Multiple sleep latency test 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

$3,068.80

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.

$3,836.00

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.

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The hospital's undiscounted list price — almost no one pays this.

$296.06 with Highmark_Wholecare_Gateway_Medicaid vs $3,598.17 with United_Healthcare — 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
Highmark_Wholecare_Gateway_Medicaid All_Plans $296.06 ↓ -90%
UPMC_Medicaid All_Plans $296.06 ↓ -90%
Geisinger_Medicaid All_Plans $296.06 ↓ -90%
Health_Partners_Medicaid All_Other_Plans $296.06 ↓ -90%
PA_Health_&_Wellness_Medicaid All_Plans $296.06 ↓ -90%
Amerihealth_Caritas_Medicaid All_Plans $336.33 ↓ -89%
Blue_Cross_BlueJourney_Medicare All_Plans $524.14 ↓ -83%
Highmark_Medicare All_Plans $529.38 ↓ -83%
Aetna_Advantra_Medicare All_Plans $539.86 ↓ -82%
Aetna_Medicare All_Plans $539.86 ↓ -82%
Geisinger_Gold_Medicare All_Plans $550.35 ↓ -82%
Devoted_Medicare All_Plans $550.35 ↓ -82%
United_Medicare ISNP_DSNP_Plans $550.35 ↓ -82%
Highmark_Wholecare_Gateway_Medicare All_Plans $552.71 ↓ -82%
UPMC_Medicare UPMC_for_Life_Community_HealthChoices $552.97 ↓ -82%
Amerihealth_Medicare All_Plans $552.97 ↓ -82%
UPMC_Medicare UPMC_for_Life_Complete_Care $552.97 ↓ -82%
PA_Health_&_Wellness_Medicare All_Plans $566.07 ↓ -82%
Jefferson_Health_Medicare_Advantage All_Plans $566.07 ↓ -82%
Aetna_Better_Health_Kids All_Plans $805.29 ↓ -74%
Highmark Higmark_Healthy_Kids $812.42 ↓ -74%
Health_Partners_Medicaid Kidz_Partners $864.83 ↓ -72%
United_Medicaid Community_Plan_For_Kids $917.25 ↓ -70%
Blue_Cross Capital_Cares_4_kids $1,568.54 ↓ -49%
Highmark Choice_Blue_PPO $1,585.37 ↓ -48%
Highmark Blue_Cross_High_Performance_Network $1,585.37 ↓ -48%
Highmark Performance_Blue $1,585.37 ↓ -48%
Blue_Cross Capital_Blue_Cross_Healthy_Benefits_PPO $1,792.56 ↓ -42%
Highmark All_Other_Plans $1,910.12 ↓ -38%
Blue_Cross All_Other_Plans $2,240.61 ↓ -27%
Cigna All_Plans $2,259.79 ↓ -26%
WellSpan_Capital_Blue_Cross All_Plans $2,301.60 ↓ -25%
UPMC Employees_And_Dependents $2,301.60 ↓ -25%
UPMC UPMC_For_Kids $2,301.60 ↓ -25%
Geisinger All_Plans $2,301.60 ↓ -25%
PHC All_Plans $3,068.80 ↑ +0%
Aetna All_Plans $3,114.83 ↑ +1%
First_Health_Network All_Plans $3,425.55 ↑ +12%
United_Healthcare All_Plans $3,598.17 ↑ +17%

Visitor-reported prices

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Multiple sleep latency test at other Pennsylvania hospitals

Hospital City Cash price Negotiated range
UPMC Altoona Altoona $2,211.60 $236.85 – $2,948.80
UPMC Carlisle Carlisle $2,466.00 $263.73 – $3,493.50
UPMC Hamot Erie $1,400.40 $136.49 – $720.95
UPMC Hanover Hanover $2,466.00 $263.73 – $811.01
UPMC Horizon-Greenville Greenville $3,108.00 $260.54 – $802.97
UPMC Lititz Lititz $2,466.00 $263.73 – $815.39
UPMC Magee Pittsburgh $4,651.80 $260.54 – $610.75
UPMC Memorial York $2,466.00 $263.73 – $814.06

All Pennsylvania hospitals for this procedure →