Parathyroid planar img w/tomo spect at WellSpan Good Samaritan Hospital
252 S. 4th St., Lebanon, PA · Wellspan · · NPI 1407928500
$1,713.60
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.
$2,142.00
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.
$278.85 with Blue_Cross vs $2,259.58 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 |
|---|---|---|---|
| Blue_Cross | Capital_Blue_Performance_PPO | $278.85 | ↓ -84% |
| PA_Health_&_Wellness_Medicaid | All_Plans | $334.39 | ↓ -80% |
| UPMC_Medicaid | All_Plans | $334.39 | ↓ -80% |
| Highmark_Wholecare_Gateway_Medicaid | All_Plans | $334.39 | ↓ -80% |
| Health_Partners_Medicaid | All_Other_Plans | $334.39 | ↓ -80% |
| Geisinger_Medicaid | All_Plans | $334.39 | ↓ -80% |
| Amerihealth_Caritas_Medicaid | All_Plans | $379.86 | ↓ -78% |
| Blue_Cross_BlueJourney_Medicare | All_Plans | $396.94 | ↓ -77% |
| Highmark_Medicare | All_Plans | $400.91 | ↓ -77% |
| Aetna_Advantra_Medicare | All_Plans | $408.85 | ↓ -76% |
| Aetna_Medicare | All_Plans | $408.85 | ↓ -76% |
| Devoted_Medicare | All_Plans | $416.79 | ↓ -76% |
| United_Medicare | ISNP_DSNP_Plans | $416.79 | ↓ -76% |
| Geisinger_Gold_Medicare | All_Plans | $416.79 | ↓ -76% |
| Highmark_Wholecare_Gateway_Medicare | All_Plans | $418.57 | ↓ -76% |
| Amerihealth_Medicare | All_Plans | $418.77 | ↓ -76% |
| UPMC_Medicare | UPMC_for_Life_Community_HealthChoices | $418.77 | ↓ -76% |
| UPMC_Medicare | UPMC_for_Life_Complete_Care | $418.77 | ↓ -76% |
| Jefferson_Health_Medicare_Advantage | All_Plans | $428.70 | ↓ -75% |
| PA_Health_&_Wellness_Medicare | All_Plans | $428.70 | ↓ -75% |
| Highmark | Higmark_Healthy_Kids | $615.26 | ↓ -64% |
| Health_Partners_Medicaid | Kidz_Partners | $654.95 | ↓ -62% |
| United_Medicaid | Community_Plan_For_Kids | $694.65 | ↓ -59% |
| Aetna_Better_Health_Kids | All_Plans | $909.53 | ↓ -47% |
| Cigna | All_Plans | $1,114.70 | ↓ -35% |
| Highmark | Choice_Blue_PPO | $1,200.62 | ↓ -30% |
| Highmark | Blue_Cross_High_Performance_Network | $1,200.62 | ↓ -30% |
| Highmark | Performance_Blue | $1,200.62 | ↓ -30% |
| Blue_Cross | Capital_Cares_4_kids | $1,279.31 | ↓ -25% |
| WellSpan_Capital_Blue_Cross | All_Plans | $1,285.20 | ↓ -25% |
| UPMC | Employees_And_Dependents | $1,285.20 | ↓ -25% |
| UPMC | UPMC_For_Kids | $1,285.20 | ↓ -25% |
| Geisinger | All_Plans | $1,285.20 | ↓ -25% |
| Highmark | All_Other_Plans | $1,446.57 | ↓ -16% |
| Blue_Cross | Capital_Blue_Cross_Healthy_Benefits_PPO | $1,462.07 | ↓ -15% |
| PHC | All_Plans | $1,713.60 | ↑ +0% |
| Aetna | All_Plans | $1,739.30 | ↑ +1% |
| Blue_Cross | All_Other_Plans | $1,827.58 | ↑ +7% |
| First_Health_Network | All_Plans | $1,912.81 | ↑ +12% |
| United_Healthcare | All_Plans | $2,259.58 | ↑ +32% |
Visitor-reported prices
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Parathyroid planar img w/tomo spect at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $1,228.80 | $280.58 – $1,740.80 |
| UPMC Cole | Coudersport | $1,220.40 | $280.89 – $1,627.20 |
| UPMC Community Osteopathic | Harrisburg | $1,228.80 | $292.22 – $1,740.80 |
| UPMC Hamot | Erie | $1,884.60 | $237.76 – $546.54 |
| UPMC Hanover | Hanover | $1,228.80 | $292.22 – $614.19 |
| UPMC Jameson | New Castle | $1,657.80 | $241.95 – $478.88 |
| UPMC Lititz | Lititz | $1,228.80 | $292.22 – $617.50 |
| UPMC Memorial | York | $1,228.80 | $193.78 – $1,823.04 |