Inj mepivacaine hcl/10 ml 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

$94.20

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.

$117.75

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.

Full explanation →

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

$9.01 with Blue_Cross vs $94.20 with PHC — 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 Capital_Cares_4_kids $9.01 ↓ -90%
Blue_Cross Capital_Blue_Cross_Healthy_Benefits_PPO $10.30 ↓ -89%
Highmark_Wholecare_Gateway_Medicaid All_Plans $11.86 ↓ -87%
Health_Partners_Medicaid All_Other_Plans $11.86 ↓ -87%
Geisinger_Medicaid All_Plans $11.86 ↓ -87%
Amerihealth_Caritas_Medicaid All_Plans $11.86 ↓ -87%
UPMC_Medicaid All_Plans $11.91 ↓ -87%
Blue_Cross All_Other_Plans $12.87 ↓ -86%
Aetna All_Plans $36.06 ↓ -62%
United_Healthcare All_Plans $36.67 ↓ -61%
Cigna All_Plans $38.12 ↓ -60%
First_Health_Network All_Plans $39.67 ↓ -58%
Blue_Cross Capital_Blue_Performance_PPO $41.62 ↓ -56%
WellSpan_Capital_Blue_Cross All_Plans $70.65 ↓ -25%
Geisinger All_Plans $70.65 ↓ -25%
UPMC UPMC_For_Kids $70.65 ↓ -25%
UPMC Employees_And_Dependents $70.65 ↓ -25%
PHC All_Plans $94.20 ↑ +0%

Visitor-reported prices

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Inj mepivacaine hcl/10 ml at other Pennsylvania hospitals

Hospital City Cash price Negotiated range
UPMC Altoona Altoona $35.40 $0.54 – $10.65
UPMC Bedford Everett $6.60 $1.49 – $9.90
UPMC East Monroeville $14.40 $0.12 – $3.95
UPMC Hamot Erie $14.40 $0.54 – $8.96
UPMC Horizon-Greenville Greenville $5.40 $1.37 – $3.95
UPMC Magee Pittsburgh $63.60 $0.54 – $3.95
UPMC McKeesport Mckeesport $13.80 $0.54 – $4.39
UPMC Mercy Pittsburgh $13.80 $0.54 – $3.95

All Pennsylvania hospitals for this procedure →