Ghs st - eval for alt comm 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

$140.80

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.

Full explanation →

What you pay up front if you don't use insurance.

$176.00

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.

$15.00 with Geisinger_Medicaid vs $165.09 with United_Healthcare — 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
Geisinger_Medicaid All_Plans $15.00 ↓ -89%
Highmark_Wholecare_Gateway_Medicaid All_Plans $15.00 ↓ -89%
Health_Partners_Medicaid All_Other_Plans $15.00 ↓ -89%
UPMC_Medicaid All_Plans $15.00 ↓ -89%
PA_Health_&_Wellness_Medicaid All_Plans $15.00 ↓ -89%
Amerihealth_Caritas_Medicaid All_Plans $17.04 ↓ -88%
Blue_Cross_BlueJourney_Medicare All_Plans $38.77 ↓ -72%
Highmark_Medicare All_Plans $39.16 ↓ -72%
Aetna_Advantra_Medicare All_Plans $39.93 ↓ -72%
Aetna_Medicare All_Plans $39.93 ↓ -72%
United_Medicare ISNP_DSNP_Plans $40.71 ↓ -71%
Geisinger_Gold_Medicare All_Plans $40.71 ↓ -71%
Devoted_Medicare All_Plans $40.71 ↓ -71%
Aetna_Better_Health_Kids All_Plans $40.80 ↓ -71%
Highmark_Wholecare_Gateway_Medicare All_Plans $40.88 ↓ -71%
UPMC_Medicare UPMC_for_Life_Complete_Care $40.90 ↓ -71%
Amerihealth_Medicare All_Plans $40.90 ↓ -71%
UPMC_Medicare UPMC_for_Life_Community_HealthChoices $40.90 ↓ -71%
Jefferson_Health_Medicare_Advantage All_Plans $41.87 ↓ -70%
PA_Health_&_Wellness_Medicare All_Plans $41.87 ↓ -70%
Highmark Higmark_Healthy_Kids $60.09 ↓ -57%
Health_Partners_Medicaid Kidz_Partners $63.97 ↓ -55%
United_Medicaid Community_Plan_For_Kids $67.85 ↓ -52%
Blue_Cross Capital_Cares_4_kids $71.97 ↓ -49%
Blue_Cross Capital_Blue_Cross_Healthy_Benefits_PPO $82.24 ↓ -42%
Blue_Cross All_Other_Plans $102.80 ↓ -27%
WellSpan_Capital_Blue_Cross All_Plans $105.60 ↓ -25%
UPMC Employees_And_Dependents $105.60 ↓ -25%
UPMC UPMC_For_Kids $105.60 ↓ -25%
Geisinger All_Plans $105.60 ↓ -25%
Cigna All_Plans $112.32 ↓ -20%
Highmark Performance_Blue $117.27 ↓ -17%
Highmark Choice_Blue_PPO $117.27 ↓ -17%
Highmark Blue_Cross_High_Performance_Network $117.27 ↓ -17%
Blue_Cross Capital_Blue_Performance_PPO $117.85 ↓ -16%
PHC All_Plans $140.80 ↑ +0%
Highmark All_Other_Plans $141.29 ↑ +0%
Aetna All_Plans $142.91 ↑ +1%
First_Health_Network All_Plans $157.17 ↑ +12%
United_Healthcare All_Plans $165.09 ↑ +17%

Visitor-reported prices

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Ghs st - eval for alt comm at other Pennsylvania hospitals

Hospital City Cash price Negotiated range
UPMC Hamot Erie $123.00 $13.20 – $62.38
UPMC Mercy Pittsburgh $111.60 $13.20 – $65.08
UPMC Presbyterian Pittsburgh $173.40 $13.20 – $75.67
UPMC Williamsport Williamsport $27.00 $13.20 – $68.91

All Pennsylvania hospitals for this procedure →