Ghs removal pharyngeal foreign body at WellSpan Good Samaritan Hospital
252 S. 4th St., Lebanon, PA · Wellspan · · NPI 1407928500
$135.20
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.
$169.00
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.
$69.10 with Blue_Cross vs $1,436.51 with Highmark — 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 | $69.10 | ↓ -49% |
| Blue_Cross | Capital_Blue_Cross_Healthy_Benefits_PPO | $78.97 | ↓ -42% |
| Geisinger_Medicaid | All_Plans | $81.25 | ↓ -40% |
| PA_Health_&_Wellness_Medicaid | All_Plans | $81.25 | ↓ -40% |
| Highmark_Wholecare_Gateway_Medicaid | All_Plans | $81.25 | ↓ -40% |
| Health_Partners_Medicaid | All_Other_Plans | $81.25 | ↓ -40% |
| UPMC_Medicaid | All_Plans | $81.25 | ↓ -40% |
| Amerihealth_Caritas_Medicaid | All_Plans | $92.30 | ↓ -32% |
| Aetna | All_Plans | $94.64 | ↓ -30% |
| Blue_Cross | All_Other_Plans | $98.71 | ↓ -27% |
| WellSpan_Capital_Blue_Cross | All_Plans | $101.40 | ↓ -25% |
| UPMC | Employees_And_Dependents | $101.40 | ↓ -25% |
| UPMC | UPMC_For_Kids | $101.40 | ↓ -25% |
| Geisinger | All_Plans | $101.40 | ↓ -25% |
| First_Health_Network | All_Plans | $104.10 | ↓ -23% |
| Cigna | All_Plans | $107.86 | ↓ -20% |
| PHC | All_Plans | $135.20 | ↑ +0% |
| United_Healthcare | All_Plans | $158.52 | ↑ +17% |
| Aetna_Better_Health_Kids | All_Plans | $221.00 | ↑ +63% |
| Blue_Cross_BlueJourney_Medicare | All_Plans | $394.18 | ↑ +192% |
| Highmark_Medicare | All_Plans | $398.12 | ↑ +194% |
| Aetna_Advantra_Medicare | All_Plans | $406.01 | ↑ +200% |
| Aetna_Medicare | All_Plans | $406.01 | ↑ +200% |
| United_Medicare | ISNP_DSNP_Plans | $413.89 | ↑ +206% |
| Geisinger_Gold_Medicare | All_Plans | $413.89 | ↑ +206% |
| Devoted_Medicare | All_Plans | $413.89 | ↑ +206% |
| Highmark_Wholecare_Gateway_Medicare | All_Plans | $415.66 | ↑ +207% |
| Amerihealth_Medicare | All_Plans | $415.86 | ↑ +208% |
| UPMC_Medicare | UPMC_for_Life_Complete_Care | $415.86 | ↑ +208% |
| UPMC_Medicare | UPMC_for_Life_Community_HealthChoices | $415.86 | ↑ +208% |
| Jefferson_Health_Medicare_Advantage | All_Plans | $425.71 | ↑ +215% |
| PA_Health_&_Wellness_Medicare | All_Plans | $425.71 | ↑ +215% |
| Highmark | Higmark_Healthy_Kids | $610.98 | ↑ +352% |
| Health_Partners_Medicaid | Kidz_Partners | $650.40 | ↑ +381% |
| United_Medicaid | Community_Plan_For_Kids | $689.82 | ↑ +410% |
| Highmark | Blue_Cross_High_Performance_Network | $1,192.28 | ↑ +782% |
| Highmark | Choice_Blue_PPO | $1,192.28 | ↑ +782% |
| Highmark | Performance_Blue | $1,192.28 | ↑ +782% |
| Highmark | All_Other_Plans | $1,436.51 | ↑ +963% |
Visitor-reported prices
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Ghs removal pharyngeal foreign body at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $343.20 | $55.76 – $457.60 |
| UPMC Carlisle | Carlisle | $550.80 | $82.55 – $1,016.56 |
| UPMC Cole | Coudersport | $604.80 | $34.65 – $1,041.88 |
| UPMC Community Osteopathic | Harrisburg | $550.80 | $82.55 – $1,016.56 |
| UPMC East | Monroeville | $307.80 | $56.30 – $410.40 |
| UPMC Hanover | Hanover | $550.80 | $82.55 – $1,016.56 |
| UPMC Kane | Kane | $339.00 | $71.50 – $856.29 |
| UPMC Lititz | Lititz | $550.80 | $82.55 – $1,016.56 |