Minocycline hydrochloride 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

$1,952.20

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.

$2,440.25

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.

$3.15 with WellSpan_Capital_Blue_Cross vs $2,179.14 with First_Health_Network — 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
WellSpan_Capital_Blue_Cross All_Plans $3.15 ↓ -100%
Blue_Cross Capital_Blue_Performance_PPO $61.13 ↓ -97%
Blue_Cross Capital_Cares_4_kids $179.90 ↓ -91%
Highmark_Wholecare_Gateway_Medicaid All_Plans $194.25 ↓ -90%
Blue_Cross Capital_Blue_Cross_Healthy_Benefits_PPO $205.60 ↓ -89%
Blue_Cross All_Other_Plans $257.00 ↓ -87%
Blue_Cross_BlueJourney_Medicare All_Plans $267.00 ↓ -86%
Health_Partners_Medicaid All_Other_Plans $267.00 ↓ -86%
Highmark_Medicare All_Plans $269.67 ↓ -86%
Aetna_Medicare All_Plans $275.01 ↓ -86%
Aetna_Advantra_Medicare All_Plans $275.01 ↓ -86%
United_Medicare ISNP_DSNP_Plans $280.35 ↓ -86%
Devoted_Medicare All_Plans $280.35 ↓ -86%
Geisinger_Gold_Medicare All_Plans $280.35 ↓ -86%
Highmark_Wholecare_Gateway_Medicare All_Plans $281.55 ↓ -86%
Amerihealth_Medicare All_Plans $281.69 ↓ -86%
UPMC_Medicare UPMC_for_Life_Community_HealthChoices $281.69 ↓ -86%
UPMC_Medicare UPMC_for_Life_Complete_Care $281.69 ↓ -86%
PA_Health_&_Wellness_Medicare All_Plans $288.36 ↓ -85%
Jefferson_Health_Medicare_Advantage All_Plans $288.36 ↓ -85%
Highmark Higmark_Healthy_Kids $413.85 ↓ -79%
Aetna_Better_Health_Kids All_Plans $439.25 ↓ -77%
Health_Partners_Medicaid Kidz_Partners $440.55 ↓ -77%
United_Medicaid Community_Plan_For_Kids $467.25 ↓ -76%
Highmark Choice_Blue_PPO $807.59 ↓ -59%
Highmark Performance_Blue $807.59 ↓ -59%
Highmark Blue_Cross_High_Performance_Network $807.59 ↓ -59%
United_Healthcare All_Plans $854.40 ↓ -56%
Cigna All_Plans $924.00 ↓ -53%
Highmark All_Other_Plans $973.03 ↓ -50%
UPMC UPMC_For_Kids $1,464.15 ↓ -25%
UPMC Employees_And_Dependents $1,464.15 ↓ -25%
Geisinger All_Plans $1,464.15 ↓ -25%
PHC All_Plans $1,952.20 ↑ +0%
Aetna All_Plans $1,981.48 ↑ +1%
First_Health_Network All_Plans $2,179.14 ↑ +12%

Visitor-reported prices

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Minocycline hydrochloride at other Pennsylvania hospitals

Hospital City Cash price Negotiated range
UPMC Altoona Altoona $96.00 $0.35 – $2.88
UPMC East Monroeville $104.40 $0.12 – $2.88
UPMC Mercy Pittsburgh $104.40 $0.78 – $2.94
UPMC Passavant-McCandless Pittsburgh $444.60 $0.79 – $2.94
UPMC Presbyterian Pittsburgh $147.00 $0.79 – $2.94
UPMC Williamsport Williamsport $403.80 $2.67 – $2.88
WellSpan Chambersburg Hospital Chambersburg $720.00 $2.57 – $1,187.70
WellSpan Ephrata Community Hospital Ephrata $1,598.40 $3.15 – $924.00

All Pennsylvania hospitals for this procedure →