Guid loc target vol rad tx 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

$1,685.60

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.

$2,107.00

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.

$99.43 with Geisinger_Medicaid vs $1,976.37 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 $99.43 ↓ -94%
Health_Partners_Medicaid All_Other_Plans $99.43 ↓ -94%
Highmark_Wholecare_Gateway_Medicaid All_Plans $99.43 ↓ -94%
PA_Health_&_Wellness_Medicaid All_Plans $99.43 ↓ -94%
UPMC_Medicaid All_Plans $99.43 ↓ -94%
Amerihealth_Caritas_Medicaid All_Plans $112.95 ↓ -93%
Blue_Cross Capital_Blue_Performance_PPO $134.05 ↓ -92%
Aetna_Better_Health_Kids All_Plans $270.44 ↓ -84%
Blue_Cross Capital_Cares_4_kids $861.55 ↓ -49%
Blue_Cross Capital_Blue_Cross_Healthy_Benefits_PPO $984.60 ↓ -42%
Cigna All_Plans $1,096.48 ↓ -35%
Blue_Cross All_Other_Plans $1,230.70 ↓ -27%
WellSpan_Capital_Blue_Cross All_Plans $1,264.20 ↓ -25%
UPMC Employees_And_Dependents $1,264.20 ↓ -25%
UPMC UPMC_For_Kids $1,264.20 ↓ -25%
Geisinger All_Plans $1,264.20 ↓ -25%
PHC All_Plans $1,685.60 ↑ +0%
Aetna All_Plans $1,710.88 ↑ +1%
First_Health_Network All_Plans $1,881.55 ↑ +12%
United_Healthcare All_Plans $1,976.37 ↑ +17%

Visitor-reported prices

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Guid loc target vol rad tx at other Pennsylvania hospitals

Hospital City Cash price Negotiated range
UPMC Altoona Altoona $1,093.80 $15.89 – $1,458.40
UPMC Carlisle Carlisle $300.60 $68.64 – $26,132.00
UPMC Community Osteopathic Harrisburg $300.60 $69.87 – $1,151.81
UPMC East Monroeville $951.00 $16.04 – $1,268.00
UPMC Northwest Seneca $1,214.40 $41.25 – $135.55
UPMC Horizon-Greenville Greenville $888.00 $30.92 – $135.55
UPMC Lititz Lititz $300.60 $83.59 – $360.47
UPMC Magee Pittsburgh $1,593.00 $16.04 – $135.55

All Pennsylvania hospitals for this procedure →