Immunofluorescence per specimen initial single antibody stain 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

$55.20

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.

$69.00

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.

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The hospital's undiscounted list price — almost no one pays this.

$24.25 with Blue_Cross vs $657.80 with First_Health_Network — 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.

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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
Blue_Cross Capital_Blue_Performance_PPO $24.25 ↓ -56%
Geisinger_Medicaid All_Plans $31.88 ↓ -42%
UPMC_Medicaid All_Plans $31.88 ↓ -42%
PA_Health_&_Wellness_Medicaid All_Plans $31.88 ↓ -42%
Highmark_Wholecare_Gateway_Medicaid All_Plans $31.88 ↓ -42%
Health_Partners_Medicaid All_Other_Plans $31.88 ↓ -42%
Amerihealth_Caritas_Medicaid All_Plans $36.21 ↓ -34%
UPMC UPMC_For_Kids $41.40 ↓ -25%
UPMC Employees_And_Dependents $41.40 ↓ -25%
WellSpan_Capital_Blue_Cross All_Plans $41.40 ↓ -25%
Geisinger All_Plans $41.40 ↓ -25%
PHC All_Plans $55.20 ↑ +0%
Cigna All_Plans $57.59 ↑ +4%
Aetna_Better_Health_Kids All_Plans $86.70 ↑ +57%
Blue_Cross_BlueJourney_Medicare All_Plans $169.27 ↑ +207%
Highmark_Medicare All_Plans $170.96 ↑ +210%
Aetna_Medicare All_Plans $174.35 ↑ +216%
Aetna_Advantra_Medicare All_Plans $174.35 ↑ +216%
Devoted_Medicare All_Plans $177.73 ↑ +222%
Geisinger_Gold_Medicare All_Plans $177.73 ↑ +222%
United_Medicare ISNP_DSNP_Plans $177.73 ↑ +222%
Highmark_Wholecare_Gateway_Medicare All_Plans $178.50 ↑ +223%
Amerihealth_Medicare All_Plans $178.58 ↑ +224%
UPMC_Medicare UPMC_for_Life_Complete_Care $178.58 ↑ +224%
UPMC_Medicare UPMC_for_Life_Community_HealthChoices $178.58 ↑ +224%
PA_Health_&_Wellness_Medicare All_Plans $182.81 ↑ +231%
Jefferson_Health_Medicare_Advantage All_Plans $182.81 ↑ +231%
Blue_Cross Capital_Cares_4_kids $234.02 ↑ +324%
Highmark Higmark_Healthy_Kids $262.37 ↑ +375%
Blue_Cross Capital_Blue_Cross_Healthy_Benefits_PPO $267.45 ↑ +385%
Health_Partners_Medicaid Kidz_Partners $279.30 ↑ +406%
United_Medicaid Community_Plan_For_Kids $296.22 ↑ +437%
Blue_Cross All_Other_Plans $334.31 ↑ +506%
United_Healthcare All_Plans $488.22 ↑ +784%
Highmark Choice_Blue_PPO $511.99 ↑ +828%
Highmark Blue_Cross_High_Performance_Network $511.99 ↑ +828%
Highmark Performance_Blue $511.99 ↑ +828%
Aetna All_Plans $598.40 ↑ +984%
Highmark All_Other_Plans $616.87 ↑ +1018%
First_Health_Network All_Plans $657.80 ↑ +1092%

Visitor-reported prices

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Immunofluorescence per specimen initial single antibody stain at other Pennsylvania hospitals

Hospital City Cash price Negotiated range
UPMC Altoona Altoona $415.80 $15.30 – $554.40
UPMC Carlisle Carlisle $664.80 $20.04 – $941.80
UPMC Cole Coudersport $181.20 $26.77 – $241.60
UPMC Community Osteopathic Harrisburg $664.80 $20.04 – $180.36
UPMC East Monroeville $153.00 $17.39 – $204.00
UPMC Hamot Erie $347.40 $19.63 – $420.75
UPMC Northwest Seneca $108.00 $17.55 – $171.54
UPMC Hanover Hanover $664.80 $20.04 – $261.92

All Pennsylvania hospitals for this procedure →