Mayo muramidase 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

$94.40

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.

$118.00

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.

$18.75 with Blue_Cross_BlueJourney_Medicare vs $134.96 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 $18.75 ↓ -80%
Highmark_Medicare All_Plans $18.94 ↓ -80%
Aetna_Advantra_Medicare All_Plans $19.31 ↓ -80%
Aetna_Medicare All_Plans $19.31 ↓ -80%
United_Medicare ISNP_DSNP_Plans $19.69 ↓ -79%
Geisinger_Gold_Medicare All_Plans $19.69 ↓ -79%
Devoted_Medicare All_Plans $19.69 ↓ -79%
Highmark_Wholecare_Gateway_Medicare All_Plans $19.77 ↓ -79%
Amerihealth_Medicare All_Plans $19.78 ↓ -79%
UPMC_Medicare UPMC_for_Life_Community_HealthChoices $19.78 ↓ -79%
UPMC_Medicare UPMC_for_Life_Complete_Care $19.78 ↓ -79%
Jefferson_Health_Medicare_Advantage All_Plans $20.25 ↓ -79%
PA_Health_&_Wellness_Medicare All_Plans $20.25 ↓ -79%
UPMC_Medicaid All_Plans $20.55 ↓ -78%
Health_Partners_Medicaid All_Other_Plans $20.55 ↓ -78%
Highmark_Wholecare_Gateway_Medicaid All_Plans $20.55 ↓ -78%
Geisinger_Medicaid All_Plans $20.55 ↓ -78%
PA_Health_&_Wellness_Medicaid All_Plans $20.55 ↓ -78%
Amerihealth_Caritas_Medicaid All_Plans $23.34 ↓ -75%
Highmark Higmark_Healthy_Kids $29.06 ↓ -69%
Health_Partners_Medicaid Kidz_Partners $30.94 ↓ -67%
United_Medicaid Community_Plan_For_Kids $32.81 ↓ -65%
Aetna_Better_Health_Kids All_Plans $55.90 ↓ -41%
United_Healthcare All_Plans $56.25 ↓ -40%
Highmark Blue_Cross_High_Performance_Network $56.71 ↓ -40%
Highmark Performance_Blue $56.71 ↓ -40%
Highmark Choice_Blue_PPO $56.71 ↓ -40%
Highmark All_Other_Plans $68.33 ↓ -28%
WellSpan_Capital_Blue_Cross All_Plans $70.80 ↓ -25%
UPMC Employees_And_Dependents $70.80 ↓ -25%
UPMC UPMC_For_Kids $70.80 ↓ -25%
Geisinger All_Plans $70.80 ↓ -25%
Aetna All_Plans $77.44 ↓ -18%
Blue_Cross Capital_Blue_Performance_PPO $82.41 ↓ -13%
First_Health_Network All_Plans $85.13 ↓ -10%
PHC All_Plans $94.40 ↑ +0%
Blue_Cross Capital_Cares_4_kids $94.47 ↑ +0%
Cigna All_Plans $98.48 ↑ +4%
Blue_Cross Capital_Blue_Cross_Healthy_Benefits_PPO $107.97 ↑ +14%
Blue_Cross All_Other_Plans $134.96 ↑ +43%

Visitor-reported prices

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Mayo muramidase at other Pennsylvania hospitals

Hospital City Cash price Negotiated range
UPMC Altoona Altoona $248.40 $16.44 – $331.20
UPMC Bedford Everett $81.00 $6.76 – $121.50
UPMC Carlisle Carlisle $94.80 $12.74 – $134.30
UPMC Cole Coudersport $129.60 $12.19 – $172.80
UPMC Community Osteopathic Harrisburg $94.80 $16.44 – $134.30
UPMC East Monroeville $281.40 $16.44 – $375.20
UPMC Hamot Erie $171.60 $16.44 – $36.49
UPMC Northwest Seneca $96.00 $17.00 – $20.25

All Pennsylvania hospitals for this procedure →