Insertion of new/replacement ppm w/transvenous electrode(s) ventricular at WellSpan Good Samaritan Hospital
252 S. 4th St., Lebanon, PA · Wellspan · · NPI 1407928500
$47,248.80
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.
$59,061.00
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.
$576.48 with PA_Health_&_Wellness_Medicaid vs $55,399.22 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 |
|---|---|---|---|
| PA_Health_&_Wellness_Medicaid | All_Plans | $576.48 | ↓ -99% |
| UPMC_Medicaid | All_Plans | $576.48 | ↓ -99% |
| Highmark_Wholecare_Gateway_Medicaid | All_Plans | $576.48 | ↓ -99% |
| Health_Partners_Medicaid | All_Other_Plans | $576.48 | ↓ -99% |
| Geisinger_Medicaid | All_Plans | $576.48 | ↓ -99% |
| Amerihealth_Caritas_Medicaid | All_Plans | $654.88 | ↓ -99% |
| Aetna_Better_Health_Kids | All_Plans | $6,420.00 | ↓ -86% |
| Blue_Cross_BlueJourney_Medicare | All_Plans | $10,337.86 | ↓ -78% |
| Highmark_Medicare | All_Plans | $10,441.24 | ↓ -78% |
| Aetna_Advantra_Medicare | All_Plans | $10,648.00 | ↓ -77% |
| Aetna_Medicare | All_Plans | $10,648.00 | ↓ -77% |
| United_Medicare | ISNP_DSNP_Plans | $10,854.75 | ↓ -77% |
| Devoted_Medicare | All_Plans | $10,854.75 | ↓ -77% |
| Geisinger_Gold_Medicare | All_Plans | $10,854.75 | ↓ -77% |
| Highmark_Wholecare_Gateway_Medicare | All_Plans | $10,901.27 | ↓ -77% |
| Amerihealth_Medicare | All_Plans | $10,906.44 | ↓ -77% |
| UPMC_Medicare | UPMC_for_Life_Community_HealthChoices | $10,906.44 | ↓ -77% |
| UPMC_Medicare | UPMC_for_Life_Complete_Care | $10,906.44 | ↓ -77% |
| PA_Health_&_Wellness_Medicare | All_Plans | $11,164.89 | ↓ -76% |
| Jefferson_Health_Medicare_Advantage | All_Plans | $11,164.89 | ↓ -76% |
| Highmark | Higmark_Healthy_Kids | $16,023.68 | ↓ -66% |
| Health_Partners_Medicaid | Kidz_Partners | $17,057.47 | ↓ -64% |
| United_Medicaid | Community_Plan_For_Kids | $18,091.26 | ↓ -62% |
| Blue_Cross | Capital_Blue_Performance_PPO | $28,500.00 | ↓ -40% |
| Blue_Cross | Capital_Blue_Cross_Healthy_Benefits_PPO | $30,452.00 | ↓ -36% |
| Highmark | Performance_Blue | $31,268.93 | ↓ -34% |
| Highmark | Choice_Blue_PPO | $31,268.93 | ↓ -34% |
| Highmark | Blue_Cross_High_Performance_Network | $31,268.93 | ↓ -34% |
| Aetna | All_Plans | $33,074.16 | ↓ -30% |
| WellSpan_Capital_Blue_Cross | All_Plans | $35,436.60 | ↓ -25% |
| Geisinger | All_Plans | $35,436.60 | ↓ -25% |
| UPMC | UPMC_For_Kids | $35,436.60 | ↓ -25% |
| UPMC | Employees_And_Dependents | $35,436.60 | ↓ -25% |
| First_Health_Network | All_Plans | $36,381.58 | ↓ -23% |
| Highmark | All_Other_Plans | $37,674.26 | ↓ -20% |
| Cigna | All_Plans | $37,692.73 | ↓ -20% |
| Blue_Cross | All_Other_Plans | $38,065.00 | ↓ -19% |
| PHC | All_Plans | $47,248.80 | ↑ +0% |
| United_Healthcare | All_Plans | $55,399.22 | ↑ +17% |
Visitor-reported prices
Comments
Insertion of new/replacement ppm w/transvenous electrode(s) ventricular at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $4,138.20 | $461.18 – $5,517.60 |
| UPMC Carlisle | Carlisle | $24,630.00 | $585.70 – $34,892.50 |
| UPMC Cole | Coudersport | $990.00 | $457.38 – $1,954.88 |
| UPMC Community Osteopathic | Harrisburg | $24,630.00 | $585.70 – $34,892.50 |
| UPMC East | Monroeville | $3,774.00 | $507.30 – $10,476.31 |
| UPMC Hamot | Erie | $10,378.80 | $507.30 – $14,511.47 |
| UPMC Hanover | Hanover | $24,630.00 | $585.70 – $15,996.05 |
| UPMC Jameson | New Castle | $17,091.00 | $507.30 – $13,469.54 |