Prostate biopsy, any mthd at WellSpan Good Samaritan Hospital
252 S. 4th St., Lebanon, PA · Wellspan · · NPI 1407928500
$264.00
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.
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What you pay up front if you don't use insurance.
$330.00
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.
$26.32 with Blue_Cross vs $1,575.43 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 →
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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 |
|---|---|---|---|
| Blue_Cross | Capital_Blue_Performance_PPO | $26.32 | ↓ -90% |
| Health_Partners_Medicaid | All_Other_Plans | $42.50 | ↓ -84% |
| Geisinger_Medicaid | All_Plans | $42.50 | ↓ -84% |
| Aetna_Better_Health_Kids | All_Plans | $59.40 | ↓ -78% |
| Blue_Cross | Capital_Cares_4_kids | $134.94 | ↓ -49% |
| Blue_Cross | Capital_Blue_Cross_Healthy_Benefits_PPO | $154.21 | ↓ -42% |
| Blue_Cross | All_Other_Plans | $192.75 | ↓ -27% |
| UPMC | Employees_And_Dependents | $198.00 | ↓ -25% |
| WellSpan_Capital_Blue_Cross | All_Plans | $198.00 | ↓ -25% |
| Geisinger | All_Plans | $198.00 | ↓ -25% |
| UPMC | UPMC_For_Kids | $198.00 | ↓ -25% |
| PHC | All_Plans | $264.00 | ↑ +0% |
| Highmark_Wholecare_Gateway_Medicaid | All_Plans | $269.79 | ↑ +2% |
| Cigna | All_Plans | $275.42 | ↑ +4% |
| Blue_Cross_BlueJourney_Medicare | All_Plans | $355.34 | ↑ +35% |
| Highmark_Medicare | All_Plans | $358.89 | ↑ +36% |
| Aetna_Medicare | All_Plans | $366.00 | ↑ +39% |
| Aetna_Advantra_Medicare | All_Plans | $366.00 | ↑ +39% |
| United_Medicare | ISNP_DSNP_Plans | $373.11 | ↑ +41% |
| Devoted_Medicare | All_Plans | $373.11 | ↑ +41% |
| Geisinger_Gold_Medicare | All_Plans | $373.11 | ↑ +41% |
| Highmark_Wholecare_Gateway_Medicare | All_Plans | $374.71 | ↑ +42% |
| UPMC_Medicare | UPMC_for_Life_Complete_Care | $374.88 | ↑ +42% |
| UPMC_Medicare | UPMC_for_Life_Community_HealthChoices | $374.88 | ↑ +42% |
| Amerihealth_Medicare | All_Plans | $374.88 | ↑ +42% |
| Jefferson_Health_Medicare_Advantage | All_Plans | $383.77 | ↑ +45% |
| PA_Health_&_Wellness_Medicare | All_Plans | $383.77 | ↑ +45% |
| Highmark | Higmark_Healthy_Kids | $550.78 | ↑ +109% |
| Health_Partners_Medicaid | Kidz_Partners | $586.31 | ↑ +122% |
| United_Medicaid | Community_Plan_For_Kids | $621.85 | ↑ +136% |
| United_Healthcare | All_Plans | $1,027.44 | ↑ +289% |
| Highmark | Choice_Blue_PPO | $1,074.80 | ↑ +307% |
| Highmark | Performance_Blue | $1,074.80 | ↑ +307% |
| Highmark | Blue_Cross_High_Performance_Network | $1,074.80 | ↑ +307% |
| Highmark | All_Other_Plans | $1,294.97 | ↑ +391% |
| Aetna | All_Plans | $1,433.15 | ↑ +443% |
| First_Health_Network | All_Plans | $1,575.43 | ↑ +497% |
Visitor-reported prices
Comments
Prostate biopsy, any mthd at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $287.40 | $239.50 – $774.58 |
| UPMC Bedford | Everett | $308.40 | $123.74 – $462.60 |
| UPMC Carlisle | Carlisle | $643.20 | $146.86 – $911.20 |
| UPMC Cole | Coudersport | $1,301.40 | $53.00 – $1,735.20 |
| UPMC Community Osteopathic | Harrisburg | $643.20 | $214.40 – $911.20 |
| UPMC East | Monroeville | $308.40 | $127.95 – $781.96 |
| UPMC Hamot | Erie | $334.20 | $157.05 – $774.58 |
| UPMC Northwest | Seneca | $308.40 | $129.14 – $370.39 |