Hepatitis b immune globulin greater than 1,560 units/5 ml im solution at WellSpan Good Samaritan Hospital
252 S. 4th St., Lebanon, PA · Wellspan · · NPI 1407928500
$4,936.20
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.
$6,170.25
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.
$12.50 with Health_Partners_Medicaid vs $940.30 with Aetna — 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 |
|---|---|---|---|
| Health_Partners_Medicaid | All_Other_Plans | $12.50 | ↓ -100% |
| UPMC_Medicaid | All_Plans | $12.50 | ↓ -100% |
| PA_Health_&_Wellness_Medicaid | All_Plans | $12.50 | ↓ -100% |
| Highmark_Wholecare_Gateway_Medicaid | All_Plans | $12.50 | ↓ -100% |
| Geisinger_Medicaid | All_Plans | $12.50 | ↓ -100% |
| Aetna_Better_Health_Kids | All_Plans | $34.00 | ↓ -99% |
| Blue_Cross | Capital_Cares_4_kids | $101.91 | ↓ -98% |
| Blue_Cross | Capital_Blue_Cross_Healthy_Benefits_PPO | $116.47 | ↓ -98% |
| Amerihealth_Caritas_Medicaid | All_Plans | $134.19 | ↓ -97% |
| Blue_Cross_BlueJourney_Medicare | All_Plans | $134.19 | ↓ -97% |
| Highmark_Medicare | All_Plans | $135.53 | ↓ -97% |
| Aetna_Medicare | All_Plans | $138.22 | ↓ -97% |
| Aetna_Advantra_Medicare | All_Plans | $138.22 | ↓ -97% |
| Devoted_Medicare | All_Plans | $140.90 | ↓ -97% |
| United_Medicare | ISNP_DSNP_Plans | $140.90 | ↓ -97% |
| Geisinger_Gold_Medicare | All_Plans | $140.90 | ↓ -97% |
| Highmark_Wholecare_Gateway_Medicare | All_Plans | $141.50 | ↓ -97% |
| Amerihealth_Medicare | All_Plans | $141.57 | ↓ -97% |
| UPMC_Medicare | UPMC_for_Life_Community_HealthChoices | $141.57 | ↓ -97% |
| UPMC_Medicare | UPMC_for_Life_Complete_Care | $141.57 | ↓ -97% |
| PA_Health_&_Wellness_Medicare | All_Plans | $144.93 | ↓ -97% |
| Jefferson_Health_Medicare_Advantage | All_Plans | $144.93 | ↓ -97% |
| Blue_Cross | Capital_Blue_Performance_PPO | $145.59 | ↓ -97% |
| Blue_Cross | All_Other_Plans | $145.59 | ↓ -97% |
| WellSpan_Capital_Blue_Cross | All_Plans | $158.25 | ↓ -97% |
| Highmark | Higmark_Healthy_Kids | $207.99 | ↓ -96% |
| Health_Partners_Medicaid | Kidz_Partners | $221.41 | ↓ -96% |
| United_Medicaid | Community_Plan_For_Kids | $234.83 | ↓ -95% |
| Highmark | Choice_Blue_PPO | $405.88 | ↓ -92% |
| Highmark | Performance_Blue | $405.88 | ↓ -92% |
| Highmark | Blue_Cross_High_Performance_Network | $405.88 | ↓ -92% |
| United_Healthcare | All_Plans | $418.11 | ↓ -92% |
| First_Health_Network | All_Plans | $448.74 | ↓ -91% |
| Highmark | All_Other_Plans | $489.03 | ↓ -90% |
| Cigna | All_Plans | $590.17 | ↓ -88% |
| Geisinger | All_Plans | $694.80 | ↓ -86% |
| UPMC | UPMC_For_Kids | $694.80 | ↓ -86% |
| UPMC | Employees_And_Dependents | $694.80 | ↓ -86% |
| PHC | All_Plans | $926.40 | ↓ -81% |
| Aetna | All_Plans | $940.30 | ↓ -81% |
Visitor-reported prices
Comments
Hepatitis b immune globulin greater than 1,560 units/5 ml im solution at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $1,206.00 | $10.00 – $1,121.60 |
| UPMC Bedford | Everett | $1,758.00 | $11.00 – $2,637.00 |
| UPMC Carlisle | Carlisle | $105.60 | $10.50 – $214.70 |
| UPMC Community Osteopathic | Harrisburg | $105.60 | $10.50 – $165.06 |
| UPMC East | Monroeville | $1,200.60 | $11.00 – $356.80 |
| UPMC Hamot | Erie | $1,348.80 | $11.00 – $171.63 |
| UPMC Northwest | Seneca | $1,720.80 | $11.00 – $140.90 |
| UPMC Hanover | Hanover | $105.60 | $10.50 – $214.70 |