Pq dr cath chg w cont s&i at WellSpan Good Samaritan Hospital

252 S. 4th St., Lebanon, PA · Wellspan · · NPI 1407928500

Source: hospital's published price file ↗ · Published Jan 1, 2026 · Ingested Sep 17, 2026

$907.20

Cash price

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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.

Full explanation →

What you pay up front if you don't use insurance.

$1,134.00

Gross charge

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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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$21.88 with Geisinger_Medicaid vs $1,012.66 with First_Health_Network — 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 →

Payer
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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
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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 $21.88 ↓ -98%
Health_Partners_Medicaid All_Other_Plans $21.88 ↓ -98%
Highmark_Wholecare_Gateway_Medicaid All_Plans $21.88 ↓ -98%
PA_Health_&_Wellness_Medicaid All_Plans $21.88 ↓ -98%
UPMC_Medicaid All_Plans $21.88 ↓ -98%
Amerihealth_Caritas_Medicaid All_Plans $24.85 ↓ -97%
Aetna_Better_Health_Kids All_Plans $59.50 ↓ -93%
Blue_Cross Capital_Blue_Performance_PPO $71.68 ↓ -92%
Blue_Cross Capital_Cares_4_kids $328.85 ↓ -64%
Blue_Cross Capital_Blue_Cross_Healthy_Benefits_PPO $375.83 ↓ -59%
Blue_Cross All_Other_Plans $469.79 ↓ -48%
Cigna All_Plans $668.04 ↓ -26%
WellSpan_Capital_Blue_Cross All_Plans $680.40 ↓ -25%
UPMC Employees_And_Dependents $680.40 ↓ -25%
UPMC UPMC_For_Kids $680.40 ↓ -25%
Geisinger All_Plans $680.40 ↓ -25%
PHC All_Plans $907.20 ↑ +0%
Aetna All_Plans $920.81 ↑ +2%
First_Health_Network All_Plans $1,012.66 ↑ +12%

Visitor-reported prices

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Pq dr cath chg w cont s&i at other Pennsylvania hospitals

Hospital City Cash price Negotiated range
UPMC Altoona Altoona $942.60 $10.00 – $1,256.80
UPMC Carlisle Carlisle $2,119.80 $13.10 – $3,003.05
UPMC Community Osteopathic Harrisburg $2,119.80 $13.10 – $3,003.05
UPMC East Monroeville $777.00 $19.25 – $1,036.00
UPMC Hamot Erie $706.80 $19.25 – $278.80
UPMC Northwest Seneca $591.00 $19.25 – $333.21
UPMC Hanover Hanover $2,119.80 $13.10 – $278.93
UPMC Jameson New Castle $240.00 $11.50 – $266.53

All Pennsylvania hospitals for this procedure →