Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization 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

$43.20

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.

$54.00

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.

$10.33 with Blue_Cross_BlueJourney_Medicare vs $96.04 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 →

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_BlueJourney_Medicare All_Plans $10.33 ↓ -76%
Highmark_Medicare All_Plans $10.43 ↓ -76%
Aetna_Medicare All_Plans $10.64 ↓ -75%
Aetna_Advantra_Medicare All_Plans $10.64 ↓ -75%
Geisinger_Gold_Medicare All_Plans $10.85 ↓ -75%
United_Medicare ISNP_DSNP_Plans $10.85 ↓ -75%
Devoted_Medicare All_Plans $10.85 ↓ -75%
Highmark_Wholecare_Gateway_Medicare All_Plans $10.89 ↓ -75%
Amerihealth_Medicare All_Plans $10.90 ↓ -75%
UPMC_Medicare UPMC_for_Life_Complete_Care $10.90 ↓ -75%
UPMC_Medicare UPMC_for_Life_Community_HealthChoices $10.90 ↓ -75%
PA_Health_&_Wellness_Medicare All_Plans $11.16 ↓ -74%
Jefferson_Health_Medicare_Advantage All_Plans $11.16 ↓ -74%
Highmark_Wholecare_Gateway_Medicaid All_Plans $14.28 ↓ -67%
PA_Health_&_Wellness_Medicaid All_Plans $14.28 ↓ -67%
UPMC_Medicaid All_Plans $14.28 ↓ -67%
Geisinger_Medicaid All_Plans $14.28 ↓ -67%
Health_Partners_Medicaid All_Other_Plans $14.28 ↓ -67%
Highmark Higmark_Healthy_Kids $16.01 ↓ -63%
Amerihealth_Caritas_Medicaid All_Plans $16.22 ↓ -62%
Health_Partners_Medicaid Kidz_Partners $17.04 ↓ -61%
United_Medicaid Community_Plan_For_Kids $18.08 ↓ -58%
Blue_Cross Capital_Blue_Performance_PPO $23.76 ↓ -45%
United_Healthcare All_Plans $30.99 ↓ -28%
Highmark Blue_Cross_High_Performance_Network $31.25 ↓ -28%
Highmark Choice_Blue_PPO $31.25 ↓ -28%
Highmark Performance_Blue $31.25 ↓ -28%
WellSpan_Capital_Blue_Cross All_Plans $32.40 ↓ -25%
UPMC Employees_And_Dependents $32.40 ↓ -25%
UPMC UPMC_For_Kids $32.40 ↓ -25%
Geisinger All_Plans $32.40 ↓ -25%
Highmark All_Other_Plans $37.65 ↓ -13%
Aetna_Better_Health_Kids All_Plans $38.83 ↓ -10%
Aetna All_Plans $42.66 ↓ -1%
PHC All_Plans $43.20 ↑ +0%
Cigna All_Plans $45.07 ↑ +4%
First_Health_Network All_Plans $46.90 ↑ +9%
Blue_Cross Capital_Cares_4_kids $67.23 ↑ +56%
Blue_Cross Capital_Blue_Cross_Healthy_Benefits_PPO $76.84 ↑ +78%
Blue_Cross All_Other_Plans $96.04 ↑ +122%

Visitor-reported prices

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Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization at other Pennsylvania hospitals

Hospital City Cash price Negotiated range
UPMC Carlisle Carlisle $57.00 $10.23 – $80.75
UPMC Cole Coudersport $102.60 $6.71 – $136.80
UPMC Community Osteopathic Harrisburg $57.00 $10.23 – $80.75
UPMC Hamot Erie $166.80 $10.21 – $27.42
UPMC Northwest Seneca $93.60 $9.37 – $13.13
UPMC Hanover Hanover $57.00 $10.23 – $16.53
UPMC Kane Kane $130.20 $10.21 – $44.58
UPMC Lititz Lititz $57.00 $10.23 – $16.53

All Pennsylvania hospitals for this procedure →