Oth resp proc, indiv at WellSpan Good Samaritan Hospital
252 S. 4th St., Lebanon, PA · Wellspan · · NPI 1407928500
$140.00
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.
$175.00
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.
$18.37 with Highmark_Wholecare_Gateway_Medicaid vs $164.15 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 →
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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 |
|---|---|---|---|
| Highmark_Wholecare_Gateway_Medicaid | All_Plans | $18.37 | ↓ -87% |
| Blue_Cross_BlueJourney_Medicare | All_Plans | $24.19 | ↓ -83% |
| Health_Partners_Medicaid | All_Other_Plans | $24.19 | ↓ -83% |
| Highmark_Medicare | All_Plans | $24.43 | ↓ -83% |
| Aetna_Advantra_Medicare | All_Plans | $24.92 | ↓ -82% |
| Aetna_Medicare | All_Plans | $24.92 | ↓ -82% |
| United_Medicare | ISNP_DSNP_Plans | $25.40 | ↓ -82% |
| Geisinger_Gold_Medicare | All_Plans | $25.40 | ↓ -82% |
| Devoted_Medicare | All_Plans | $25.40 | ↓ -82% |
| Highmark_Wholecare_Gateway_Medicare | All_Plans | $25.51 | ↓ -82% |
| Amerihealth_Medicare | All_Plans | $25.52 | ↓ -82% |
| UPMC_Medicare | UPMC_for_Life_Community_HealthChoices | $25.52 | ↓ -82% |
| UPMC_Medicare | UPMC_for_Life_Complete_Care | $25.52 | ↓ -82% |
| Jefferson_Health_Medicare_Advantage | All_Plans | $26.13 | ↓ -81% |
| PA_Health_&_Wellness_Medicare | All_Plans | $26.13 | ↓ -81% |
| Aetna_Better_Health_Kids | All_Plans | $31.50 | ↓ -78% |
| Highmark | Higmark_Healthy_Kids | $37.49 | ↓ -73% |
| Health_Partners_Medicaid | Kidz_Partners | $39.91 | ↓ -71% |
| United_Medicaid | Community_Plan_For_Kids | $42.33 | ↓ -70% |
| Blue_Cross | Capital_Cares_4_kids | $71.56 | ↓ -49% |
| Highmark | Performance_Blue | $73.17 | ↓ -48% |
| Highmark | Choice_Blue_PPO | $73.17 | ↓ -48% |
| Highmark | Blue_Cross_High_Performance_Network | $73.17 | ↓ -48% |
| Blue_Cross | Capital_Blue_Cross_Healthy_Benefits_PPO | $81.78 | ↓ -42% |
| Highmark | All_Other_Plans | $88.16 | ↓ -37% |
| Blue_Cross | All_Other_Plans | $102.22 | ↓ -27% |
| WellSpan_Capital_Blue_Cross | All_Plans | $105.00 | ↓ -25% |
| UPMC | Employees_And_Dependents | $105.00 | ↓ -25% |
| UPMC | UPMC_For_Kids | $105.00 | ↓ -25% |
| Geisinger | All_Plans | $105.00 | ↓ -25% |
| Cigna | All_Plans | $111.69 | ↓ -20% |
| PHC | All_Plans | $140.00 | ↑ +0% |
| Aetna | All_Plans | $142.10 | ↑ +2% |
| First_Health_Network | All_Plans | $156.28 | ↑ +12% |
| United_Healthcare | All_Plans | $164.15 | ↑ +17% |
Visitor-reported prices
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Oth resp proc, indiv at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $100.80 | $13.76 – $134.40 |
| UPMC Bedford | Everett | $84.60 | $8.42 – $126.90 |
| UPMC Community Osteopathic | Harrisburg | $54.60 | $18.20 – $77.35 |
| UPMC Hamot | Erie | $80.40 | $13.76 – $25.46 |
| UPMC Hanover | Hanover | $54.60 | $19.95 – $45.36 |
| UPMC Horizon-Greenville | Greenville | $39.00 | $20.91 – $33.36 |
| UPMC Jameson | New Castle | $39.00 | $8.86 – $29.19 |
| UPMC Lititz | Lititz | $54.60 | $19.95 – $45.36 |