Insertion subcutaneous cardiac rhythm monitor at WellSpan Good Samaritan Hospital
252 S. 4th St., Lebanon, PA · Wellspan · · NPI 1407928500
$25,711.20
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.
$32,139.00
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 $38,065.00 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 →
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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 | ↓ -75% |
| Blue_Cross_BlueJourney_Medicare | All_Plans | $8,175.18 | ↓ -68% |
| Highmark_Medicare | All_Plans | $8,256.93 | ↓ -68% |
| Health_Partners_Medicaid | All_Other_Plans | $8,275.98 | ↓ -68% |
| Aetna_Advantra_Medicare | All_Plans | $8,420.44 | ↓ -67% |
| Aetna_Medicare | All_Plans | $8,420.44 | ↓ -67% |
| Geisinger_Gold_Medicare | All_Plans | $8,583.94 | ↓ -67% |
| United_Medicare | ISNP_DSNP_Plans | $8,583.94 | ↓ -67% |
| Devoted_Medicare | All_Plans | $8,583.94 | ↓ -67% |
| Highmark_Wholecare_Gateway_Medicare | All_Plans | $8,620.73 | ↓ -66% |
| UPMC_Medicare | UPMC_for_Life_Community_HealthChoices | $8,624.81 | ↓ -66% |
| UPMC_Medicare | UPMC_for_Life_Complete_Care | $8,624.81 | ↓ -66% |
| Amerihealth_Medicare | All_Plans | $8,624.81 | ↓ -66% |
| PA_Health_&_Wellness_Medicare | All_Plans | $8,829.19 | ↓ -66% |
| Jefferson_Health_Medicare_Advantage | All_Plans | $8,829.19 | ↓ -66% |
| Highmark | Higmark_Healthy_Kids | $12,671.53 | ↓ -51% |
| Blue_Cross | Capital_Blue_Cross_Healthy_Benefits_PPO | $13,047.20 | ↓ -49% |
| Health_Partners_Medicaid | Kidz_Partners | $13,489.05 | ↓ -48% |
| United_Medicaid | Community_Plan_For_Kids | $14,306.57 | ↓ -44% |
| Aetna | All_Plans | $17,997.84 | ↓ -30% |
| Geisinger | All_Plans | $19,283.40 | ↓ -25% |
| WellSpan_Capital_Blue_Cross | All_Plans | $19,283.40 | ↓ -25% |
| UPMC | Employees_And_Dependents | $19,283.40 | ↓ -25% |
| UPMC | UPMC_For_Kids | $19,283.40 | ↓ -25% |
| First_Health_Network | All_Plans | $19,797.62 | ↓ -23% |
| Cigna | All_Plans | $20,511.11 | ↓ -20% |
| Highmark | Blue_Cross_High_Performance_Network | $24,727.47 | ↓ -4% |
| Highmark | Choice_Blue_PPO | $24,727.47 | ↓ -4% |
| Highmark | Performance_Blue | $24,727.47 | ↓ -4% |
| PHC | All_Plans | $25,711.20 | ↑ +0% |
| Blue_Cross | Capital_Cares_4_kids | $26,645.50 | ↑ +4% |
| Blue_Cross | Capital_Blue_Performance_PPO | $28,500.00 | ↑ +11% |
| Highmark | All_Other_Plans | $29,792.81 | ↑ +16% |
| United_Healthcare | All_Plans | $30,146.38 | ↑ +17% |
| Blue_Cross | All_Other_Plans | $38,065.00 | ↑ +48% |
Visitor-reported prices
Comments
Insertion subcutaneous cardiac rhythm monitor at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $2,788.80 | $2,324.00 – $8,521.36 |
| UPMC Carlisle | Carlisle | $17,281.80 | $1,016.56 – $24,482.55 |
| UPMC Community Osteopathic | Harrisburg | $17,281.80 | $1,016.56 – $24,482.55 |
| UPMC East | Monroeville | $2,371.80 | $1,304.49 – $8,521.36 |
| UPMC Hamot | Erie | $7,465.20 | $3,012.17 – $11,475.67 |
| UPMC Hanover | Hanover | $17,281.80 | $1,016.56 – $12,649.66 |
| UPMC Jameson | New Castle | $8,109.60 | $892.40 – $10,651.70 |
| UPMC Lititz | Lititz | $17,281.80 | $1,016.56 – $12,718.00 |