Incisn of toe tndn at WellSpan Good Samaritan Hospital
252 S. 4th St., Lebanon, PA · Wellspan · · NPI 1407928500
$2,519.20
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.
$3,149.00
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.
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The hospital's undiscounted list price — almost no one pays this.
$163.75 with Health_Partners_Medicaid vs $8,101.00 with Blue_Cross — 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 | $163.75 | ↓ -93% |
| PA_Health_&_Wellness_Medicaid | All_Plans | $163.75 | ↓ -93% |
| Geisinger_Medicaid | All_Plans | $163.75 | ↓ -93% |
| UPMC_Medicaid | All_Plans | $163.75 | ↓ -93% |
| Highmark_Wholecare_Gateway_Medicaid | All_Plans | $163.75 | ↓ -93% |
| Amerihealth_Caritas_Medicaid | All_Plans | $186.02 | ↓ -93% |
| Aetna_Better_Health_Kids | All_Plans | $445.40 | ↓ -82% |
| Blue_Cross_BlueJourney_Medicare | All_Plans | $1,580.92 | ↓ -37% |
| Highmark_Medicare | All_Plans | $1,596.73 | ↓ -37% |
| Aetna_Advantra_Medicare | All_Plans | $1,628.35 | ↓ -35% |
| Aetna_Medicare | All_Plans | $1,628.35 | ↓ -35% |
| Geisinger_Gold_Medicare | All_Plans | $1,659.97 | ↓ -34% |
| Devoted_Medicare | All_Plans | $1,659.97 | ↓ -34% |
| United_Medicare | ISNP_DSNP_Plans | $1,659.97 | ↓ -34% |
| Highmark_Wholecare_Gateway_Medicare | All_Plans | $1,667.08 | ↓ -34% |
| Amerihealth_Medicare | All_Plans | $1,667.87 | ↓ -34% |
| UPMC_Medicare | UPMC_for_Life_Complete_Care | $1,667.87 | ↓ -34% |
| UPMC_Medicare | UPMC_for_Life_Community_HealthChoices | $1,667.87 | ↓ -34% |
| Jefferson_Health_Medicare_Advantage | All_Plans | $1,707.39 | ↓ -32% |
| PA_Health_&_Wellness_Medicare | All_Plans | $1,707.39 | ↓ -32% |
| WellSpan_Capital_Blue_Cross | All_Plans | $1,889.40 | ↓ -25% |
| UPMC | Employees_And_Dependents | $1,889.40 | ↓ -25% |
| UPMC | UPMC_For_Kids | $1,889.40 | ↓ -25% |
| Geisinger | All_Plans | $1,889.40 | ↓ -25% |
| Cigna | All_Plans | $2,009.69 | ↓ -20% |
| Highmark | Higmark_Healthy_Kids | $2,450.43 | ↓ -3% |
| PHC | All_Plans | $2,519.20 | ↑ +0% |
| Aetna | All_Plans | $2,556.99 | ↑ +2% |
| Health_Partners_Medicaid | Kidz_Partners | $2,608.52 | ↑ +4% |
| United_Medicaid | Community_Plan_For_Kids | $2,766.61 | ↑ +10% |
| First_Health_Network | All_Plans | $2,812.06 | ↑ +12% |
| United_Healthcare | All_Plans | $2,953.76 | ↑ +17% |
| Highmark | Blue_Cross_High_Performance_Network | $4,781.81 | ↑ +90% |
| Highmark | Performance_Blue | $4,781.81 | ↑ +90% |
| Highmark | Choice_Blue_PPO | $4,781.81 | ↑ +90% |
| Blue_Cross | Capital_Cares_4_kids | $5,670.70 | ↑ +125% |
| Highmark | All_Other_Plans | $5,761.35 | ↑ +129% |
| Blue_Cross | Capital_Blue_Performance_PPO | $6,066.00 | ↑ +141% |
| Blue_Cross | Capital_Blue_Cross_Healthy_Benefits_PPO | $6,480.80 | ↑ +157% |
| Blue_Cross | All_Other_Plans | $8,101.00 | ↑ +222% |
Visitor-reported prices
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Incisn of toe tndn at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Cole | Coudersport | $743.40 | $137.55 – $2,094.25 |
| UPMC Hamot | Erie | $1,959.60 | $144.10 – $2,219.16 |
| UPMC Horizon-Greenville | Greenville | $1,663.20 | $144.10 – $1,647.86 |
| UPMC Jameson | New Castle | $1,663.20 | $144.10 – $2,059.83 |
| UPMC Mercy | Pittsburgh | $1,608.60 | $144.10 – $1,678.38 |
| UPMC Passavant-McCandless | Pittsburgh | $1,815.00 | $144.10 – $1,678.38 |
| UPMC Wellsboro | Wellsboro | $366.00 | $144.10 – $993.28 |
| UPMC Williamsport | Williamsport | $1,520.40 | $144.10 – $1,632.61 |