Phentolaine mesylate inj at WellSpan Good Samaritan Hospital
252 S. 4th St., Lebanon, PA · Wellspan · · NPI 1407928500
$2,159.20
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.
$2,699.00
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.
$328.09 with Blue_Cross vs $2,159.20 with PHC — 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 | $328.09 | ↓ -85% |
| Blue_Cross | Capital_Blue_Cross_Healthy_Benefits_PPO | $374.96 | ↓ -83% |
| Blue_Cross_BlueJourney_Medicare | All_Plans | $432.02 | ↓ -80% |
| Amerihealth_Caritas_Medicaid | All_Plans | $432.02 | ↓ -80% |
| Geisinger_Medicaid | All_Plans | $432.02 | ↓ -80% |
| Highmark_Wholecare_Gateway_Medicaid | All_Plans | $432.02 | ↓ -80% |
| Health_Partners_Medicaid | All_Other_Plans | $432.02 | ↓ -80% |
| Highmark_Medicare | All_Plans | $436.34 | ↓ -80% |
| Aetna_Medicare | All_Plans | $444.98 | ↓ -79% |
| Aetna_Advantra_Medicare | All_Plans | $444.98 | ↓ -79% |
| UPMC_Medicaid | All_Plans | $452.98 | ↓ -79% |
| Geisinger_Gold_Medicare | All_Plans | $453.62 | ↓ -79% |
| Devoted_Medicare | All_Plans | $453.62 | ↓ -79% |
| United_Medicare | ISNP_DSNP_Plans | $453.62 | ↓ -79% |
| Highmark_Wholecare_Gateway_Medicare | All_Plans | $455.57 | ↓ -79% |
| Amerihealth_Medicare | All_Plans | $455.78 | ↓ -79% |
| UPMC_Medicare | UPMC_for_Life_Complete_Care | $455.78 | ↓ -79% |
| UPMC_Medicare | UPMC_for_Life_Community_HealthChoices | $455.78 | ↓ -79% |
| Jefferson_Health_Medicare_Advantage | All_Plans | $466.58 | ↓ -78% |
| PA_Health_&_Wellness_Medicare | All_Plans | $466.58 | ↓ -78% |
| Blue_Cross | All_Other_Plans | $468.70 | ↓ -78% |
| Blue_Cross | Capital_Blue_Performance_PPO | $468.70 | ↓ -78% |
| WellSpan_Capital_Blue_Cross | All_Plans | $509.46 | ↓ -76% |
| Highmark | Higmark_Healthy_Kids | $669.63 | ↓ -69% |
| Health_Partners_Medicaid | Kidz_Partners | $712.83 | ↓ -67% |
| United_Medicaid | Community_Plan_For_Kids | $756.04 | ↓ -65% |
| Highmark | Choice_Blue_PPO | $1,306.73 | ↓ -39% |
| Highmark | Performance_Blue | $1,306.73 | ↓ -39% |
| Highmark | Blue_Cross_High_Performance_Network | $1,306.73 | ↓ -39% |
| Aetna | All_Plans | $1,313.35 | ↓ -39% |
| United_Healthcare | All_Plans | $1,396.83 | ↓ -35% |
| First_Health_Network | All_Plans | $1,444.68 | ↓ -33% |
| Cigna | All_Plans | $1,572.55 | ↓ -27% |
| Highmark | All_Other_Plans | $1,574.41 | ↓ -27% |
| Geisinger | All_Plans | $1,619.40 | ↓ -25% |
| UPMC | UPMC_For_Kids | $1,619.40 | ↓ -25% |
| UPMC | Employees_And_Dependents | $1,619.40 | ↓ -25% |
| PHC | All_Plans | $2,159.20 | ↑ +0% |
Visitor-reported prices
Comments
Phentolaine mesylate inj at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $383.20 | $47.90 – $462.26 |
| UPMC Carlisle | Carlisle | $293.40 | $20.55 – $691.23 |
| UPMC Community Osteopathic | Harrisburg | $293.40 | $30.00 – $531.39 |
| UPMC East | Monroeville | $270.40 | $40.42 – $453.62 |
| UPMC Hamot | Erie | $540.00 | $47.90 – $466.58 |
| UPMC Northwest | Seneca | $460.00 | $124.32 – $466.58 |
| UPMC Hanover | Hanover | $293.40 | $427.70 – $691.23 |
| UPMC Horizon-Greenville | Greenville | $375.20 | $122.08 – $466.58 |