Prim art mech thrmbc non-intracranial 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

$9,149.60

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.

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

$11,437.00

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.

$6,404.72 with Aetna vs $64,642.63 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 →

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
Aetna All_Plans $6,404.72 ↓ -30%
Aetna_Better_Health_Kids All_Plans $6,420.00 ↓ -30%
UPMC UPMC_For_Kids $6,862.20 ↓ -25%
Geisinger All_Plans $6,862.20 ↓ -25%
WellSpan_Capital_Blue_Cross All_Plans $6,862.20 ↓ -25%
UPMC Employees_And_Dependents $6,862.20 ↓ -25%
First_Health_Network All_Plans $7,045.19 ↓ -23%
Cigna All_Plans $7,299.09 ↓ -20%
PHC All_Plans $9,149.60 ↑ +0%
United_Healthcare All_Plans $10,727.91 ↑ +17%
Blue_Cross Capital_Blue_Performance_PPO $12,006.00 ↑ +31%
Blue_Cross Capital_Blue_Cross_Healthy_Benefits_PPO $12,828.00 ↑ +40%
Blue_Cross All_Other_Plans $16,035.00 ↑ +75%
Blue_Cross_BlueJourney_Medicare All_Plans $17,738.01 ↑ +94%
Highmark_Medicare All_Plans $17,915.39 ↑ +96%
Health_Partners_Medicaid All_Other_Plans $17,956.72 ↑ +96%
Aetna_Medicare All_Plans $18,270.15 ↑ +100%
Aetna_Advantra_Medicare All_Plans $18,270.15 ↑ +100%
Geisinger_Gold_Medicare All_Plans $18,624.91 ↑ +104%
United_Medicare ISNP_DSNP_Plans $18,624.91 ↑ +104%
Devoted_Medicare All_Plans $18,624.91 ↑ +104%
Highmark_Wholecare_Gateway_Medicare All_Plans $18,704.73 ↑ +104%
Amerihealth_Medicare All_Plans $18,713.60 ↑ +105%
UPMC_Medicare UPMC_for_Life_Community_HealthChoices $18,713.60 ↑ +105%
UPMC_Medicare UPMC_for_Life_Complete_Care $18,713.60 ↑ +105%
Jefferson_Health_Medicare_Advantage All_Plans $19,157.05 ↑ +109%
PA_Health_&_Wellness_Medicare All_Plans $19,157.05 ↑ +109%
Blue_Cross Capital_Cares_4_kids $26,645.50 ↑ +191%
Highmark Higmark_Healthy_Kids $27,493.92 ↑ +200%
Health_Partners_Medicaid Kidz_Partners $29,267.72 ↑ +220%
United_Medicaid Community_Plan_For_Kids $31,041.52 ↑ +239%
Highmark Choice_Blue_PPO $53,652.16 ↑ +486%
Highmark Performance_Blue $53,652.16 ↑ +486%
Highmark Blue_Cross_High_Performance_Network $53,652.16 ↑ +486%
Highmark All_Other_Plans $64,642.63 ↑ +607%

Visitor-reported prices

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Prim art mech thrmbc non-intracranial at other Pennsylvania hospitals

Hospital City Cash price Negotiated range
UPMC Altoona Altoona $11,342.40 $4,703.49 – $18,489.15
UPMC Carlisle Carlisle $17,281.80 $1,016.56 – $27,484.42
UPMC Community Osteopathic Harrisburg $17,281.80 $1,016.56 – $24,482.55
UPMC East Monroeville $21,811.80 $4,703.49 – $29,082.40
UPMC Hamot Erie $10,990.20 $4,703.49 – $21,338.79
UPMC Hanover Hanover $17,281.80 $1,016.56 – $27,446.48
UPMC Lititz Lititz $17,281.80 $1,016.56 – $27,594.74
UPMC Magee Pittsburgh $24,655.20 $3,584.88 – $18,831.54

All Pennsylvania hospitals for this procedure →