Ins cerv dilator (sep proc) 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

$476.80

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.

Full explanation →

What you pay up front if you don't use insurance.

$596.00

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.

Full explanation →

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

$107.28 with Aetna_Better_Health_Kids vs $3,432.00 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 →

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
Aetna_Better_Health_Kids All_Plans $107.28 ↓ -78%
Blue_Cross_BlueJourney_Medicare All_Plans $300.48 ↓ -37%
Highmark_Medicare All_Plans $303.48 ↓ -36%
Aetna_Advantra_Medicare All_Plans $309.49 ↓ -35%
Aetna_Medicare All_Plans $309.49 ↓ -35%
Geisinger_Gold_Medicare All_Plans $315.50 ↓ -34%
United_Medicare ISNP_DSNP_Plans $315.50 ↓ -34%
Devoted_Medicare All_Plans $315.50 ↓ -34%
Highmark_Wholecare_Gateway_Medicare All_Plans $316.86 ↓ -34%
Amerihealth_Medicare All_Plans $317.01 ↓ -34%
UPMC_Medicare UPMC_for_Life_Complete_Care $317.01 ↓ -34%
UPMC_Medicare UPMC_for_Life_Community_HealthChoices $317.01 ↓ -34%
PA_Health_&_Wellness_Medicare All_Plans $324.52 ↓ -32%
Jefferson_Health_Medicare_Advantage All_Plans $324.52 ↓ -32%
WellSpan_Capital_Blue_Cross All_Plans $357.60 ↓ -25%
Geisinger All_Plans $357.60 ↓ -25%
UPMC Employees_And_Dependents $357.60 ↓ -25%
UPMC UPMC_For_Kids $357.60 ↓ -25%
Cigna All_Plans $380.37 ↓ -20%
Highmark Higmark_Healthy_Kids $465.74 ↓ -2%
PHC All_Plans $476.80 ↑ +0%
Aetna All_Plans $483.95 ↑ +1%
Health_Partners_Medicaid Kidz_Partners $495.79 ↑ +4%
United_Medicaid Community_Plan_For_Kids $525.84 ↑ +10%
First_Health_Network All_Plans $532.23 ↑ +12%
United_Healthcare All_Plans $559.05 ↑ +17%
Highmark Performance_Blue $908.86 ↑ +91%
Highmark Choice_Blue_PPO $908.86 ↑ +91%
Highmark Blue_Cross_High_Performance_Network $908.86 ↑ +91%
Highmark All_Other_Plans $1,095.04 ↑ +130%
Blue_Cross Capital_Cares_4_kids $2,402.40 ↑ +404%
Blue_Cross Capital_Blue_Performance_PPO $2,571.00 ↑ +439%
Blue_Cross Capital_Blue_Cross_Healthy_Benefits_PPO $2,745.60 ↑ +476%
Blue_Cross All_Other_Plans $3,432.00 ↑ +620%

Visitor-reported prices

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Ins cerv dilator (sep proc) at other Pennsylvania hospitals

Hospital City Cash price Negotiated range
UPMC Altoona Altoona $2,562.00 $204.47 – $3,416.00
UPMC Bedford Everett $1,416.00 $104.64 – $2,124.00
UPMC Carlisle Carlisle $678.00 $154.81 – $960.50
UPMC Cole Coudersport $385.80 $25.50 – $514.40
UPMC Community Osteopathic Harrisburg $678.00 $226.00 – $3,000.00
UPMC Hanover Hanover $678.00 $233.31 – $464.94
UPMC Horizon-Greenville Greenville $890.40 $259.65 – $397.78
UPMC Lititz Lititz $678.00 $233.31 – $467.46

All Pennsylvania hospitals for this procedure →