Phlebotomy therapeutic at WellSpan Good Samaritan Hospital
252 S. 4th St., Lebanon, PA · Wellspan · · NPI 1407928500
$110.00
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.
?
What you pay up front if you don't use insurance.
$677.00
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.
$12.50 with PA_Health_&_Wellness_Medicaid vs $604.56 with First_Health_Network — 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 |
|---|---|---|---|
| PA_Health_&_Wellness_Medicaid | All_Plans | $12.50 | ↓ -89% |
| UPMC_Medicaid | All_Plans | $12.50 | ↓ -89% |
| Highmark_Wholecare_Gateway_Medicaid | All_Plans | $12.50 | ↓ -89% |
| Health_Partners_Medicaid | All_Other_Plans | $12.50 | ↓ -89% |
| Geisinger_Medicaid | All_Plans | $12.50 | ↓ -89% |
| Amerihealth_Caritas_Medicaid | All_Plans | $14.20 | ↓ -87% |
| Aetna_Better_Health_Kids | All_Plans | $34.00 | ↓ -69% |
| Blue_Cross_BlueJourney_Medicare | All_Plans | $127.33 | ↑ +16% |
| Highmark_Medicare | All_Plans | $128.60 | ↑ +17% |
| Aetna_Medicare | All_Plans | $131.15 | ↑ +19% |
| Aetna_Advantra_Medicare | All_Plans | $131.15 | ↑ +19% |
| Geisinger_Gold_Medicare | All_Plans | $133.70 | ↑ +22% |
| Devoted_Medicare | All_Plans | $133.70 | ↑ +22% |
| United_Medicare | ISNP_DSNP_Plans | $133.70 | ↑ +22% |
| Highmark_Wholecare_Gateway_Medicare | All_Plans | $134.27 | ↑ +22% |
| Amerihealth_Medicare | All_Plans | $134.33 | ↑ +22% |
| UPMC_Medicare | UPMC_for_Life_Complete_Care | $134.33 | ↑ +22% |
| UPMC_Medicare | UPMC_for_Life_Community_HealthChoices | $134.33 | ↑ +22% |
| Jefferson_Health_Medicare_Advantage | All_Plans | $137.52 | ↑ +25% |
| PA_Health_&_Wellness_Medicare | All_Plans | $137.52 | ↑ +25% |
| Highmark | Higmark_Healthy_Kids | $197.36 | ↑ +79% |
| Health_Partners_Medicaid | Kidz_Partners | $210.09 | ↑ +91% |
| United_Medicaid | Community_Plan_For_Kids | $222.83 | ↑ +103% |
| Blue_Cross | Capital_Cares_4_kids | $276.83 | ↑ +152% |
| Blue_Cross | Capital_Blue_Cross_Healthy_Benefits_PPO | $316.36 | ↑ +188% |
| Highmark | Blue_Cross_High_Performance_Network | $385.14 | ↑ +250% |
| Highmark | Choice_Blue_PPO | $385.14 | ↑ +250% |
| Highmark | Performance_Blue | $385.14 | ↑ +250% |
| Blue_Cross | All_Other_Plans | $395.44 | ↑ +259% |
| WellSpan_Capital_Blue_Cross | All_Plans | $406.20 | ↑ +269% |
| UPMC | Employees_And_Dependents | $406.20 | ↑ +269% |
| UPMC | UPMC_For_Kids | $406.20 | ↑ +269% |
| Geisinger | All_Plans | $406.20 | ↑ +269% |
| Cigna | All_Plans | $432.06 | ↑ +293% |
| Highmark | All_Other_Plans | $464.03 | ↑ +322% |
| PHC | All_Plans | $541.60 | ↑ +392% |
| Aetna | All_Plans | $549.72 | ↑ +400% |
| First_Health_Network | All_Plans | $604.56 | ↑ +450% |
Visitor-reported prices
Comments
Phlebotomy therapeutic at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $261.00 | $10.00 – $348.00 |
| UPMC Bedford | Everett | $250.80 | $10.50 – $376.20 |
| UPMC Carlisle | Carlisle | $231.00 | $12.70 – $327.25 |
| UPMC Cole | Coudersport | $298.20 | $10.50 – $397.60 |
| UPMC Community Osteopathic | Harrisburg | $231.00 | $12.70 – $327.25 |
| UPMC East | Monroeville | $272.40 | $11.00 – $363.20 |
| UPMC Hamot | Erie | $192.00 | $11.00 – $161.87 |
| UPMC Northwest | Seneca | $331.80 | $11.00 – $129.03 |