MRI breast w IV cont bi at WellSpan Good Samaritan Hospital
252 S. 4th St., Lebanon, PA · Wellspan · · NPI 1407928500
$705.34
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.
$2,600.00
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.
$352.78 with Blue_Cross_BlueJourney_Medicare vs $2,080.00 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_BlueJourney_Medicare | All_Plans | $352.78 | ↓ -50% |
| Highmark_Medicare | All_Plans | $356.31 | ↓ -49% |
| Aetna_Medicare | All_Plans | $363.36 | ↓ -48% |
| Aetna_Advantra_Medicare | All_Plans | $363.36 | ↓ -48% |
| Devoted_Medicare | All_Plans | $370.42 | ↓ -47% |
| United_Medicare | ISNP_DSNP_Plans | $370.42 | ↓ -47% |
| Geisinger_Gold_Medicare | All_Plans | $370.42 | ↓ -47% |
| Highmark_Wholecare_Gateway_Medicare | All_Plans | $372.01 | ↓ -47% |
| UPMC_Medicare | UPMC_for_Life_Community_HealthChoices | $372.18 | ↓ -47% |
| Amerihealth_Medicare | All_Plans | $372.18 | ↓ -47% |
| UPMC_Medicare | UPMC_for_Life_Complete_Care | $372.18 | ↓ -47% |
| Jefferson_Health_Medicare_Advantage | All_Plans | $381.00 | ↓ -46% |
| PA_Health_&_Wellness_Medicare | All_Plans | $381.00 | ↓ -46% |
| Highmark_Wholecare_Gateway_Medicaid | All_Plans | $390.04 | ↓ -45% |
| UPMC_Medicaid | All_Plans | $390.04 | ↓ -45% |
| PA_Health_&_Wellness_Medicaid | All_Plans | $390.04 | ↓ -45% |
| Health_Partners_Medicaid | All_Other_Plans | $390.04 | ↓ -45% |
| Geisinger_Medicaid | All_Plans | $390.04 | ↓ -45% |
| Amerihealth_Caritas_Medicaid | All_Plans | $443.08 | ↓ -37% |
| Highmark | Higmark_Healthy_Kids | $546.81 | ↓ -22% |
| Health_Partners_Medicaid | Kidz_Partners | $582.09 | ↓ -17% |
| United_Medicaid | Community_Plan_For_Kids | $617.37 | ↓ -12% |
| WellSpan_Capital_Blue_Cross | All_Plans | $725.00 | ↑ +3% |
| Aetna_Better_Health_Kids | All_Plans | $1,060.90 | ↑ +50% |
| Highmark | Blue_Cross_High_Performance_Network | $1,067.05 | ↑ +51% |
| Highmark | Choice_Blue_PPO | $1,067.05 | ↑ +51% |
| Highmark | Performance_Blue | $1,067.05 | ↑ +51% |
| Blue_Cross | Capital_Blue_Cross_Healthy_Benefits_PPO | $1,214.98 | ↑ +72% |
| Blue_Cross | Capital_Cares_4_kids | $1,258.53 | ↑ +78% |
| Highmark | All_Other_Plans | $1,285.64 | ↑ +82% |
| Cigna | All_Plans | $1,353.04 | ↑ +92% |
| United_Healthcare | All_Plans | $1,381.96 | ↑ +96% |
| Aetna | All_Plans | $1,477.00 | ↑ +109% |
| Blue_Cross | All_Other_Plans | $1,518.66 | ↑ +115% |
| UPMC | UPMC_For_Kids | $1,560.00 | ↑ +121% |
| Geisinger | All_Plans | $1,560.00 | ↑ +121% |
| UPMC | Employees_And_Dependents | $1,560.00 | ↑ +121% |
| First_Health_Network | All_Plans | $1,624.00 | ↑ +130% |
| PHC | All_Plans | $2,080.00 | ↑ +195% |
Visitor-reported prices
Comments
MRI breast w IV cont bi at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Cole | Coudersport | $2,153.40 | $327.63 – $2,871.20 |
| UPMC Kane | Kane | $1,314.00 | $343.23 – $1,024.66 |
| UPMC Magee | Pittsburgh | $6,741.00 | $169.13 – $531.76 |
| UPMC Passavant-McCandless | Pittsburgh | $5,999.40 | $169.13 – $549.42 |
| WellSpan Chambersburg Hospital | Chambersburg | $705.34 | $214.39 – $1,381.96 |
| WellSpan Ephrata Community Hospital | Ephrata | $705.34 | $274.33 – $1,381.96 |
| WellSpan Evangelical Community Hospital | Lewisburg | $705.34 | $231.54 – $1,532.33 |
| WellSpan Gettysburg Hospital | Gettysburg | $705.34 | $274.33 – $1,381.96 |