Ins tun cv cath wo subq prt/pm at WellSpan Good Samaritan Hospital
252 S. 4th St., Lebanon, PA · Wellspan · · NPI 1407928500
$2,836.00
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.
$3,545.00
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.
$331.88 with UPMC_Medicaid vs $11,330.71 with Highmark — 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 |
|---|---|---|---|
| UPMC_Medicaid | All_Plans | $331.88 | ↓ -88% |
| Highmark_Wholecare_Gateway_Medicaid | All_Plans | $331.88 | ↓ -88% |
| PA_Health_&_Wellness_Medicaid | All_Plans | $331.88 | ↓ -88% |
| Health_Partners_Medicaid | All_Other_Plans | $331.88 | ↓ -88% |
| Geisinger_Medicaid | All_Plans | $331.88 | ↓ -88% |
| Amerihealth_Caritas_Medicaid | All_Plans | $377.01 | ↓ -87% |
| Aetna_Better_Health_Kids | All_Plans | $902.70 | ↓ -68% |
| Aetna | All_Plans | $1,985.20 | ↓ -30% |
| WellSpan_Capital_Blue_Cross | All_Plans | $2,127.00 | ↓ -25% |
| Geisinger | All_Plans | $2,127.00 | ↓ -25% |
| UPMC | UPMC_For_Kids | $2,127.00 | ↓ -25% |
| UPMC | Employees_And_Dependents | $2,127.00 | ↓ -25% |
| First_Health_Network | All_Plans | $2,183.72 | ↓ -23% |
| Cigna | All_Plans | $2,262.42 | ↓ -20% |
| PHC | All_Plans | $2,836.00 | ↑ +0% |
| Blue_Cross_BlueJourney_Medicare | All_Plans | $3,109.16 | ↑ +10% |
| Highmark_Medicare | All_Plans | $3,140.25 | ↑ +11% |
| Aetna_Medicare | All_Plans | $3,202.43 | ↑ +13% |
| Aetna_Advantra_Medicare | All_Plans | $3,202.43 | ↑ +13% |
| Devoted_Medicare | All_Plans | $3,264.62 | ↑ +15% |
| Geisinger_Gold_Medicare | All_Plans | $3,264.62 | ↑ +15% |
| United_Medicare | ISNP_DSNP_Plans | $3,264.62 | ↑ +15% |
| Highmark_Wholecare_Gateway_Medicare | All_Plans | $3,278.61 | ↑ +16% |
| UPMC_Medicare | UPMC_for_Life_Complete_Care | $3,280.16 | ↑ +16% |
| Amerihealth_Medicare | All_Plans | $3,280.16 | ↑ +16% |
| UPMC_Medicare | UPMC_for_Life_Community_HealthChoices | $3,280.16 | ↑ +16% |
| United_Healthcare | All_Plans | $3,325.21 | ↑ +17% |
| Jefferson_Health_Medicare_Advantage | All_Plans | $3,357.89 | ↑ +18% |
| PA_Health_&_Wellness_Medicare | All_Plans | $3,357.89 | ↑ +18% |
| Highmark | Higmark_Healthy_Kids | $4,819.20 | ↑ +70% |
| Health_Partners_Medicaid | Kidz_Partners | $5,130.11 | ↑ +81% |
| United_Medicaid | Community_Plan_For_Kids | $5,441.03 | ↑ +92% |
| Blue_Cross | Capital_Blue_Performance_PPO | $7,441.00 | ↑ +162% |
| Blue_Cross | Capital_Blue_Cross_Healthy_Benefits_PPO | $7,950.40 | ↑ +180% |
| Highmark | Blue_Cross_High_Performance_Network | $9,404.28 | ↑ +232% |
| Highmark | Choice_Blue_PPO | $9,404.28 | ↑ +232% |
| Highmark | Performance_Blue | $9,404.28 | ↑ +232% |
| Blue_Cross | All_Other_Plans | $9,938.00 | ↑ +250% |
| Blue_Cross | Capital_Cares_4_kids | $11,224.50 | ↑ +296% |
| Highmark | All_Other_Plans | $11,330.71 | ↑ +300% |
Visitor-reported prices
Comments
Ins tun cv cath wo subq prt/pm at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $2,502.00 | $782.70 – $3,336.00 |
| UPMC Bedford | Everett | $5,619.60 | $998.08 – $8,429.40 |
| UPMC Carlisle | Carlisle | $4,201.80 | $959.41 – $5,952.55 |
| UPMC Cole | Coudersport | $1,461.60 | $675.26 – $1,948.80 |
| UPMC Community Osteopathic | Harrisburg | $4,201.80 | $910.80 – $3,870.90 |
| UPMC East | Monroeville | $3,278.40 | $790.16 – $4,371.20 |
| UPMC Hamot | Erie | $2,346.00 | $782.70 – $4,364.40 |
| UPMC Northwest | Seneca | $2,386.20 | $854.83 – $3,240.82 |