Ins/rpl pm w/tv ld atrl at WellSpan Good Samaritan Hospital
252 S. 4th St., Lebanon, PA · Wellspan · · NPI 1407928500
$37,716.80
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.
$47,146.00
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.
$6,420.00 with Aetna_Better_Health_Kids vs $44,222.95 with United_Healthcare — 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 |
|---|---|---|---|
| Aetna_Better_Health_Kids | All_Plans | $6,420.00 | ↓ -83% |
| Blue_Cross_BlueJourney_Medicare | All_Plans | $10,337.86 | ↓ -73% |
| Highmark_Medicare | All_Plans | $10,441.24 | ↓ -72% |
| Health_Partners_Medicaid | All_Other_Plans | $10,465.33 | ↓ -72% |
| Aetna_Advantra_Medicare | All_Plans | $10,648.00 | ↓ -72% |
| Aetna_Medicare | All_Plans | $10,648.00 | ↓ -72% |
| United_Medicare | ISNP_DSNP_Plans | $10,854.75 | ↓ -71% |
| Devoted_Medicare | All_Plans | $10,854.75 | ↓ -71% |
| Geisinger_Gold_Medicare | All_Plans | $10,854.75 | ↓ -71% |
| Highmark_Wholecare_Gateway_Medicare | All_Plans | $10,901.27 | ↓ -71% |
| UPMC_Medicare | UPMC_for_Life_Community_HealthChoices | $10,906.44 | ↓ -71% |
| Amerihealth_Medicare | All_Plans | $10,906.44 | ↓ -71% |
| UPMC_Medicare | UPMC_for_Life_Complete_Care | $10,906.44 | ↓ -71% |
| Jefferson_Health_Medicare_Advantage | All_Plans | $11,164.89 | ↓ -70% |
| PA_Health_&_Wellness_Medicare | All_Plans | $11,164.89 | ↓ -70% |
| Highmark | Higmark_Healthy_Kids | $16,023.68 | ↓ -58% |
| Health_Partners_Medicaid | Kidz_Partners | $17,057.47 | ↓ -55% |
| United_Medicaid | Community_Plan_For_Kids | $18,091.26 | ↓ -52% |
| Aetna | All_Plans | $26,401.76 | ↓ -30% |
| Geisinger | All_Plans | $28,287.60 | ↓ -25% |
| WellSpan_Capital_Blue_Cross | All_Plans | $28,287.60 | ↓ -25% |
| UPMC | Employees_And_Dependents | $28,287.60 | ↓ -25% |
| UPMC | UPMC_For_Kids | $28,287.60 | ↓ -25% |
| Blue_Cross | Capital_Blue_Performance_PPO | $28,500.00 | ↓ -24% |
| First_Health_Network | All_Plans | $29,041.94 | ↓ -23% |
| Cigna | All_Plans | $30,088.58 | ↓ -20% |
| Blue_Cross | Capital_Blue_Cross_Healthy_Benefits_PPO | $30,452.00 | ↓ -19% |
| Highmark | Choice_Blue_PPO | $31,268.93 | ↓ -17% |
| Highmark | Blue_Cross_High_Performance_Network | $31,268.93 | ↓ -17% |
| Highmark | Performance_Blue | $31,268.93 | ↓ -17% |
| Highmark | All_Other_Plans | $37,674.26 | ↓ -0% |
| PHC | All_Plans | $37,716.80 | ↑ +0% |
| Blue_Cross | All_Other_Plans | $38,065.00 | ↑ +1% |
| United_Healthcare | All_Plans | $44,222.95 | ↑ +17% |
Visitor-reported prices
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Ins/rpl pm w/tv ld atrl at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $25,170.00 | $1,016.56 – $35,657.50 |
| UPMC Community Osteopathic | Harrisburg | $25,170.00 | $1,016.56 – $35,657.50 |
| UPMC East | Monroeville | $3,294.60 | $793.97 – $10,775.64 |
| UPMC Hamot | Erie | $10,378.80 | $786.48 – $14,511.47 |
| UPMC Lititz | Lititz | $25,170.00 | $486.93 – $1,754.22 |
| UPMC Memorial | York | $25,170.00 | $486.93 – $1,766.45 |
| UPMC Passavant-McCandless | Pittsburgh | $15,256.20 | $793.97 – $10,975.18 |
| UPMC Presbyterian | Pittsburgh | $17,949.60 | $793.97 – $10,975.18 |