Insertion tunneled centrally inserted central venous access device with port >= 5 years old (both sides) 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

$5,223.20

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.

$6,529.00

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.

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The hospital's undiscounted list price — almost no one pays this.

$399.15 with Highmark_Wholecare_Gateway_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 →

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.

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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 $399.15 ↓ -92%
Blue_Cross_BlueJourney_Medicare All_Plans $3,109.16 ↓ -40%
Health_Partners_Medicaid All_Other_Plans $3,109.16 ↓ -40%
Highmark_Medicare All_Plans $3,140.25 ↓ -40%
Aetna_Medicare All_Plans $3,202.43 ↓ -39%
Aetna_Advantra_Medicare All_Plans $3,202.43 ↓ -39%
Devoted_Medicare All_Plans $3,264.62 ↓ -37%
Geisinger_Gold_Medicare All_Plans $3,264.62 ↓ -37%
United_Medicare ISNP_DSNP_Plans $3,264.62 ↓ -37%
Highmark_Wholecare_Gateway_Medicare All_Plans $3,278.61 ↓ -37%
UPMC_Medicare UPMC_for_Life_Community_HealthChoices $3,280.16 ↓ -37%
Amerihealth_Medicare All_Plans $3,280.16 ↓ -37%
UPMC_Medicare UPMC_for_Life_Complete_Care $3,280.16 ↓ -37%
Jefferson_Health_Medicare_Advantage All_Plans $3,357.89 ↓ -36%
PA_Health_&_Wellness_Medicare All_Plans $3,357.89 ↓ -36%
Aetna All_Plans $3,656.24 ↓ -30%
UPMC Employees_And_Dependents $3,917.40 ↓ -25%
WellSpan_Capital_Blue_Cross All_Plans $3,917.40 ↓ -25%
UPMC UPMC_For_Kids $3,917.40 ↓ -25%
Geisinger All_Plans $3,917.40 ↓ -25%
First_Health_Network All_Plans $4,021.86 ↓ -23%
Cigna All_Plans $4,166.81 ↓ -20%
Highmark Higmark_Healthy_Kids $4,819.20 ↓ -8%
Health_Partners_Medicaid Kidz_Partners $5,130.11 ↓ -2%
PHC All_Plans $5,223.20 ↑ +0%
United_Medicaid Community_Plan_For_Kids $5,441.03 ↑ +4%
United_Healthcare All_Plans $6,124.20 ↑ +17%
Blue_Cross Capital_Blue_Performance_PPO $7,441.00 ↑ +42%
Blue_Cross Capital_Blue_Cross_Healthy_Benefits_PPO $7,950.40 ↑ +52%
Highmark Blue_Cross_High_Performance_Network $9,404.28 ↑ +80%
Highmark Choice_Blue_PPO $9,404.28 ↑ +80%
Highmark Performance_Blue $9,404.28 ↑ +80%
Blue_Cross All_Other_Plans $9,938.00 ↑ +90%
Blue_Cross Capital_Cares_4_kids $11,224.50 ↑ +115%
Highmark All_Other_Plans $11,330.71 ↑ +117%

Visitor-reported prices

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Insertion tunneled centrally inserted central venous access device with port >= 5 years old (both sides) at other Pennsylvania hospitals

Hospital City Cash price Negotiated range
UPMC Altoona Altoona $2,532.60 $895.03 – $3,376.80
UPMC Carlisle Carlisle $8,004.00 $1,016.56 – $11,339.00
UPMC Cole Coudersport $3,449.40 $167.58 – $2,374.80
UPMC Community Osteopathic Harrisburg $8,004.00 $1,016.56 – $11,339.00
UPMC East Monroeville $3,746.40 $903.55 – $4,995.20
UPMC Hamot Erie $2,869.80 $895.03 – $4,364.40
UPMC Hanover Hanover $8,004.00 $1,016.56 – $4,810.90
UPMC Jameson New Castle $4,320.00 $892.40 – $4,051.03

All Pennsylvania hospitals for this procedure →