Inj hydroxocobalamin IV 25mg at WellSpan Good Samaritan Hospital
252 S. 4th St., Lebanon, PA · Wellspan · · NPI 1407928500
$3,902.60
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.
$4,878.25
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.
$5.22 with Blue_Cross vs $4,356.28 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.
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 |
|---|---|---|---|
| Blue_Cross | Capital_Blue_Performance_PPO | $5.22 | ↓ -100% |
| WellSpan_Capital_Blue_Cross | All_Plans | $6.11 | ↓ -100% |
| Blue_Cross | Capital_Cares_4_kids | $730.80 | ↓ -81% |
| Highmark_Wholecare_Gateway_Medicaid | All_Plans | $777.00 | ↓ -80% |
| Aetna_Better_Health_Kids | All_Plans | $878.09 | ↓ -77% |
| Blue_Cross_BlueJourney_Medicare | All_Plans | $1,037.00 | ↓ -73% |
| Health_Partners_Medicaid | All_Other_Plans | $1,037.00 | ↓ -73% |
| Blue_Cross | All_Other_Plans | $1,044.00 | ↓ -73% |
| Highmark_Medicare | All_Plans | $1,047.37 | ↓ -73% |
| Aetna_Advantra_Medicare | All_Plans | $1,068.11 | ↓ -73% |
| Aetna_Medicare | All_Plans | $1,068.11 | ↓ -73% |
| United_Medicare | ISNP_DSNP_Plans | $1,088.85 | ↓ -72% |
| Devoted_Medicare | All_Plans | $1,088.85 | ↓ -72% |
| Geisinger_Gold_Medicare | All_Plans | $1,088.85 | ↓ -72% |
| Highmark_Wholecare_Gateway_Medicare | All_Plans | $1,093.52 | ↓ -72% |
| UPMC_Medicare | UPMC_for_Life_Complete_Care | $1,094.04 | ↓ -72% |
| Amerihealth_Medicare | All_Plans | $1,094.04 | ↓ -72% |
| UPMC_Medicare | UPMC_for_Life_Community_HealthChoices | $1,094.04 | ↓ -72% |
| Jefferson_Health_Medicare_Advantage | All_Plans | $1,119.96 | ↓ -71% |
| PA_Health_&_Wellness_Medicare | All_Plans | $1,119.96 | ↓ -71% |
| Highmark | Higmark_Healthy_Kids | $1,607.35 | ↓ -59% |
| Health_Partners_Medicaid | Kidz_Partners | $1,711.05 | ↓ -56% |
| United_Medicaid | Community_Plan_For_Kids | $1,814.75 | ↓ -53% |
| Blue_Cross | Capital_Blue_Cross_Healthy_Benefits_PPO | $2,279.61 | ↓ -42% |
| UPMC | Employees_And_Dependents | $2,926.95 | ↓ -25% |
| UPMC | UPMC_For_Kids | $2,926.95 | ↓ -25% |
| Geisinger | All_Plans | $2,926.95 | ↓ -25% |
| Highmark | Blue_Cross_High_Performance_Network | $3,136.61 | ↓ -20% |
| Highmark | Performance_Blue | $3,136.61 | ↓ -20% |
| Highmark | Choice_Blue_PPO | $3,136.61 | ↓ -20% |
| United_Healthcare | All_Plans | $3,315.20 | ↓ -15% |
| Cigna | All_Plans | $3,563.00 | ↓ -9% |
| Highmark | All_Other_Plans | $3,779.14 | ↓ -3% |
| PHC | All_Plans | $3,902.60 | ↑ +0% |
| Aetna | All_Plans | $3,961.14 | ↑ +2% |
| First_Health_Network | All_Plans | $4,356.28 | ↑ +12% |
Visitor-reported prices
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Inj hydroxocobalamin IV 25mg at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| WellSpan Ephrata Community Hospital | Ephrata | $3,902.60 | $6.11 – $3,563.00 |