Pr amput fgr/thumb prim/sec any joint/phal sgl incl neurectomies w dir clsr at WellSpan Good Samaritan Hospital
252 S. 4th St., Lebanon, PA · Wellspan · · NPI 1407928500
$5,050.40
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.
$6,313.00
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.
$228.13 with Health_Partners_Medicaid vs $11,680.31 with Highmark — 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 |
|---|---|---|---|
| Health_Partners_Medicaid | All_Other_Plans | $228.13 | ↓ -95% |
| PA_Health_&_Wellness_Medicaid | All_Plans | $228.13 | ↓ -95% |
| Geisinger_Medicaid | All_Plans | $228.13 | ↓ -95% |
| UPMC_Medicaid | All_Plans | $228.13 | ↓ -95% |
| Highmark_Wholecare_Gateway_Medicaid | All_Plans | $228.13 | ↓ -95% |
| Amerihealth_Caritas_Medicaid | All_Plans | $259.15 | ↓ -95% |
| Aetna_Better_Health_Kids | All_Plans | $620.50 | ↓ -88% |
| Blue_Cross_BlueJourney_Medicare | All_Plans | $3,205.09 | ↓ -37% |
| Highmark_Medicare | All_Plans | $3,237.14 | ↓ -36% |
| Aetna_Advantra_Medicare | All_Plans | $3,301.24 | ↓ -35% |
| Aetna_Medicare | All_Plans | $3,301.24 | ↓ -35% |
| Geisinger_Gold_Medicare | All_Plans | $3,365.34 | ↓ -33% |
| Devoted_Medicare | All_Plans | $3,365.34 | ↓ -33% |
| United_Medicare | ISNP_DSNP_Plans | $3,365.34 | ↓ -33% |
| Highmark_Wholecare_Gateway_Medicare | All_Plans | $3,379.77 | ↓ -33% |
| Amerihealth_Medicare | All_Plans | $3,381.37 | ↓ -33% |
| UPMC_Medicare | UPMC_for_Life_Complete_Care | $3,381.37 | ↓ -33% |
| UPMC_Medicare | UPMC_for_Life_Community_HealthChoices | $3,381.37 | ↓ -33% |
| Jefferson_Health_Medicare_Advantage | All_Plans | $3,461.50 | ↓ -31% |
| PA_Health_&_Wellness_Medicare | All_Plans | $3,461.50 | ↓ -31% |
| WellSpan_Capital_Blue_Cross | All_Plans | $3,787.80 | ↓ -25% |
| UPMC | Employees_And_Dependents | $3,787.80 | ↓ -25% |
| UPMC | UPMC_For_Kids | $3,787.80 | ↓ -25% |
| Geisinger | All_Plans | $3,787.80 | ↓ -25% |
| Cigna | All_Plans | $4,028.96 | ↓ -20% |
| Blue_Cross | Capital_Blue_Performance_PPO | $4,396.00 | ↓ -13% |
| Blue_Cross | Capital_Blue_Cross_Healthy_Benefits_PPO | $4,696.00 | ↓ -7% |
| Highmark | Higmark_Healthy_Kids | $4,967.89 | ↓ -2% |
| PHC | All_Plans | $5,050.40 | ↑ +0% |
| Aetna | All_Plans | $5,126.16 | ↑ +2% |
| Health_Partners_Medicaid | Kidz_Partners | $5,288.40 | ↑ +5% |
| United_Medicaid | Community_Plan_For_Kids | $5,608.91 | ↑ +11% |
| First_Health_Network | All_Plans | $5,637.51 | ↑ +12% |
| Blue_Cross | Capital_Cares_4_kids | $5,670.70 | ↑ +12% |
| Blue_Cross | All_Other_Plans | $5,870.00 | ↑ +16% |
| United_Healthcare | All_Plans | $5,921.59 | ↑ +17% |
| Highmark | Performance_Blue | $9,694.44 | ↑ +92% |
| Highmark | Choice_Blue_PPO | $9,694.44 | ↑ +92% |
| Highmark | Blue_Cross_High_Performance_Network | $9,694.44 | ↑ +92% |
| Highmark | All_Other_Plans | $11,680.31 | ↑ +131% |
Visitor-reported prices
Comments
Pr amput fgr/thumb prim/sec any joint/phal sgl incl neurectomies w dir clsr at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $3,337.80 | $182.50 – $4,450.40 |
| UPMC Carlisle | Carlisle | $4,150.20 | $231.78 – $5,879.45 |
| UPMC Cole | Coudersport | $2,036.40 | $191.62 – $1,499.20 |
| UPMC Community Osteopathic | Harrisburg | $4,150.20 | $231.78 – $5,879.45 |
| UPMC Hamot | Erie | $3,124.20 | $200.75 – $4,499.05 |
| UPMC Hanover | Hanover | $4,150.20 | $231.78 – $4,959.33 |
| UPMC Lititz | Lititz | $4,150.20 | $231.78 – $4,986.11 |
| UPMC Magee | Pittsburgh | $3,587.40 | $200.75 – $3,340.82 |