Mitomycin 40 mg intravenous solution at WellSpan Good Samaritan Hospital
252 S. 4th St., Lebanon, PA · Wellspan · · NPI 1407928500
$1,374.20
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.
$1,717.75
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.
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The hospital's undiscounted list price — almost no one pays this.
$22.08 with Blue_Cross vs $748.00 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 →
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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 |
|---|---|---|---|
| Blue_Cross | Capital_Blue_Performance_PPO | $22.08 | ↓ -98% |
| WellSpan_Capital_Blue_Cross | All_Plans | $24.00 | ↓ -98% |
| Blue_Cross | Capital_Cares_4_kids | $61.82 | ↓ -96% |
| Blue_Cross | Capital_Blue_Cross_Healthy_Benefits_PPO | $70.66 | ↓ -95% |
| Blue_Cross_BlueJourney_Medicare | All_Plans | $81.39 | ↓ -94% |
| Amerihealth_Caritas_Medicaid | All_Plans | $81.39 | ↓ -94% |
| Highmark_Wholecare_Gateway_Medicaid | All_Plans | $81.39 | ↓ -94% |
| Health_Partners_Medicaid | All_Other_Plans | $81.39 | ↓ -94% |
| Geisinger_Medicaid | All_Plans | $81.39 | ↓ -94% |
| Highmark_Medicare | All_Plans | $82.20 | ↓ -94% |
| Aetna_Advantra_Medicare | All_Plans | $83.83 | ↓ -94% |
| Aetna_Medicare | All_Plans | $83.83 | ↓ -94% |
| Devoted_Medicare | All_Plans | $85.46 | ↓ -94% |
| Geisinger_Gold_Medicare | All_Plans | $85.46 | ↓ -94% |
| United_Medicare | ISNP_DSNP_Plans | $85.46 | ↓ -94% |
| Highmark_Wholecare_Gateway_Medicare | All_Plans | $85.83 | ↓ -94% |
| UPMC_Medicare | UPMC_for_Life_Community_HealthChoices | $85.87 | ↓ -94% |
| Amerihealth_Medicare | All_Plans | $85.87 | ↓ -94% |
| UPMC_Medicare | UPMC_for_Life_Complete_Care | $85.87 | ↓ -94% |
| PA_Health_&_Wellness_Medicare | All_Plans | $87.90 | ↓ -94% |
| Jefferson_Health_Medicare_Advantage | All_Plans | $87.90 | ↓ -94% |
| Blue_Cross | All_Other_Plans | $88.32 | ↓ -94% |
| UPMC_Medicaid | All_Plans | $117.36 | ↓ -91% |
| Highmark | Higmark_Healthy_Kids | $126.15 | ↓ -91% |
| Health_Partners_Medicaid | Kidz_Partners | $134.29 | ↓ -90% |
| United_Medicaid | Community_Plan_For_Kids | $142.43 | ↓ -90% |
| Highmark | Performance_Blue | $246.18 | ↓ -82% |
| Highmark | Choice_Blue_PPO | $246.18 | ↓ -82% |
| Highmark | Blue_Cross_High_Performance_Network | $246.18 | ↓ -82% |
| Aetna | All_Plans | $247.43 | ↓ -82% |
| First_Health_Network | All_Plans | $272.17 | ↓ -80% |
| Highmark | All_Other_Plans | $296.61 | ↓ -78% |
| Cigna | All_Plans | $358.40 | ↓ -74% |
| United_Healthcare | All_Plans | $361.86 | ↓ -74% |
| UPMC | UPMC_For_Kids | $561.00 | ↓ -59% |
| UPMC | Employees_And_Dependents | $561.00 | ↓ -59% |
| Geisinger | All_Plans | $561.00 | ↓ -59% |
| PHC | All_Plans | $748.00 | ↓ -46% |
Visitor-reported prices
Comments
Mitomycin 40 mg intravenous solution at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $426.40 | $12.85 – $310.36 |
| UPMC Bedford | Everett | $222.40 | $7.34 – $250.20 |
| UPMC Carlisle | Carlisle | $758.40 | $1.51 – $32.56 |
| UPMC Cole | Coudersport | $3,525.00 | $20.35 – $2,349.60 |
| UPMC Community Osteopathic | Harrisburg | $758.40 | $2.20 – $25.03 |
| UPMC East | Monroeville | $866.40 | $12.85 – $313.32 |
| UPMC Hamot | Erie | $1,036.80 | $12.85 – $180.11 |
| UPMC Northwest | Seneca | $1,169.60 | $12.85 – $21.98 |