Ot training self care/home management direct contact each 15 minutes at WellSpan Good Samaritan Hospital
252 S. 4th St., Lebanon, PA · Wellspan · · NPI 1407928500
$144.80
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.
?
What you pay up front if you don't use insurance.
$181.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$30.75 with Blue_Cross_BlueJourney_Medicare vs $421.00 with Blue_Cross — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $30.75 | ↓ -79% |
| Highmark_Medicare | All_Plans | $31.06 | ↓ -79% |
| Aetna_Medicare | All_Plans | $31.67 | ↓ -78% |
| Aetna_Advantra_Medicare | All_Plans | $31.67 | ↓ -78% |
| Devoted_Medicare | All_Plans | $32.29 | ↓ -78% |
| United_Medicare | ISNP_DSNP_Plans | $32.29 | ↓ -78% |
| Geisinger_Gold_Medicare | All_Plans | $32.29 | ↓ -78% |
| Highmark_Wholecare_Gateway_Medicare | All_Plans | $32.43 | ↓ -78% |
| UPMC_Medicare | UPMC_for_Life_Complete_Care | $32.44 | ↓ -78% |
| UPMC_Medicare | UPMC_for_Life_Community_HealthChoices | $32.44 | ↓ -78% |
| Amerihealth_Medicare | All_Plans | $32.44 | ↓ -78% |
| Aetna_Better_Health_Kids | All_Plans | $32.58 | ↓ -78% |
| Jefferson_Health_Medicare_Advantage | All_Plans | $33.21 | ↓ -77% |
| PA_Health_&_Wellness_Medicare | All_Plans | $33.21 | ↓ -77% |
| Highmark | Higmark_Healthy_Kids | $47.66 | ↓ -67% |
| Health_Partners_Medicaid | All_Other_Plans | $50.00 | ↓ -65% |
| Geisinger_Medicaid | All_Plans | $50.00 | ↓ -65% |
| PA_Health_&_Wellness_Medicaid | All_Plans | $50.00 | ↓ -65% |
| UPMC_Medicaid | All_Plans | $50.00 | ↓ -65% |
| Highmark_Wholecare_Gateway_Medicaid | All_Plans | $50.00 | ↓ -65% |
| United_Medicaid | Community_Plan_For_Kids | $53.81 | ↓ -63% |
| Health_Partners_Medicaid | Kidz_Partners | $54.30 | ↓ -63% |
| Amerihealth_Caritas_Medicaid | All_Plans | $56.80 | ↓ -61% |
| Highmark | Performance_Blue | $93.01 | ↓ -36% |
| Highmark | Choice_Blue_PPO | $93.01 | ↓ -36% |
| Highmark | Blue_Cross_High_Performance_Network | $93.01 | ↓ -36% |
| WellSpan_Capital_Blue_Cross | All_Plans | $108.60 | ↓ -25% |
| UPMC | Employees_And_Dependents | $108.60 | ↓ -25% |
| UPMC | UPMC_For_Kids | $108.60 | ↓ -25% |
| Geisinger | All_Plans | $108.60 | ↓ -25% |
| Highmark | All_Other_Plans | $112.06 | ↓ -23% |
| Cigna | All_Plans | $115.51 | ↓ -20% |
| PHC | All_Plans | $144.80 | ↑ +0% |
| Aetna | All_Plans | $146.97 | ↑ +1% |
| First_Health_Network | All_Plans | $161.63 | ↑ +12% |
| United_Healthcare | All_Plans | $169.78 | ↑ +17% |
| Blue_Cross | Capital_Cares_4_kids | $294.70 | ↑ +104% |
| Blue_Cross | Capital_Blue_Performance_PPO | $323.00 | ↑ +123% |
| Blue_Cross | Capital_Blue_Cross_Healthy_Benefits_PPO | $393.60 | ↑ +172% |
| Blue_Cross | All_Other_Plans | $421.00 | ↑ +191% |
Visitor-reported prices
Comments
Ot training self care/home management direct contact each 15 minutes at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $81.00 | $25.48 – $108.00 |
| UPMC Bedford | Everett | $91.20 | $38.00 – $136.80 |
| UPMC Carlisle | Carlisle | $168.60 | $22.19 – $387.00 |
| UPMC Cole | Coudersport | $81.00 | $34.05 – $108.00 |
| UPMC Community Osteopathic | Harrisburg | $97.20 | $26.54 – $137.70 |
| UPMC East | Monroeville | $87.60 | $25.73 – $116.80 |
| UPMC Hamot | Erie | $130.80 | $25.48 – $100.11 |
| UPMC Northwest | Seneca | $64.80 | $42.61 – $102.94 |