourney_Medicare vs $692.61 with Aetna_Better_Health_Kids — 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_BlueJourney_Medicare | All_Plans | $102.26 | ↓ -75% |
| Highmark_Medicare | All_Plans | $103.28 | ↓ -75% |
| Aetna_Advantra_Medicare | All_Plans | $105.33 | ↓ -74% |
| Aetna_Medicare | All_Plans | $105.33 | ↓ -74% |
| Geisinger_Gold_Medicare | All_Plans | $107.37 | ↓ -74% |
| Devoted_Medicare | All_Plans | $107.37 | ↓ -74% |
| United_Medicare | ISNP_DSNP_Plans | $107.37 | ↓ -74% |
| Highmark_Wholecare_Gateway_Medicare | All_Plans | $107.83 | ↓ -74% |
| UPMC_Medicare | UPMC_for_Life_Complete_Care | $107.88 | ↓ -74% |
| Amerihealth_Medicare | All_Plans | $107.88 | ↓ -74% |
| UPMC_Medicare | UPMC_for_Life_Community_HealthChoices | $107.88 | ↓ -74% |
| Jefferson_Health_Medicare_Advantage | All_Plans | $110.44 | ↓ -73% |
| PA_Health_&_Wellness_Medicare | All_Plans | $110.44 | ↓ -73% |
| Blue_Cross | Capital_Blue_Performance_PPO | $135.01 | ↓ -67% |
| Highmark | Higmark_Healthy_Kids | $158.50 | ↓ -61% |
| Health_Partners_Medicaid | Kidz_Partners | $168.73 | ↓ -59% |
| United_Medicaid | Community_Plan_For_Kids | $178.96 | ↓ -56% |
| Blue_Cross | Capital_Blue_Cross_Healthy_Benefits_PPO | $238.79 | ↓ -42% |
| Geisinger_Medicaid | All_Plans | $254.64 | ↓ -38% |
| Highmark_Wholecare_Gateway_Medicaid | All_Plans | $254.64 | ↓ -38% |
| UPMC_Medicaid | All_Plans | $254.64 | ↓ -38% |
| PA_Health_&_Wellness_Medicaid | All_Plans | $254.64 | ↓ -38% |
| Health_Partners_Medicaid | All_Other_Plans | $254.64 | ↓ -38% |
| Amerihealth_Caritas_Medicaid | All_Plans | $289.27 | ↓ -29% |
| WellSpan_Capital_Blue_Cross | All_Plans | $306.60 | ↓ -25% |
| UPMC | Employees_And_Dependents | $306.60 | ↓ -25% |
| UPMC | UPMC_For_Kids | $306.60 | ↓ -25% |
| Geisinger | All_Plans | $306.60 | ↓ -25% |
| United_Healthcare | All_Plans | $306.78 | ↓ -25% |
| Highmark | Choice_Blue_PPO | $309.31 | ↓ -24% |
| Highmark | Blue_Cross_High_Performance_Network | $309.31 | ↓ -24% |
| Highmark | Performance_Blue | $309.31 | ↓ -24% |
| Highmark | All_Other_Plans | $372.67 | ↓ -9% |
| PHC | All_Plans | $408.80 | ↑ +0% |
| Aetna | All_Plans | $422.33 | ↑ +3% |
| Cigna | All_Plans | $426.48 | ↑ +4% |
| Blue_Cross | Capital_Cares_4_kids | $455.91 | ↑ +12% |
| First_Health_Network | All_Plans | $464.26 | ↑ +14% |
| Blue_Cross | All_Other_Plans | $651.29 | ↑ +59% |
| Aetna_Better_Health_Kids | All_Plans | $692.61 | ↑ +69% |
Visitor-reported prices
Comments
Ghs alpha thalasemia, 7 deletions at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $1,593.00 | $101.06 – $2,124.00 |
| UPMC Carlisle | Carlisle | $591.60 | $96.83 – $838.10 |
| UPMC Community Osteopathic | Harrisburg | $591.60 | $101.24 – $838.10 |
| UPMC East | Monroeville | $1,687.20 | $101.06 – $2,249.60 |
| UPMC Northwest | Seneca | $1,687.20 | $92.74 – $234.27 |
| UPMC Hanover | Hanover | $591.60 | $96.83 – $277.45 |
| UPMC Horizon-Greenville | Greenville | $1,687.20 | $91.55 – $283.14 |
| UPMC Jameson | New Castle | $1,591.80 | $101.06 – $261.48 |