Ortho hnd/fngr without jnt cstm w/fit&adj at WellSpan Good Samaritan Hospital
252 S. 4th St., Lebanon, PA · Wellspan · · NPI 1407928500
$148.00
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.
$185.00
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.
$75.65 with Blue_Cross vs $1,056.34 with Highmark — 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_Cares_4_kids | $75.65 | ↓ -49% |
| Blue_Cross | Capital_Blue_Cross_Healthy_Benefits_PPO | $86.45 | ↓ -42% |
| Blue_Cross | All_Other_Plans | $108.06 | ↓ -27% |
| Geisinger | All_Plans | $111.00 | ↓ -25% |
| WellSpan_Capital_Blue_Cross | All_Plans | $111.00 | ↓ -25% |
| UPMC | UPMC_For_Kids | $111.00 | ↓ -25% |
| UPMC | Employees_And_Dependents | $111.00 | ↓ -25% |
| Cigna | All_Plans | $118.07 | ↓ -20% |
| PHC | All_Plans | $148.00 | ↑ +0% |
| Aetna | All_Plans | $150.22 | ↑ +2% |
| First_Health_Network | All_Plans | $165.21 | ↑ +12% |
| United_Healthcare | All_Plans | $173.53 | ↑ +17% |
| Highmark_Wholecare_Gateway_Medicaid | All_Plans | $220.43 | ↑ +49% |
| Blue_Cross_BlueJourney_Medicare | All_Plans | $289.86 | ↑ +96% |
| Health_Partners_Medicaid | All_Other_Plans | $289.86 | ↑ +96% |
| Highmark_Medicare | All_Plans | $292.76 | ↑ +98% |
| Aetna_Advantra_Medicare | All_Plans | $298.56 | ↑ +102% |
| Aetna_Medicare | All_Plans | $298.56 | ↑ +102% |
| Devoted_Medicare | All_Plans | $304.35 | ↑ +106% |
| United_Medicare | ISNP_DSNP_Plans | $304.35 | ↑ +106% |
| Geisinger_Gold_Medicare | All_Plans | $304.35 | ↑ +106% |
| Highmark_Wholecare_Gateway_Medicare | All_Plans | $305.66 | ↑ +107% |
| Amerihealth_Medicare | All_Plans | $305.80 | ↑ +107% |
| UPMC_Medicare | UPMC_for_Life_Community_HealthChoices | $305.80 | ↑ +107% |
| UPMC_Medicare | UPMC_for_Life_Complete_Care | $305.80 | ↑ +107% |
| PA_Health_&_Wellness_Medicare | All_Plans | $313.05 | ↑ +112% |
| Jefferson_Health_Medicare_Advantage | All_Plans | $313.05 | ↑ +112% |
| Highmark | Higmark_Healthy_Kids | $449.28 | ↑ +204% |
| Health_Partners_Medicaid | Kidz_Partners | $478.27 | ↑ +223% |
| United_Medicaid | Community_Plan_For_Kids | $507.26 | ↑ +243% |
| Highmark | Performance_Blue | $876.74 | ↑ +492% |
| Highmark | Blue_Cross_High_Performance_Network | $876.74 | ↑ +492% |
| Highmark | Choice_Blue_PPO | $876.74 | ↑ +492% |
| Highmark | All_Other_Plans | $1,056.34 | ↑ +614% |
Visitor-reported prices
Comments
Ortho hnd/fngr without jnt cstm w/fit&adj at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Cole | Coudersport | $289.80 | $91.77 – $386.40 |
| WellSpan Chambersburg Hospital | Chambersburg | $148.00 | $133.20 – $1,289.38 |
| WellSpan Ephrata Community Hospital | Ephrata | $392.80 | $220.43 – $599.56 |
| WellSpan Surgery & Rehabilitation Hospital | York PA 17403 | $136.80 | $289.86 – $599.56 |
| WellSpan Waynesboro Hospital | Waynesboro | $148.00 | $99.38 – $985.52 |
| WellSpan Gettysburg Hospital | Gettysburg | $136.80 | $220.43 – $599.56 |