Knee MRI (with contrast) at WellSpan Good Samaritan Hospital
252 S. 4th St., Lebanon, PA · Wellspan · · NPI 1407928500
$645.00
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.
?
What you pay up front if you don't use insurance.
$2,481.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$397.53 with Blue_Cross vs $4,386.56 with United_Healthcare — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 |
|---|---|---|---|
| Blue_Cross | Capital_Blue_Performance_PPO | $397.53 | ↓ -38% |
| Health_Partners_Medicaid | All_Other_Plans | $478.75 | ↓ -26% |
| UPMC_Medicaid | All_Plans | $478.75 | ↓ -26% |
| PA_Health_&_Wellness_Medicaid | All_Plans | $478.75 | ↓ -26% |
| Highmark_Wholecare_Gateway_Medicaid | All_Plans | $478.75 | ↓ -26% |
| Geisinger_Medicaid | All_Plans | $478.75 | ↓ -26% |
| Amerihealth_Caritas_Medicaid | All_Plans | $543.86 | ↓ -16% |
| WellSpan_Capital_Blue_Cross | All_Plans | $660.00 | ↑ +2% |
| Blue_Cross_BlueJourney_Medicare | All_Plans | $780.44 | ↑ +21% |
| Highmark_Medicare | All_Plans | $788.24 | ↑ +22% |
| Aetna_Advantra_Medicare | All_Plans | $803.85 | ↑ +25% |
| Aetna_Medicare | All_Plans | $803.85 | ↑ +25% |
| Devoted_Medicare | All_Plans | $819.46 | ↑ +27% |
| Geisinger_Gold_Medicare | All_Plans | $819.46 | ↑ +27% |
| United_Medicare | ISNP_DSNP_Plans | $819.46 | ↑ +27% |
| Highmark_Wholecare_Gateway_Medicare | All_Plans | $822.97 | ↑ +28% |
| Amerihealth_Medicare | All_Plans | $823.36 | ↑ +28% |
| UPMC_Medicare | UPMC_for_Life_Community_HealthChoices | $823.36 | ↑ +28% |
| UPMC_Medicare | UPMC_for_Life_Complete_Care | $823.36 | ↑ +28% |
| Jefferson_Health_Medicare_Advantage | All_Plans | $842.88 | ↑ +31% |
| PA_Health_&_Wellness_Medicare | All_Plans | $842.88 | ↑ +31% |
| Highmark | Higmark_Healthy_Kids | $1,209.68 | ↑ +88% |
| Health_Partners_Medicaid | Kidz_Partners | $1,287.73 | ↑ +100% |
| Cigna | All_Plans | $1,291.11 | ↑ +100% |
| Aetna_Better_Health_Kids | All_Plans | $1,302.20 | ↑ +102% |
| United_Medicaid | Community_Plan_For_Kids | $1,365.77 | ↑ +112% |
| Aetna | All_Plans | $1,477.00 | ↑ +129% |
| Geisinger | All_Plans | $1,488.60 | ↑ +131% |
| UPMC | UPMC_For_Kids | $1,488.60 | ↑ +131% |
| UPMC | Employees_And_Dependents | $1,488.60 | ↑ +131% |
| First_Health_Network | All_Plans | $1,624.00 | ↑ +152% |
| Blue_Cross | Capital_Cares_4_kids | $1,823.79 | ↑ +183% |
| PHC | All_Plans | $1,984.80 | ↑ +208% |
| Blue_Cross | Capital_Blue_Cross_Healthy_Benefits_PPO | $2,084.33 | ↑ +223% |
| Highmark | Performance_Blue | $2,360.60 | ↑ +266% |
| Highmark | Choice_Blue_PPO | $2,360.60 | ↑ +266% |
| Highmark | Blue_Cross_High_Performance_Network | $2,360.60 | ↑ +266% |
| Blue_Cross | All_Other_Plans | $2,605.41 | ↑ +304% |
| Highmark | All_Other_Plans | $2,844.16 | ↑ +341% |
| United_Healthcare | All_Plans | $4,386.56 | ↑ +580% |
Visitor-reported prices
Comments
Knee MRI (with contrast) at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $2,119.20 | $425.00 – $2,825.60 |
| UPMC Bedford | Everett | $1,705.20 | $271.77 – $2,557.80 |
| UPMC Carlisle | Carlisle | $2,713.80 | $403.15 – $3,844.55 |
| UPMC Cole | Coudersport | $1,384.20 | $379.08 – $1,845.60 |
| UPMC Community Osteopathic | Harrisburg | $2,713.80 | $403.15 – $3,844.55 |
| UPMC East | Monroeville | $5,074.20 | $351.73 – $6,765.60 |
| UPMC Hamot | Erie | $1,948.80 | $201.09 – $1,109.81 |
| UPMC Northwest | Seneca | $2,449.80 | $354.99 – $1,109.81 |