Metoprolol tartrate 5 mg/5 ml intravenous (wrapper) 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

$51.40

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.

$64.25

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.

$0.13 with Blue_Cross vs $47.20 with PHC — 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 Capital_Blue_Performance_PPO $0.13 ↓ -100%
Blue_Cross Capital_Cares_4_kids $0.46 ↓ -99%
Health_Partners_Medicaid All_Other_Plans $0.62 ↓ -99%
Amerihealth_Caritas_Medicaid All_Plans $0.62 ↓ -99%
Geisinger_Medicaid All_Plans $0.62 ↓ -99%
Highmark_Wholecare_Gateway_Medicaid All_Plans $0.62 ↓ -99%
Blue_Cross All_Other_Plans $0.65 ↓ -99%
UPMC_Medicaid All_Plans $0.70 ↓ -99%
Aetna All_Plans $1.87 ↓ -96%
First_Health_Network All_Plans $2.06 ↓ -96%
United_Healthcare All_Plans $2.08 ↓ -96%
Blue_Cross Capital_Blue_Cross_Healthy_Benefits_PPO $27.57 ↓ -46%
Geisinger All_Plans $35.40 ↓ -31%
UPMC UPMC_For_Kids $35.40 ↓ -31%
UPMC Employees_And_Dependents $35.40 ↓ -31%
Cigna All_Plans $37.65 ↓ -27%
WellSpan_Capital_Blue_Cross All_Plans $38.55 ↓ -25%
PHC All_Plans $47.20 ↓ -8%

Visitor-reported prices

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Metoprolol tartrate 5 mg/5 ml intravenous (wrapper) at other Pennsylvania hospitals

Hospital City Cash price Negotiated range
UPMC Altoona Altoona $0.60 $0.08 – $0.80
UPMC Bedford Everett $0.60 $0.08 – $0.90
UPMC Carlisle Carlisle $1.80 $0.12 – $2.55
UPMC Community Osteopathic Harrisburg $1.80 $0.12 – $2.55
UPMC East Monroeville $0.60 $0.08 – $0.80
UPMC Hamot Erie $25.80 $0.08 – $0.12
UPMC Northwest Seneca $1.20 $0.08 – $0.12
UPMC Hanover Hanover $1.80 $0.12 – $0.14

All Pennsylvania hospitals for this procedure →