Immobilizer shldr dlx str 24-36in med at WellSpan Good Samaritan Hospital
252 S. 4th St., Lebanon, PA · Wellspan · · NPI 1407928500
$159.20
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.
?
What you pay up front if you don't use insurance.
$199.00
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.
$16.41 with Blue_Cross vs $248.21 with Highmark — 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 |
|---|---|---|---|
| Blue_Cross | Capital_Cares_4_kids | $16.41 | ↓ -90% |
| Blue_Cross | Capital_Blue_Cross_Healthy_Benefits_PPO | $18.76 | ↓ -88% |
| Blue_Cross | All_Other_Plans | $23.45 | ↓ -85% |
| Geisinger | All_Plans | $24.08 | ↓ -85% |
| WellSpan_Capital_Blue_Cross | All_Plans | $24.08 | ↓ -85% |
| UPMC | UPMC_For_Kids | $24.08 | ↓ -85% |
| UPMC | Employees_And_Dependents | $24.08 | ↓ -85% |
| Cigna | All_Plans | $25.62 | ↓ -84% |
| PHC | All_Plans | $32.11 | ↓ -80% |
| Aetna | All_Plans | $32.59 | ↓ -80% |
| First_Health_Network | All_Plans | $35.85 | ↓ -77% |
| United_Healthcare | All_Plans | $37.65 | ↓ -76% |
| Blue_Cross_BlueJourney_Medicare | All_Plans | $68.11 | ↓ -57% |
| Health_Partners_Medicaid | All_Other_Plans | $68.11 | ↓ -57% |
| Highmark_Medicare | All_Plans | $68.79 | ↓ -57% |
| Aetna_Advantra_Medicare | All_Plans | $70.15 | ↓ -56% |
| Aetna_Medicare | All_Plans | $70.15 | ↓ -56% |
| United_Medicare | ISNP_DSNP_Plans | $71.52 | ↓ -55% |
| Geisinger_Gold_Medicare | All_Plans | $71.52 | ↓ -55% |
| Devoted_Medicare | All_Plans | $71.52 | ↓ -55% |
| Highmark_Wholecare_Gateway_Medicare | All_Plans | $71.82 | ↓ -55% |
| Amerihealth_Medicare | All_Plans | $71.86 | ↓ -55% |
| UPMC_Medicare | UPMC_for_Life_Community_HealthChoices | $71.86 | ↓ -55% |
| UPMC_Medicare | UPMC_for_Life_Complete_Care | $71.86 | ↓ -55% |
| Jefferson_Health_Medicare_Advantage | All_Plans | $73.56 | ↓ -54% |
| PA_Health_&_Wellness_Medicare | All_Plans | $73.56 | ↓ -54% |
| Highmark_Wholecare_Gateway_Medicaid | All_Plans | $87.30 | ↓ -45% |
| Highmark | Higmark_Healthy_Kids | $105.57 | ↓ -34% |
| Health_Partners_Medicaid | Kidz_Partners | $112.38 | ↓ -29% |
| United_Medicaid | Community_Plan_For_Kids | $119.19 | ↓ -25% |
| Highmark | Performance_Blue | $206.01 | ↑ +29% |
| Highmark | Choice_Blue_PPO | $206.01 | ↑ +29% |
| Highmark | Blue_Cross_High_Performance_Network | $206.01 | ↑ +29% |
| Highmark | All_Other_Plans | $248.21 | ↑ +56% |
Visitor-reported prices
Comments
Immobilizer shldr dlx str 24-36in med at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $198.00 | $7.98 – $418.49 |
| UPMC Bedford | Everett | $415.80 | $160.53 – $623.70 |
| UPMC Cole | Coudersport | $69.60 | $22.04 – $160.53 |
| UPMC East | Monroeville | $421.80 | $6.46 – $418.49 |
| UPMC Hamot | Erie | $687.00 | $112.40 – $160.53 |
| UPMC Northwest | Seneca | $94.80 | $160.53 – $506.41 |
| UPMC Horizon-Greenville | Greenville | $459.60 | $160.53 – $418.49 |
| UPMC Jameson | New Castle | $121.20 | $39.86 – $418.49 |