Instillation anticarcinogenic agent bladder 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

$638.40

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.

$798.00

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.

Full explanation →

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

$83.68 with Geisinger_Medicaid vs $2,402.83 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.

Full explanation →
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
Geisinger_Medicaid All_Plans $83.68 ↓ -87%
UPMC_Medicaid All_Plans $83.68 ↓ -87%
PA_Health_&_Wellness_Medicaid All_Plans $83.68 ↓ -87%
Highmark_Wholecare_Gateway_Medicaid All_Plans $83.68 ↓ -87%
Health_Partners_Medicaid All_Other_Plans $83.68 ↓ -87%
Amerihealth_Caritas_Medicaid All_Plans $95.05 ↓ -85%
Aetna_Better_Health_Kids All_Plans $227.60 ↓ -64%
WellSpan_Capital_Blue_Cross All_Plans $478.80 ↓ -25%
UPMC UPMC_For_Kids $478.80 ↓ -25%
Geisinger All_Plans $478.80 ↓ -25%
UPMC Employees_And_Dependents $478.80 ↓ -25%
Cigna All_Plans $509.28 ↓ -20%
PHC All_Plans $638.40 ↑ +0%
Aetna All_Plans $647.98 ↑ +2%
Blue_Cross_BlueJourney_Medicare All_Plans $659.34 ↑ +3%
Highmark_Medicare All_Plans $665.93 ↑ +4%
Aetna_Advantra_Medicare All_Plans $679.12 ↑ +6%
Aetna_Medicare All_Plans $679.12 ↑ +6%
Geisinger_Gold_Medicare All_Plans $692.31 ↑ +8%
United_Medicare ISNP_DSNP_Plans $692.31 ↑ +8%
Devoted_Medicare All_Plans $692.31 ↑ +8%
Highmark_Wholecare_Gateway_Medicare All_Plans $695.27 ↑ +9%
Amerihealth_Medicare All_Plans $695.60 ↑ +9%
UPMC_Medicare UPMC_for_Life_Community_HealthChoices $695.60 ↑ +9%
UPMC_Medicare UPMC_for_Life_Complete_Care $695.60 ↑ +9%
Jefferson_Health_Medicare_Advantage All_Plans $712.09 ↑ +12%
PA_Health_&_Wellness_Medicare All_Plans $712.09 ↑ +12%
First_Health_Network All_Plans $712.61 ↑ +12%
United_Healthcare All_Plans $748.52 ↑ +17%
Highmark Higmark_Healthy_Kids $1,021.98 ↑ +60%
Health_Partners_Medicaid Kidz_Partners $1,087.91 ↑ +70%
Blue_Cross Capital_Cares_4_kids $1,131.20 ↑ +77%
United_Medicaid Community_Plan_For_Kids $1,153.85 ↑ +81%
Blue_Cross Capital_Blue_Performance_PPO $1,209.00 ↑ +89%
Blue_Cross Capital_Blue_Cross_Healthy_Benefits_PPO $1,292.80 ↑ +103%
Blue_Cross All_Other_Plans $1,616.00 ↑ +153%
Highmark Performance_Blue $1,994.31 ↑ +212%
Highmark Choice_Blue_PPO $1,994.31 ↑ +212%
Highmark Blue_Cross_High_Performance_Network $1,994.31 ↑ +212%
Highmark All_Other_Plans $2,402.83 ↑ +276%

Visitor-reported prices

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Instillation anticarcinogenic agent bladder at other Pennsylvania hospitals

Hospital City Cash price Negotiated range
UPMC Altoona Altoona $2,226.00 $66.94 – $2,968.00
UPMC Cole Coudersport $348.60 $70.29 – $385.60
UPMC Community Osteopathic Harrisburg $587.40 $90.37 – $1,066.30
UPMC Northwest Seneca $1,062.60 $73.63 – $668.17
UPMC Hanover Hanover $587.40 $85.01 – $1,020.21
UPMC Kane Kane $693.00 $73.63 – $365.61
UPMC Lititz Lititz $587.40 $85.01 – $1,025.73
UPMC Memorial York $587.40 $85.01 – $1,024.06

All Pennsylvania hospitals for this procedure →