Methotrexate sodium (pf) 1 gram solution for injection 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

$137.40

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.

Full explanation →

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

$171.75

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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$2.14 with Blue_Cross vs $103.05 with WellSpan_Capital_Blue_Cross — 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 →

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_Cares_4_kids $2.14 ↓ -98%
UPMC_Medicaid All_Plans $2.35 ↓ -98%
Blue_Cross Capital_Blue_Cross_Healthy_Benefits_PPO $2.45 ↓ -98%
Geisinger_Medicaid All_Plans $2.82 ↓ -98%
Amerihealth_Caritas_Medicaid All_Plans $2.82 ↓ -98%
Highmark_Wholecare_Gateway_Medicaid All_Plans $2.82 ↓ -98%
Health_Partners_Medicaid All_Other_Plans $2.82 ↓ -98%
Blue_Cross Capital_Blue_Performance_PPO $3.06 ↓ -98%
Blue_Cross All_Other_Plans $3.06 ↓ -98%
United_Healthcare All_Plans $7.23 ↓ -95%
Aetna All_Plans $8.56 ↓ -94%
Cigna All_Plans $9.03 ↓ -93%
First_Health_Network All_Plans $9.42 ↓ -93%
UPMC Employees_And_Dependents $19.95 ↓ -85%
Geisinger All_Plans $19.95 ↓ -85%
UPMC UPMC_For_Kids $19.95 ↓ -85%
PHC All_Plans $26.60 ↓ -81%
WellSpan_Capital_Blue_Cross All_Plans $103.05 ↓ -25%

Visitor-reported prices

visitor-reported
Report what you paid sign in to post

Comments

Add a comment sign in to post

Methotrexate sodium (pf) 1 gram solution for injection at other Pennsylvania hospitals

Hospital City Cash price Negotiated range
UPMC Altoona Altoona $66.20 $1.78 – $65.60
UPMC Cole Coudersport $112.80 $2.82 – $150.40
UPMC East Monroeville $320.00 $1.78 – $320.00
UPMC Hamot Erie $316.00 $1.78 – $8.25
UPMC Northwest Seneca $279.20 $1.40 – $16.06
UPMC Horizon-Greenville Greenville $280.00 $1.78 – $15.78
UPMC Magee Pittsburgh $776.40 $1.78 – $11.13
UPMC Mercy Pittsburgh $177.60 $1.53 – $11.02

All Pennsylvania hospitals for this procedure →