Polysomnography sleep staging >=4 parameters age >=6 years w/cpap bipap at WellSpan Good Samaritan Hospital
252 S. 4th St., Lebanon, PA · Wellspan · · NPI 1407928500
$4,164.80
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.
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What you pay up front if you don't use insurance.
$5,206.00
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.
$809.45 with Geisinger_Medicaid vs $4,883.23 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 |
|---|---|---|---|
| Geisinger_Medicaid | All_Plans | $809.45 | ↓ -81% |
| PA_Health_&_Wellness_Medicaid | All_Plans | $809.45 | ↓ -81% |
| Health_Partners_Medicaid | All_Other_Plans | $809.45 | ↓ -81% |
| UPMC_Medicaid | All_Plans | $809.45 | ↓ -81% |
| Highmark_Wholecare_Gateway_Medicaid | All_Plans | $809.45 | ↓ -81% |
| Amerihealth_Caritas_Medicaid | All_Plans | $919.54 | ↓ -78% |
| Blue_Cross_BlueJourney_Medicare | All_Plans | $1,005.00 | ↓ -76% |
| Highmark_Medicare | All_Plans | $1,015.05 | ↓ -76% |
| Aetna_Advantra_Medicare | All_Plans | $1,035.15 | ↓ -75% |
| Aetna_Medicare | All_Plans | $1,035.15 | ↓ -75% |
| Devoted_Medicare | All_Plans | $1,055.25 | ↓ -75% |
| United_Medicare | ISNP_DSNP_Plans | $1,055.25 | ↓ -75% |
| Geisinger_Gold_Medicare | All_Plans | $1,055.25 | ↓ -75% |
| Highmark_Wholecare_Gateway_Medicare | All_Plans | $1,059.77 | ↓ -75% |
| UPMC_Medicare | UPMC_for_Life_Community_HealthChoices | $1,060.28 | ↓ -75% |
| Amerihealth_Medicare | All_Plans | $1,060.28 | ↓ -75% |
| UPMC_Medicare | UPMC_for_Life_Complete_Care | $1,060.28 | ↓ -75% |
| PA_Health_&_Wellness_Medicare | All_Plans | $1,085.40 | ↓ -74% |
| Jefferson_Health_Medicare_Advantage | All_Plans | $1,085.40 | ↓ -74% |
| Highmark | Higmark_Healthy_Kids | $1,557.75 | ↓ -63% |
| Health_Partners_Medicaid | Kidz_Partners | $1,658.25 | ↓ -60% |
| United_Medicaid | Community_Plan_For_Kids | $1,758.75 | ↓ -58% |
| Blue_Cross | Capital_Cares_4_kids | $2,128.73 | ↓ -49% |
| Aetna_Better_Health_Kids | All_Plans | $2,201.70 | ↓ -47% |
| Blue_Cross | Capital_Blue_Cross_Healthy_Benefits_PPO | $2,432.76 | ↓ -42% |
| Highmark | Blue_Cross_High_Performance_Network | $3,039.82 | ↓ -27% |
| Highmark | Choice_Blue_PPO | $3,039.82 | ↓ -27% |
| Highmark | Performance_Blue | $3,039.82 | ↓ -27% |
| Blue_Cross | All_Other_Plans | $3,040.82 | ↓ -27% |
| Cigna | All_Plans | $3,066.85 | ↓ -26% |
| WellSpan_Capital_Blue_Cross | All_Plans | $3,123.60 | ↓ -25% |
| UPMC | Employees_And_Dependents | $3,123.60 | ↓ -25% |
| UPMC | UPMC_For_Kids | $3,123.60 | ↓ -25% |
| Geisinger | All_Plans | $3,123.60 | ↓ -25% |
| Highmark | All_Other_Plans | $3,662.52 | ↓ -12% |
| PHC | All_Plans | $4,164.80 | ↑ +0% |
| Aetna | All_Plans | $4,227.27 | ↑ +1% |
| First_Health_Network | All_Plans | $4,648.96 | ↑ +12% |
| United_Healthcare | All_Plans | $4,883.23 | ↑ +17% |
Visitor-reported prices
Comments
Polysomnography sleep staging >=4 parameters age >=6 years w/cpap bipap at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $2,547.00 | $517.67 – $3,396.00 |
| UPMC Bedford | Everett | $3,496.20 | $349.96 – $5,244.30 |
| UPMC Carlisle | Carlisle | $4,898.40 | $678.15 – $6,939.40 |
| UPMC Hamot | Erie | $2,308.20 | $292.41 – $1,349.45 |
| UPMC Hanover | Hanover | $4,898.40 | $678.15 – $1,555.06 |
| UPMC Horizon-Greenville | Greenville | $3,305.40 | $679.94 – $1,375.62 |
| UPMC Jameson | New Castle | $3,108.60 | $577.18 – $1,212.45 |
| UPMC Lititz | Lititz | $4,898.40 | $678.15 – $1,563.46 |