Ortho whf rigd without jnt cstm w/fit&adj at WellSpan Good Samaritan Hospital
252 S. 4th St., Lebanon, PA · Wellspan · · NPI 1407928500
$152.80
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.
$191.00
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.
$78.10 with Blue_Cross vs $1,458.52 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 | $78.10 | ↓ -49% |
| Blue_Cross | Capital_Blue_Cross_Healthy_Benefits_PPO | $89.25 | ↓ -42% |
| Blue_Cross | All_Other_Plans | $111.56 | ↓ -27% |
| Geisinger | All_Plans | $114.60 | ↓ -25% |
| WellSpan_Capital_Blue_Cross | All_Plans | $114.60 | ↓ -25% |
| UPMC | UPMC_For_Kids | $114.60 | ↓ -25% |
| UPMC | Employees_And_Dependents | $114.60 | ↓ -25% |
| Cigna | All_Plans | $121.90 | ↓ -20% |
| PHC | All_Plans | $152.80 | ↑ +0% |
| Aetna | All_Plans | $155.09 | ↑ +1% |
| First_Health_Network | All_Plans | $170.56 | ↑ +12% |
| United_Healthcare | All_Plans | $179.16 | ↑ +17% |
| Highmark_Wholecare_Gateway_Medicaid | All_Plans | $210.51 | ↑ +38% |
| Blue_Cross_BlueJourney_Medicare | All_Plans | $400.22 | ↑ +162% |
| Health_Partners_Medicaid | All_Other_Plans | $400.22 | ↑ +162% |
| Highmark_Medicare | All_Plans | $404.22 | ↑ +165% |
| Aetna_Advantra_Medicare | All_Plans | $412.23 | ↑ +170% |
| Aetna_Medicare | All_Plans | $412.23 | ↑ +170% |
| Devoted_Medicare | All_Plans | $420.23 | ↑ +175% |
| United_Medicare | ISNP_DSNP_Plans | $420.23 | ↑ +175% |
| Geisinger_Gold_Medicare | All_Plans | $420.23 | ↑ +175% |
| Highmark_Wholecare_Gateway_Medicare | All_Plans | $422.03 | ↑ +176% |
| Amerihealth_Medicare | All_Plans | $422.23 | ↑ +176% |
| UPMC_Medicare | UPMC_for_Life_Community_HealthChoices | $422.23 | ↑ +176% |
| UPMC_Medicare | UPMC_for_Life_Complete_Care | $422.23 | ↑ +176% |
| PA_Health_&_Wellness_Medicare | All_Plans | $432.24 | ↑ +183% |
| Jefferson_Health_Medicare_Advantage | All_Plans | $432.24 | ↑ +183% |
| Highmark | Higmark_Healthy_Kids | $620.34 | ↑ +306% |
| Health_Partners_Medicaid | Kidz_Partners | $660.36 | ↑ +332% |
| United_Medicaid | Community_Plan_For_Kids | $700.39 | ↑ +358% |
| Highmark | Performance_Blue | $1,210.55 | ↑ +692% |
| Highmark | Blue_Cross_High_Performance_Network | $1,210.55 | ↑ +692% |
| Highmark | Choice_Blue_PPO | $1,210.55 | ↑ +692% |
| Highmark | All_Other_Plans | $1,458.52 | ↑ +855% |
Visitor-reported prices
Comments
Ortho whf rigd without jnt cstm w/fit&adj at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $702.00 | $160.29 – $994.50 |
| UPMC Cole | Coudersport | $1,635.00 | $421.61 – $1,775.20 |
| UPMC Community Osteopathic | Harrisburg | $702.00 | $220.62 – $1,602.33 |
| UPMC Hanover | Hanover | $702.00 | $220.62 – $1,602.33 |
| UPMC Lititz | Lititz | $702.00 | $192.75 – $1,602.33 |
| UPMC Memorial | York | $702.00 | $192.75 – $1,602.33 |
| UPMC Presbyterian | Pittsburgh | $1,574.40 | $202.09 – $2,590.68 |
| UPMC Somerset | Somerset | $702.00 | $193.67 – $959.74 |