Mayo aathr protein s free 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

$115.20

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.

Full explanation →

What you pay up front if you don't use insurance.

$144.00

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.

$15.32 with Blue_Cross_BlueJourney_Medicare vs $352.19 with Blue_Cross — 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
Blue_Cross_BlueJourney_Medicare All_Plans $15.32 ↓ -87%
Highmark_Medicare All_Plans $15.47 ↓ -87%
Aetna_Medicare All_Plans $15.78 ↓ -86%
Aetna_Advantra_Medicare All_Plans $15.78 ↓ -86%
United_Medicare ISNP_DSNP_Plans $16.09 ↓ -86%
Geisinger_Gold_Medicare All_Plans $16.09 ↓ -86%
Devoted_Medicare All_Plans $16.09 ↓ -86%
Highmark_Wholecare_Gateway_Medicare All_Plans $16.15 ↓ -86%
UPMC_Medicare UPMC_for_Life_Community_HealthChoices $16.16 ↓ -86%
UPMC_Medicare UPMC_for_Life_Complete_Care $16.16 ↓ -86%
Amerihealth_Medicare All_Plans $16.16 ↓ -86%
PA_Health_&_Wellness_Medicare All_Plans $16.55 ↓ -86%
Jefferson_Health_Medicare_Advantage All_Plans $16.55 ↓ -86%
Highmark Higmark_Healthy_Kids $23.75 ↓ -79%
Health_Partners_Medicaid Kidz_Partners $25.28 ↓ -78%
Highmark_Wholecare_Gateway_Medicaid All_Plans $26.48 ↓ -77%
UPMC_Medicaid All_Plans $26.48 ↓ -77%
PA_Health_&_Wellness_Medicaid All_Plans $26.48 ↓ -77%
Geisinger_Medicaid All_Plans $26.48 ↓ -77%
Health_Partners_Medicaid All_Other_Plans $26.48 ↓ -77%
United_Medicaid Community_Plan_For_Kids $26.81 ↓ -77%
Amerihealth_Caritas_Medicaid All_Plans $30.08 ↓ -74%
United_Healthcare All_Plans $45.96 ↓ -60%
Highmark Choice_Blue_PPO $46.34 ↓ -60%
Highmark Blue_Cross_High_Performance_Network $46.34 ↓ -60%
Highmark Performance_Blue $46.34 ↓ -60%
Highmark All_Other_Plans $55.83 ↓ -52%
Aetna All_Plans $63.27 ↓ -45%
First_Health_Network All_Plans $69.55 ↓ -40%
Aetna_Better_Health_Kids All_Plans $72.01 ↓ -37%
Geisinger All_Plans $86.40 ↓ -25%
WellSpan_Capital_Blue_Cross All_Plans $86.40 ↓ -25%
UPMC Employees_And_Dependents $86.40 ↓ -25%
UPMC UPMC_For_Kids $86.40 ↓ -25%
Blue_Cross Capital_Cares_4_kids $99.73 ↓ -13%
Blue_Cross Capital_Blue_Cross_Healthy_Benefits_PPO $113.98 ↓ -1%
PHC All_Plans $115.20 ↑ +0%
Cigna All_Plans $120.18 ↑ +4%
Blue_Cross All_Other_Plans $142.47 ↑ +24%
Blue_Cross Capital_Blue_Performance_PPO $352.19 ↑ +206%

Visitor-reported prices

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Mayo aathr protein s free at other Pennsylvania hospitals

Hospital City Cash price Negotiated range
UPMC Altoona Altoona $366.60 $15.14 – $488.80
UPMC Bedford Everett $125.40 $5.53 – $188.10
UPMC Carlisle Carlisle $77.40 $15.17 – $109.65
UPMC Cole Coudersport $150.60 $9.96 – $200.80
UPMC Community Osteopathic Harrisburg $77.40 $15.17 – $113.34
UPMC East Monroeville $322.20 $15.14 – $429.60
UPMC Hamot Erie $486.60 $15.14 – $41.66
UPMC Northwest Seneca $102.00 $13.89 – $24.36

All Pennsylvania hospitals for this procedure →