Ghs ot sensory integrative tech/15min 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

$125.60

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.

$157.00

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.

$28.26 with Aetna_Better_Health_Kids vs $421.00 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 →

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
Aetna_Better_Health_Kids All_Plans $28.26 ↓ -78%
Health_Partners_Medicaid Kidz_Partners $47.10 ↓ -63%
Health_Partners_Medicaid All_Other_Plans $50.00 ↓ -60%
UPMC_Medicaid All_Plans $50.00 ↓ -60%
Geisinger_Medicaid All_Plans $50.00 ↓ -60%
Highmark_Wholecare_Gateway_Medicaid All_Plans $50.00 ↓ -60%
PA_Health_&_Wellness_Medicaid All_Plans $50.00 ↓ -60%
Amerihealth_Caritas_Medicaid All_Plans $56.80 ↓ -55%
Blue_Cross_BlueJourney_Medicare All_Plans $57.21 ↓ -54%
Highmark_Medicare All_Plans $57.78 ↓ -54%
Aetna_Medicare All_Plans $58.93 ↓ -53%
Aetna_Advantra_Medicare All_Plans $58.93 ↓ -53%
Geisinger_Gold_Medicare All_Plans $60.07 ↓ -52%
United_Medicare ISNP_DSNP_Plans $60.07 ↓ -52%
Devoted_Medicare All_Plans $60.07 ↓ -52%
Highmark_Wholecare_Gateway_Medicare All_Plans $60.33 ↓ -52%
UPMC_Medicare UPMC_for_Life_Community_HealthChoices $60.36 ↓ -52%
UPMC_Medicare UPMC_for_Life_Complete_Care $60.36 ↓ -52%
Amerihealth_Medicare All_Plans $60.36 ↓ -52%
PA_Health_&_Wellness_Medicare All_Plans $61.79 ↓ -51%
Jefferson_Health_Medicare_Advantage All_Plans $61.79 ↓ -51%
Highmark Higmark_Healthy_Kids $88.68 ↓ -29%
WellSpan_Capital_Blue_Cross All_Plans $94.20 ↓ -25%
UPMC Employees_And_Dependents $94.20 ↓ -25%
UPMC UPMC_For_Kids $94.20 ↓ -25%
Geisinger All_Plans $94.20 ↓ -25%
United_Medicaid Community_Plan_For_Kids $100.12 ↓ -20%
Cigna All_Plans $100.20 ↓ -20%
PHC All_Plans $125.60 ↑ +0%
Aetna All_Plans $127.48 ↑ +1%
First_Health_Network All_Plans $140.20 ↑ +12%
United_Healthcare All_Plans $147.27 ↑ +17%
Highmark Performance_Blue $173.04 ↑ +38%
Highmark Choice_Blue_PPO $173.04 ↑ +38%
Highmark Blue_Cross_High_Performance_Network $173.04 ↑ +38%
Highmark All_Other_Plans $208.49 ↑ +66%
Blue_Cross Capital_Cares_4_kids $294.70 ↑ +135%
Blue_Cross Capital_Blue_Performance_PPO $323.00 ↑ +157%
Blue_Cross Capital_Blue_Cross_Healthy_Benefits_PPO $393.60 ↑ +213%
Blue_Cross All_Other_Plans $421.00 ↑ +235%

Visitor-reported prices

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Ghs ot sensory integrative tech/15min at other Pennsylvania hospitals

Hospital City Cash price Negotiated range
UPMC Altoona Altoona $81.00 $41.61 – $108.00
UPMC Carlisle Carlisle $96.00 $21.92 – $387.00
UPMC Community Osteopathic Harrisburg $96.00 $32.00 – $154.62
UPMC East Monroeville $163.80 $41.61 – $218.40
UPMC Hamot Erie $273.00 $20.78 – $100.11
UPMC Northwest Seneca $146.40 $50.35 – $122.10
UPMC Hanover Hanover $96.00 $41.61 – $148.00
UPMC Horizon-Greenville Greenville $268.80 $41.61 – $76.07

All Pennsylvania hospitals for this procedure →