Heparin assay at WellSpan Good Samaritan Hospital
252 S. 4th St., Lebanon, PA · Wellspan · · NPI 1407928500
$86.40
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.
?
What you pay up front if you don't use insurance.
$108.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$8.16 with Health_Partners_Medicaid vs $90.14 with Cigna — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 |
|---|---|---|---|
| Health_Partners_Medicaid | All_Other_Plans | $8.16 | ↓ -91% |
| PA_Health_&_Wellness_Medicaid | All_Plans | $8.16 | ↓ -91% |
| UPMC_Medicaid | All_Plans | $8.16 | ↓ -91% |
| Geisinger_Medicaid | All_Plans | $8.16 | ↓ -91% |
| Highmark_Wholecare_Gateway_Medicaid | All_Plans | $8.16 | ↓ -91% |
| Amerihealth_Caritas_Medicaid | All_Plans | $9.27 | ↓ -89% |
| Blue_Cross_BlueJourney_Medicare | All_Plans | $13.09 | ↓ -85% |
| Highmark_Medicare | All_Plans | $13.22 | ↓ -85% |
| Aetna_Medicare | All_Plans | $13.48 | ↓ -84% |
| Aetna_Advantra_Medicare | All_Plans | $13.48 | ↓ -84% |
| United_Medicare | ISNP_DSNP_Plans | $13.74 | ↓ -84% |
| Devoted_Medicare | All_Plans | $13.74 | ↓ -84% |
| Geisinger_Gold_Medicare | All_Plans | $13.74 | ↓ -84% |
| Highmark_Wholecare_Gateway_Medicare | All_Plans | $13.80 | ↓ -84% |
| UPMC_Medicare | UPMC_for_Life_Complete_Care | $13.81 | ↓ -84% |
| Amerihealth_Medicare | All_Plans | $13.81 | ↓ -84% |
| UPMC_Medicare | UPMC_for_Life_Community_HealthChoices | $13.81 | ↓ -84% |
| PA_Health_&_Wellness_Medicare | All_Plans | $14.14 | ↓ -84% |
| Jefferson_Health_Medicare_Advantage | All_Plans | $14.14 | ↓ -84% |
| Highmark | Higmark_Healthy_Kids | $20.29 | ↓ -77% |
| Health_Partners_Medicaid | Kidz_Partners | $21.60 | ↓ -75% |
| Aetna_Better_Health_Kids | All_Plans | $22.20 | ↓ -74% |
| United_Medicaid | Community_Plan_For_Kids | $22.91 | ↓ -73% |
| Blue_Cross | Capital_Cares_4_kids | $37.54 | ↓ -57% |
| United_Healthcare | All_Plans | $39.27 | ↓ -55% |
| Highmark | Performance_Blue | $39.59 | ↓ -54% |
| Highmark | Blue_Cross_High_Performance_Network | $39.59 | ↓ -54% |
| Highmark | Choice_Blue_PPO | $39.59 | ↓ -54% |
| Blue_Cross | Capital_Blue_Cross_Healthy_Benefits_PPO | $42.90 | ↓ -50% |
| Highmark | All_Other_Plans | $47.70 | ↓ -45% |
| Blue_Cross | All_Other_Plans | $53.63 | ↓ -38% |
| Aetna | All_Plans | $54.06 | ↓ -37% |
| First_Health_Network | All_Plans | $59.43 | ↓ -31% |
| Blue_Cross | Capital_Blue_Performance_PPO | $63.69 | ↓ -26% |
| WellSpan_Capital_Blue_Cross | All_Plans | $64.80 | ↓ -25% |
| UPMC | UPMC_For_Kids | $64.80 | ↓ -25% |
| UPMC | Employees_And_Dependents | $64.80 | ↓ -25% |
| Geisinger | All_Plans | $64.80 | ↓ -25% |
| PHC | All_Plans | $86.40 | ↑ +0% |
| Cigna | All_Plans | $90.14 | ↑ +4% |
Visitor-reported prices
Comments
Heparin assay at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $28.80 | $6.53 – $38.40 |
| UPMC Bedford | Everett | $88.20 | $4.72 – $132.30 |
| UPMC Carlisle | Carlisle | $66.60 | $6.53 – $94.35 |
| UPMC Community Osteopathic | Harrisburg | $66.60 | $6.53 – $94.35 |
| UPMC East | Monroeville | $111.60 | $6.53 – $148.80 |
| UPMC Hamot | Erie | $89.40 | $6.53 – $14.50 |
| UPMC Northwest | Seneca | $75.60 | $7.18 – $13.74 |
| UPMC Hanover | Hanover | $66.60 | $6.53 – $20.94 |