Ins pq tunnld ip cath w/img 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

$2,670.40

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.

$3,338.00

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.

$233.98 with Highmark_Wholecare_Gateway_Medicaid vs $26,645.50 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
Highmark_Wholecare_Gateway_Medicaid All_Plans $233.98 ↓ -91%
Aetna All_Plans $1,869.28 ↓ -30%
UPMC UPMC_For_Kids $2,002.80 ↓ -25%
Geisinger All_Plans $2,002.80 ↓ -25%
WellSpan_Capital_Blue_Cross All_Plans $2,002.80 ↓ -25%
UPMC Employees_And_Dependents $2,002.80 ↓ -25%
First_Health_Network All_Plans $2,056.21 ↓ -23%
Cigna All_Plans $2,130.31 ↓ -20%
PHC All_Plans $2,670.40 ↑ +0%
United_Healthcare All_Plans $3,131.04 ↑ +17%
Blue_Cross_BlueJourney_Medicare All_Plans $3,486.08 ↑ +31%
Health_Partners_Medicaid All_Other_Plans $3,486.08 ↑ +31%
Highmark_Medicare All_Plans $3,520.94 ↑ +32%
Aetna_Advantra_Medicare All_Plans $3,590.66 ↑ +34%
Aetna_Medicare All_Plans $3,590.66 ↑ +34%
Geisinger_Gold_Medicare All_Plans $3,660.38 ↑ +37%
Devoted_Medicare All_Plans $3,660.38 ↑ +37%
United_Medicare ISNP_DSNP_Plans $3,660.38 ↑ +37%
Highmark_Wholecare_Gateway_Medicare All_Plans $3,676.07 ↑ +38%
UPMC_Medicare UPMC_for_Life_Community_HealthChoices $3,677.81 ↑ +38%
Amerihealth_Medicare All_Plans $3,677.81 ↑ +38%
UPMC_Medicare UPMC_for_Life_Complete_Care $3,677.81 ↑ +38%
PA_Health_&_Wellness_Medicare All_Plans $3,764.97 ↑ +41%
Jefferson_Health_Medicare_Advantage All_Plans $3,764.97 ↑ +41%
Highmark Higmark_Healthy_Kids $5,403.42 ↑ +102%
Health_Partners_Medicaid Kidz_Partners $5,752.03 ↑ +115%
United_Medicaid Community_Plan_For_Kids $6,100.64 ↑ +128%
Blue_Cross Capital_Blue_Performance_PPO $7,441.00 ↑ +179%
Blue_Cross Capital_Blue_Cross_Healthy_Benefits_PPO $7,950.40 ↑ +198%
Blue_Cross All_Other_Plans $9,938.00 ↑ +272%
Highmark Choice_Blue_PPO $10,544.35 ↑ +295%
Highmark Blue_Cross_High_Performance_Network $10,544.35 ↑ +295%
Highmark Performance_Blue $10,544.35 ↑ +295%
Highmark All_Other_Plans $12,704.32 ↑ +376%
Blue_Cross Capital_Cares_4_kids $26,645.50 ↑ +898%

Visitor-reported prices

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Ins pq tunnld ip cath w/img at other Pennsylvania hospitals

Hospital City Cash price Negotiated range
UPMC Altoona Altoona $7,305.00 $2,234.51 – $9,740.00
UPMC Carlisle Carlisle $11,758.20 $1,016.56 – $16,657.45
UPMC Cole Coudersport $358.80 $165.77 – $2,234.51
UPMC Community Osteopathic Harrisburg $11,758.20 $1,016.56 – $16,657.45
UPMC East Monroeville $11,393.40 $2,234.51 – $15,191.20
UPMC Hamot Erie $5,742.00 $2,234.51 – $4,893.48
UPMC Northwest Seneca $8,416.80 $2,234.51 – $3,633.70
UPMC Hanover Hanover $11,758.20 $1,016.56 – $8,812.16

All Pennsylvania hospitals for this procedure →