Pregnancy Ultrasound (complete, after first trimester) at WellSpan Good Samaritan Hospital
252 S. 4th St., Lebanon, PA · Wellspan · · NPI 1407928500
$1,080.00
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.
$1,350.00
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.
$89.42 with Blue_Cross vs $1,205.55 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 |
|---|---|---|---|
| Blue_Cross | Capital_Blue_Performance_PPO | $89.42 | ↓ -92% |
| Geisinger_Medicaid | All_Plans | $96.88 | ↓ -91% |
| UPMC_Medicaid | All_Plans | $96.88 | ↓ -91% |
| PA_Health_&_Wellness_Medicaid | All_Plans | $96.88 | ↓ -91% |
| Highmark_Wholecare_Gateway_Medicaid | All_Plans | $96.88 | ↓ -91% |
| Health_Partners_Medicaid | All_Other_Plans | $96.88 | ↓ -91% |
| Blue_Cross_BlueJourney_Medicare | All_Plans | $105.04 | ↓ -90% |
| Highmark_Medicare | All_Plans | $106.09 | ↓ -90% |
| Aetna_Medicare | All_Plans | $108.19 | ↓ -90% |
| Aetna_Advantra_Medicare | All_Plans | $108.19 | ↓ -90% |
| Amerihealth_Caritas_Medicaid | All_Plans | $110.05 | ↓ -90% |
| Devoted_Medicare | All_Plans | $110.29 | ↓ -90% |
| United_Medicare | ISNP_DSNP_Plans | $110.29 | ↓ -90% |
| Geisinger_Gold_Medicare | All_Plans | $110.29 | ↓ -90% |
| Highmark_Wholecare_Gateway_Medicare | All_Plans | $110.76 | ↓ -90% |
| Amerihealth_Medicare | All_Plans | $110.82 | ↓ -90% |
| UPMC_Medicare | UPMC_for_Life_Community_HealthChoices | $110.82 | ↓ -90% |
| UPMC_Medicare | UPMC_for_Life_Complete_Care | $110.82 | ↓ -90% |
| Jefferson_Health_Medicare_Advantage | All_Plans | $113.44 | ↓ -89% |
| PA_Health_&_Wellness_Medicare | All_Plans | $113.44 | ↓ -89% |
| Highmark | Higmark_Healthy_Kids | $162.81 | ↓ -85% |
| Health_Partners_Medicaid | Kidz_Partners | $173.32 | ↓ -84% |
| WellSpan_Capital_Blue_Cross | All_Plans | $181.00 | ↓ -83% |
| United_Medicaid | Community_Plan_For_Kids | $183.82 | ↓ -83% |
| Aetna_Better_Health_Kids | All_Plans | $263.50 | ↓ -76% |
| Highmark | Blue_Cross_High_Performance_Network | $317.71 | ↓ -71% |
| Highmark | Performance_Blue | $317.71 | ↓ -71% |
| Highmark | Choice_Blue_PPO | $317.71 | ↓ -71% |
| Highmark | All_Other_Plans | $382.80 | ↓ -65% |
| Blue_Cross | Capital_Cares_4_kids | $410.24 | ↓ -62% |
| Blue_Cross | Capital_Blue_Cross_Healthy_Benefits_PPO | $468.85 | ↓ -57% |
| Blue_Cross | All_Other_Plans | $586.06 | ↓ -46% |
| United_Healthcare | All_Plans | $602.31 | ↓ -44% |
| Cigna | All_Plans | $702.54 | ↓ -35% |
| Geisinger | All_Plans | $810.00 | ↓ -25% |
| UPMC | UPMC_For_Kids | $810.00 | ↓ -25% |
| UPMC | Employees_And_Dependents | $810.00 | ↓ -25% |
| PHC | All_Plans | $1,080.00 | ↑ +0% |
| Aetna | All_Plans | $1,096.20 | ↑ +2% |
| First_Health_Network | All_Plans | $1,205.55 | ↑ +12% |
Visitor-reported prices
Comments
Pregnancy Ultrasound (complete, after first trimester) at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $682.80 | $46.50 – $910.40 |
| UPMC Bedford | Everett | $416.40 | $36.58 – $624.60 |
| UPMC Carlisle | Carlisle | $394.20 | $60.91 – $558.45 |
| UPMC Cole | Coudersport | $632.40 | $81.38 – $843.20 |
| UPMC Community Osteopathic | Harrisburg | $394.20 | $60.91 – $558.45 |
| UPMC Hamot | Erie | $828.60 | $85.25 – $334.58 |
| UPMC Northwest | Seneca | $610.80 | $85.25 – $317.61 |
| UPMC Hanover | Hanover | $394.20 | $60.91 – $332.38 |