Methylene blue (antidote) 5 mg/ml intravenous solution at WellSpan Good Samaritan Hospital
252 S. 4th St., Lebanon, PA · Wellspan · · NPI 1407928500
$1,176.20
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.
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What you pay up front if you don't use insurance.
$1,470.25
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.
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The hospital's undiscounted list price — almost no one pays this.
$10.29 with WellSpan_Capital_Blue_Cross vs $794.93 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 →
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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 ?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 |
|---|---|---|---|
| WellSpan_Capital_Blue_Cross | All_Plans | $10.29 | ↓ -99% |
| Blue_Cross | Capital_Blue_Performance_PPO | $16.51 | ↓ -99% |
| Aetna_Better_Health_Kids | All_Plans | $144.36 | ↓ -88% |
| Highmark_Wholecare_Gateway_Medicaid | All_Plans | $166.88 | ↓ -86% |
| Blue_Cross_BlueJourney_Medicare | All_Plans | $218.13 | ↓ -81% |
| Health_Partners_Medicaid | All_Other_Plans | $218.13 | ↓ -81% |
| Highmark_Medicare | All_Plans | $220.31 | ↓ -81% |
| Aetna_Medicare | All_Plans | $224.67 | ↓ -81% |
| Aetna_Advantra_Medicare | All_Plans | $224.67 | ↓ -81% |
| Geisinger_Gold_Medicare | All_Plans | $229.04 | ↓ -81% |
| Devoted_Medicare | All_Plans | $229.04 | ↓ -81% |
| United_Medicare | ISNP_DSNP_Plans | $229.04 | ↓ -81% |
| Highmark_Wholecare_Gateway_Medicare | All_Plans | $230.02 | ↓ -80% |
| UPMC_Medicare | UPMC_for_Life_Community_HealthChoices | $230.13 | ↓ -80% |
| Amerihealth_Medicare | All_Plans | $230.13 | ↓ -80% |
| UPMC_Medicare | UPMC_for_Life_Complete_Care | $230.13 | ↓ -80% |
| PA_Health_&_Wellness_Medicare | All_Plans | $235.58 | ↓ -80% |
| Jefferson_Health_Medicare_Advantage | All_Plans | $235.58 | ↓ -80% |
| Blue_Cross | Capital_Cares_4_kids | $288.93 | ↓ -75% |
| Highmark | Higmark_Healthy_Kids | $338.10 | ↓ -71% |
| Health_Partners_Medicaid | Kidz_Partners | $359.91 | ↓ -69% |
| Blue_Cross | Capital_Blue_Cross_Healthy_Benefits_PPO | $374.77 | ↓ -68% |
| United_Medicaid | Community_Plan_For_Kids | $381.73 | ↓ -68% |
| Blue_Cross | All_Other_Plans | $412.75 | ↓ -65% |
| Cigna | All_Plans | $419.13 | ↓ -64% |
| Geisinger | All_Plans | $481.20 | ↓ -59% |
| UPMC | Employees_And_Dependents | $481.20 | ↓ -59% |
| UPMC | UPMC_For_Kids | $481.20 | ↓ -59% |
| United_Healthcare | All_Plans | $628.80 | ↓ -47% |
| PHC | All_Plans | $641.60 | ↓ -45% |
| Aetna | All_Plans | $651.22 | ↓ -45% |
| Highmark | Blue_Cross_High_Performance_Network | $659.78 | ↓ -44% |
| Highmark | Choice_Blue_PPO | $659.78 | ↓ -44% |
| Highmark | Performance_Blue | $659.78 | ↓ -44% |
| First_Health_Network | All_Plans | $716.19 | ↓ -39% |
| Highmark | All_Other_Plans | $794.93 | ↓ -32% |
Visitor-reported prices
Comments
Methylene blue (antidote) 5 mg/ml intravenous solution at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $133.20 | $3.15 – $19.55 |
| UPMC Cole | Coudersport | $124.80 | $5.35 – $166.40 |
| UPMC Community Osteopathic | Harrisburg | $133.20 | $0.90 – $19.55 |
| UPMC Hamot | Erie | $424.00 | $0.54 – $9.43 |
| UPMC Hanover | Hanover | $133.20 | $8.64 – $13.97 |
| UPMC Horizon-Greenville | Greenville | $340.80 | $1.37 – $9.43 |
| UPMC Jameson | New Castle | $160.80 | $0.55 – $10.91 |
| UPMC Lititz | Lititz | $133.20 | $8.64 – $13.97 |