Pt application of modality traction mechanical at WellSpan Good Samaritan Hospital
252 S. 4th St., Lebanon, PA · Wellspan · · NPI 1407928500
$172.00
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.
$215.00
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.
$13.78 with Blue_Cross_BlueJourney_Medicare vs $421.00 with Blue_Cross — 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_BlueJourney_Medicare | All_Plans | $13.78 | ↓ -92% |
| Highmark_Medicare | All_Plans | $13.92 | ↓ -92% |
| Aetna_Advantra_Medicare | All_Plans | $14.19 | ↓ -92% |
| Aetna_Medicare | All_Plans | $14.19 | ↓ -92% |
| Geisinger_Gold_Medicare | All_Plans | $14.47 | ↓ -92% |
| Devoted_Medicare | All_Plans | $14.47 | ↓ -92% |
| United_Medicare | ISNP_DSNP_Plans | $14.47 | ↓ -92% |
| Highmark_Wholecare_Gateway_Medicare | All_Plans | $14.53 | ↓ -92% |
| UPMC_Medicare | UPMC_for_Life_Complete_Care | $14.54 | ↓ -92% |
| UPMC_Medicare | UPMC_for_Life_Community_HealthChoices | $14.54 | ↓ -92% |
| Amerihealth_Medicare | All_Plans | $14.54 | ↓ -92% |
| PA_Health_&_Wellness_Medicare | All_Plans | $14.88 | ↓ -91% |
| Jefferson_Health_Medicare_Advantage | All_Plans | $14.88 | ↓ -91% |
| Highmark | Higmark_Healthy_Kids | $21.36 | ↓ -88% |
| United_Medicaid | Community_Plan_For_Kids | $24.12 | ↓ -86% |
| Highmark | Performance_Blue | $41.68 | ↓ -76% |
| Highmark | Choice_Blue_PPO | $41.68 | ↓ -76% |
| Highmark | Blue_Cross_High_Performance_Network | $41.68 | ↓ -76% |
| Geisinger_Medicaid | All_Plans | $50.00 | ↓ -71% |
| Highmark_Wholecare_Gateway_Medicaid | All_Plans | $50.00 | ↓ -71% |
| UPMC_Medicaid | All_Plans | $50.00 | ↓ -71% |
| PA_Health_&_Wellness_Medicaid | All_Plans | $50.00 | ↓ -71% |
| Health_Partners_Medicaid | All_Other_Plans | $50.00 | ↓ -71% |
| Highmark | All_Other_Plans | $50.22 | ↓ -71% |
| Amerihealth_Caritas_Medicaid | All_Plans | $56.80 | ↓ -67% |
| Health_Partners_Medicaid | Kidz_Partners | $64.50 | ↓ -63% |
| WellSpan_Capital_Blue_Cross | All_Plans | $129.00 | ↓ -25% |
| UPMC | Employees_And_Dependents | $129.00 | ↓ -25% |
| UPMC | UPMC_For_Kids | $129.00 | ↓ -25% |
| Geisinger | All_Plans | $129.00 | ↓ -25% |
| Aetna_Better_Health_Kids | All_Plans | $136.00 | ↓ -21% |
| Cigna | All_Plans | $137.21 | ↓ -20% |
| PHC | All_Plans | $172.00 | ↑ +0% |
| Aetna | All_Plans | $174.58 | ↑ +2% |
| First_Health_Network | All_Plans | $192.00 | ↑ +12% |
| United_Healthcare | All_Plans | $201.67 | ↑ +17% |
| Blue_Cross | Capital_Cares_4_kids | $294.70 | ↑ +71% |
| Blue_Cross | Capital_Blue_Performance_PPO | $323.00 | ↑ +88% |
| Blue_Cross | Capital_Blue_Cross_Healthy_Benefits_PPO | $393.60 | ↑ +129% |
| Blue_Cross | All_Other_Plans | $421.00 | ↑ +145% |
Visitor-reported prices
Comments
Pt application of modality traction mechanical at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Cole | Coudersport | $65.40 | $14.87 – $87.20 |
| UPMC East | Monroeville | $93.00 | $21.77 – $124.00 |
| UPMC Hamot | Erie | $187.80 | $21.56 – $100.11 |
| UPMC Kane | Kane | $90.60 | $43.65 – $61.07 |
| UPMC Mercy | Pittsburgh | $130.20 | $21.56 – $59.48 |
| UPMC Muncy | Muncy | $103.20 | $16.76 – $45.14 |
| UPMC Presbyterian | Pittsburgh | $213.60 | $15.71 – $121.78 |
| UPMC St. Margaret | Pittsburgh | $133.20 | $21.77 – $92.42 |