M/phmtrc alys ishquant/semiq at WellSpan Good Samaritan Hospital
252 S. 4th St., Lebanon, PA · Wellspan · · NPI 1407928500
$234.40
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.
$293.00
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.
$128.42 with Blue_Cross vs $1,709.54 with First_Health_Network — 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 | $128.42 | ↓ -45% |
| Blue_Cross_BlueJourney_Medicare | All_Plans | $169.27 | ↓ -28% |
| Highmark_Medicare | All_Plans | $170.96 | ↓ -27% |
| Aetna_Advantra_Medicare | All_Plans | $174.35 | ↓ -26% |
| Aetna_Medicare | All_Plans | $174.35 | ↓ -26% |
| Geisinger | All_Plans | $175.80 | ↓ -25% |
| UPMC | UPMC_For_Kids | $175.80 | ↓ -25% |
| UPMC | Employees_And_Dependents | $175.80 | ↓ -25% |
| WellSpan_Capital_Blue_Cross | All_Plans | $175.80 | ↓ -25% |
| Devoted_Medicare | All_Plans | $177.73 | ↓ -24% |
| Geisinger_Gold_Medicare | All_Plans | $177.73 | ↓ -24% |
| United_Medicare | ISNP_DSNP_Plans | $177.73 | ↓ -24% |
| Highmark_Wholecare_Gateway_Medicare | All_Plans | $178.50 | ↓ -24% |
| UPMC_Medicare | UPMC_for_Life_Complete_Care | $178.58 | ↓ -24% |
| UPMC_Medicare | UPMC_for_Life_Community_HealthChoices | $178.58 | ↓ -24% |
| Amerihealth_Medicare | All_Plans | $178.58 | ↓ -24% |
| Jefferson_Health_Medicare_Advantage | All_Plans | $182.81 | ↓ -22% |
| PA_Health_&_Wellness_Medicare | All_Plans | $182.81 | ↓ -22% |
| Geisinger_Medicaid | All_Plans | $202.23 | ↓ -14% |
| UPMC_Medicaid | All_Plans | $202.23 | ↓ -14% |
| PA_Health_&_Wellness_Medicaid | All_Plans | $202.23 | ↓ -14% |
| Highmark_Wholecare_Gateway_Medicaid | All_Plans | $202.23 | ↓ -14% |
| Health_Partners_Medicaid | All_Other_Plans | $202.23 | ↓ -14% |
| Amerihealth_Caritas_Medicaid | All_Plans | $229.73 | ↓ -2% |
| PHC | All_Plans | $234.40 | ↑ +0% |
| Cigna | All_Plans | $244.54 | ↑ +4% |
| Highmark | Higmark_Healthy_Kids | $262.37 | ↑ +12% |
| Health_Partners_Medicaid | Kidz_Partners | $279.30 | ↑ +19% |
| United_Medicaid | Community_Plan_For_Kids | $296.22 | ↑ +26% |
| United_Healthcare | All_Plans | $488.22 | ↑ +108% |
| Highmark | Blue_Cross_High_Performance_Network | $511.99 | ↑ +118% |
| Highmark | Performance_Blue | $511.99 | ↑ +118% |
| Highmark | Choice_Blue_PPO | $511.99 | ↑ +118% |
| Aetna_Better_Health_Kids | All_Plans | $550.05 | ↑ +135% |
| Blue_Cross | Capital_Cares_4_kids | $614.67 | ↑ +162% |
| Highmark | All_Other_Plans | $616.87 | ↑ +163% |
| Blue_Cross | Capital_Blue_Cross_Healthy_Benefits_PPO | $702.48 | ↑ +200% |
| Blue_Cross | All_Other_Plans | $878.09 | ↑ +275% |
| Aetna | All_Plans | $1,555.15 | ↑ +563% |
| First_Health_Network | All_Plans | $1,709.54 | ↑ +629% |
Visitor-reported prices
Comments
M/phmtrc alys ishquant/semiq at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $463.20 | $93.18 – $617.60 |
| UPMC Carlisle | Carlisle | $337.20 | $76.99 – $477.70 |
| UPMC Cole | Coudersport | $1,052.40 | $53.00 – $1,403.20 |
| UPMC Community Osteopathic | Harrisburg | $337.20 | $112.40 – $656.49 |
| UPMC East | Monroeville | $370.20 | $94.07 – $493.60 |
| UPMC Hamot | Erie | $426.00 | $93.18 – $279.34 |
| UPMC Northwest | Seneca | $646.80 | $148.16 – $279.34 |
| UPMC Horizon-Greenville | Greenville | $400.20 | $146.27 – $279.34 |