Ghs st - re-eval for alt comm at WellSpan Good Samaritan Hospital
252 S. 4th St., Lebanon, PA · Wellspan · · NPI 1407928500
$737.60
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.
$922.00
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.
$51.71 with Highmark_Wholecare_Gateway_Medicaid vs $864.84 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 →
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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 |
|---|---|---|---|
| Highmark_Wholecare_Gateway_Medicaid | All_Plans | $51.71 | ↓ -93% |
| Blue_Cross_BlueJourney_Medicare | All_Plans | $68.94 | ↓ -91% |
| Health_Partners_Medicaid | All_Other_Plans | $68.94 | ↓ -91% |
| Highmark_Medicare | All_Plans | $69.63 | ↓ -91% |
| Aetna_Advantra_Medicare | All_Plans | $71.01 | ↓ -90% |
| Aetna_Medicare | All_Plans | $71.01 | ↓ -90% |
| United_Medicare | ISNP_DSNP_Plans | $72.39 | ↓ -90% |
| Geisinger_Gold_Medicare | All_Plans | $72.39 | ↓ -90% |
| Devoted_Medicare | All_Plans | $72.39 | ↓ -90% |
| Highmark_Wholecare_Gateway_Medicare | All_Plans | $72.70 | ↓ -90% |
| Amerihealth_Medicare | All_Plans | $72.73 | ↓ -90% |
| UPMC_Medicare | UPMC_for_Life_Community_HealthChoices | $72.73 | ↓ -90% |
| UPMC_Medicare | UPMC_for_Life_Complete_Care | $72.73 | ↓ -90% |
| Jefferson_Health_Medicare_Advantage | All_Plans | $74.46 | ↓ -90% |
| PA_Health_&_Wellness_Medicare | All_Plans | $74.46 | ↓ -90% |
| Highmark | Higmark_Healthy_Kids | $106.86 | ↓ -86% |
| Health_Partners_Medicaid | Kidz_Partners | $113.75 | ↓ -85% |
| United_Medicaid | Community_Plan_For_Kids | $120.65 | ↓ -84% |
| Aetna_Better_Health_Kids | All_Plans | $165.96 | ↓ -78% |
| Blue_Cross | Capital_Blue_Performance_PPO | $173.63 | ↓ -76% |
| Highmark | Blue_Cross_High_Performance_Network | $208.52 | ↓ -72% |
| Highmark | Choice_Blue_PPO | $208.52 | ↓ -72% |
| Highmark | Performance_Blue | $208.52 | ↓ -72% |
| Highmark | All_Other_Plans | $251.24 | ↓ -66% |
| Blue_Cross | Capital_Cares_4_kids | $377.01 | ↓ -49% |
| Blue_Cross | Capital_Blue_Cross_Healthy_Benefits_PPO | $430.85 | ↓ -42% |
| Blue_Cross | All_Other_Plans | $538.54 | ↓ -27% |
| WellSpan_Capital_Blue_Cross | All_Plans | $553.20 | ↓ -25% |
| UPMC | Employees_And_Dependents | $553.20 | ↓ -25% |
| UPMC | UPMC_For_Kids | $553.20 | ↓ -25% |
| Geisinger | All_Plans | $553.20 | ↓ -25% |
| Cigna | All_Plans | $588.42 | ↓ -20% |
| PHC | All_Plans | $737.60 | ↑ +0% |
| Aetna | All_Plans | $748.66 | ↑ +1% |
| First_Health_Network | All_Plans | $823.35 | ↑ +12% |
| United_Healthcare | All_Plans | $864.84 | ↑ +17% |
Visitor-reported prices
Comments
Ghs st - re-eval for alt comm at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Cole | Coudersport | $321.00 | $73.56 – $428.00 |
| UPMC Northwest | Seneca | $991.80 | $143.59 – $440.36 |
| UPMC McKeesport | Mckeesport | $496.80 | $76.56 – $192.06 |
| UPMC Mercy | Pittsburgh | $745.80 | $93.70 – $199.94 |
| UPMC Muncy | Muncy | $249.60 | $56.63 – $205.45 |
| UPMC Passavant-McCandless | Pittsburgh | $1,070.40 | $171.29 – $223.32 |
| UPMC Presbyterian | Pittsburgh | $1,321.80 | $53.09 – $232.49 |
| UPMC St. Margaret | Pittsburgh | $1,089.00 | $145.61 – $192.06 |