Hemodialysis one evaluation 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

$830.40

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.

$1,038.00

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.

$46.80 with Aetna_Better_Health_Kids vs $2,518.94 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 →

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 $46.80 ↓ -94%
Blue_Cross Capital_Cares_4_kids $106.31 ↓ -87%
Blue_Cross Capital_Blue_Cross_Healthy_Benefits_PPO $121.50 ↓ -85%
Blue_Cross All_Other_Plans $151.87 ↓ -82%
WellSpan_Capital_Blue_Cross All_Plans $156.00 ↓ -81%
Geisinger All_Plans $156.00 ↓ -81%
UPMC UPMC_For_Kids $156.00 ↓ -81%
UPMC Employees_And_Dependents $156.00 ↓ -81%
Cigna All_Plans $165.93 ↓ -80%
PHC All_Plans $208.00 ↓ -75%
Aetna All_Plans $211.12 ↓ -75%
First_Health_Network All_Plans $232.18 ↓ -72%
United_Healthcare All_Plans $243.88 ↓ -71%
Highmark_Wholecare_Gateway_Medicaid All_Plans $524.79 ↓ -37%
Blue_Cross_BlueJourney_Medicare All_Plans $691.20 ↓ -17%
Health_Partners_Medicaid All_Other_Plans $691.20 ↓ -17%
Highmark_Medicare All_Plans $698.11 ↓ -16%
Aetna_Advantra_Medicare All_Plans $711.94 ↓ -14%
Aetna_Medicare All_Plans $711.94 ↓ -14%
Devoted_Medicare All_Plans $725.76 ↓ -13%
United_Medicare ISNP_DSNP_Plans $725.76 ↓ -13%
Geisinger_Gold_Medicare All_Plans $725.76 ↓ -13%
Highmark_Wholecare_Gateway_Medicare All_Plans $728.87 ↓ -12%
Amerihealth_Medicare All_Plans $729.22 ↓ -12%
UPMC_Medicare UPMC_for_Life_Community_HealthChoices $729.22 ↓ -12%
UPMC_Medicare UPMC_for_Life_Complete_Care $729.22 ↓ -12%
PA_Health_&_Wellness_Medicare All_Plans $746.50 ↓ -10%
Jefferson_Health_Medicare_Advantage All_Plans $746.50 ↓ -10%
Highmark Higmark_Healthy_Kids $1,071.36 ↑ +29%
Health_Partners_Medicaid Kidz_Partners $1,140.48 ↑ +37%
United_Medicaid Community_Plan_For_Kids $1,209.60 ↑ +46%
Highmark Performance_Blue $2,090.67 ↑ +152%
Highmark Blue_Cross_High_Performance_Network $2,090.67 ↑ +152%
Highmark Choice_Blue_PPO $2,090.67 ↑ +152%
Highmark All_Other_Plans $2,518.94 ↑ +203%

Visitor-reported prices

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Hemodialysis one evaluation at other Pennsylvania hospitals

Hospital City Cash price Negotiated range
UPMC Altoona Altoona $1,635.00 $272.47 – $2,180.00
UPMC Bedford Everett $817.20 $240.69 – $1,225.80
UPMC Carlisle Carlisle $1,081.80 $216.15 – $1,532.55
UPMC Community Osteopathic Harrisburg $1,081.80 $216.15 – $1,532.55
UPMC East Monroeville $1,261.20 $286.45 – $770.40
UPMC Hamot Erie $6,177.60 $152.56 – $831.51
UPMC Northwest Seneca $1,223.40 $279.71 – $720.47
UPMC Hanover Hanover $1,081.80 $216.15 – $1,145.76

All Pennsylvania hospitals for this procedure →