Manipulation chest wall demonstration/evaluation subsequent 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

$240.00

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.

$300.00

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.

$54.00 with Aetna_Better_Health_Kids vs $464.03 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
Aetna_Better_Health_Kids All_Plans $54.00 ↓ -78%
Blue_Cross Capital_Cares_4_kids $122.67 ↓ -49%
Blue_Cross_BlueJourney_Medicare All_Plans $127.33 ↓ -47%
Highmark_Medicare All_Plans $128.60 ↓ -46%
Aetna_Advantra_Medicare All_Plans $131.15 ↓ -45%
Aetna_Medicare All_Plans $131.15 ↓ -45%
United_Medicare ISNP_DSNP_Plans $133.70 ↓ -44%
Devoted_Medicare All_Plans $133.70 ↓ -44%
Geisinger_Gold_Medicare All_Plans $133.70 ↓ -44%
Highmark_Wholecare_Gateway_Medicare All_Plans $134.27 ↓ -44%
UPMC_Medicare UPMC_for_Life_Complete_Care $134.33 ↓ -44%
UPMC_Medicare UPMC_for_Life_Community_HealthChoices $134.33 ↓ -44%
Amerihealth_Medicare All_Plans $134.33 ↓ -44%
Jefferson_Health_Medicare_Advantage All_Plans $137.52 ↓ -43%
PA_Health_&_Wellness_Medicare All_Plans $137.52 ↓ -43%
Blue_Cross Capital_Blue_Cross_Healthy_Benefits_PPO $140.19 ↓ -42%
Blue_Cross All_Other_Plans $175.23 ↓ -27%
WellSpan_Capital_Blue_Cross All_Plans $180.00 ↓ -25%
UPMC Employees_And_Dependents $180.00 ↓ -25%
UPMC UPMC_For_Kids $180.00 ↓ -25%
Geisinger All_Plans $180.00 ↓ -25%
Cigna All_Plans $191.46 ↓ -20%
Highmark Higmark_Healthy_Kids $197.36 ↓ -18%
Health_Partners_Medicaid Kidz_Partners $210.09 ↓ -12%
United_Medicaid Community_Plan_For_Kids $222.83 ↓ -7%
PHC All_Plans $240.00 ↑ +0%
Aetna All_Plans $243.60 ↑ +2%
First_Health_Network All_Plans $267.90 ↑ +12%
United_Healthcare All_Plans $281.40 ↑ +17%
Highmark Blue_Cross_High_Performance_Network $385.14 ↑ +60%
Highmark Choice_Blue_PPO $385.14 ↑ +60%
Highmark Performance_Blue $385.14 ↑ +60%
Highmark All_Other_Plans $464.03 ↑ +93%

Visitor-reported prices

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Manipulation chest wall demonstration/evaluation subsequent at other Pennsylvania hospitals

Hospital City Cash price Negotiated range
UPMC Altoona Altoona $128.40 $30.14 – $171.20
UPMC Bedford Everett $72.00 $30.14 – $132.72
UPMC Carlisle Carlisle $248.40 $31.55 – $351.90
UPMC Cole Coudersport $91.20 $30.14 – $121.60
UPMC Community Osteopathic Harrisburg $248.40 $32.09 – $351.90
UPMC East Monroeville $159.00 $31.07 – $212.00
UPMC Hamot Erie $555.00 $30.78 – $161.87
UPMC Northwest Seneca $80.40 $30.66 – $132.72

All Pennsylvania hospitals for this procedure →