Puncture spinal lumbar diagnostic at WellSpan Good Samaritan Hospital
252 S. 4th St., Lebanon, PA · Wellspan · · NPI 1407928500
$1,392.00
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.
$1,740.00
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.
$52.50 with Health_Partners_Medicaid vs $3,432.00 with Blue_Cross — 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 |
|---|---|---|---|
| Health_Partners_Medicaid | All_Other_Plans | $52.50 | ↓ -96% |
| PA_Health_&_Wellness_Medicaid | All_Plans | $52.50 | ↓ -96% |
| Geisinger_Medicaid | All_Plans | $52.50 | ↓ -96% |
| UPMC_Medicaid | All_Plans | $52.50 | ↓ -96% |
| Highmark_Wholecare_Gateway_Medicaid | All_Plans | $52.50 | ↓ -96% |
| Amerihealth_Caritas_Medicaid | All_Plans | $59.64 | ↓ -96% |
| Aetna_Better_Health_Kids | All_Plans | $142.80 | ↓ -90% |
| Blue_Cross_BlueJourney_Medicare | All_Plans | $684.09 | ↓ -51% |
| Highmark_Medicare | All_Plans | $690.93 | ↓ -50% |
| Aetna_Advantra_Medicare | All_Plans | $704.61 | ↓ -49% |
| Aetna_Medicare | All_Plans | $704.61 | ↓ -49% |
| Geisinger_Gold_Medicare | All_Plans | $718.29 | ↓ -48% |
| Devoted_Medicare | All_Plans | $718.29 | ↓ -48% |
| United_Medicare | ISNP_DSNP_Plans | $718.29 | ↓ -48% |
| Highmark_Wholecare_Gateway_Medicare | All_Plans | $721.37 | ↓ -48% |
| Amerihealth_Medicare | All_Plans | $721.71 | ↓ -48% |
| UPMC_Medicare | UPMC_for_Life_Complete_Care | $721.71 | ↓ -48% |
| UPMC_Medicare | UPMC_for_Life_Community_HealthChoices | $721.71 | ↓ -48% |
| Jefferson_Health_Medicare_Advantage | All_Plans | $738.82 | ↓ -47% |
| PA_Health_&_Wellness_Medicare | All_Plans | $738.82 | ↓ -47% |
| WellSpan_Capital_Blue_Cross | All_Plans | $1,044.00 | ↓ -25% |
| UPMC | Employees_And_Dependents | $1,044.00 | ↓ -25% |
| UPMC | UPMC_For_Kids | $1,044.00 | ↓ -25% |
| Geisinger | All_Plans | $1,044.00 | ↓ -25% |
| Highmark | Higmark_Healthy_Kids | $1,060.34 | ↓ -24% |
| Cigna | All_Plans | $1,110.47 | ↓ -20% |
| Health_Partners_Medicaid | Kidz_Partners | $1,128.75 | ↓ -19% |
| United_Medicaid | Community_Plan_For_Kids | $1,197.16 | ↓ -14% |
| PHC | All_Plans | $1,392.00 | ↑ +0% |
| Aetna | All_Plans | $1,412.88 | ↑ +2% |
| First_Health_Network | All_Plans | $1,553.82 | ↑ +12% |
| United_Healthcare | All_Plans | $1,632.12 | ↑ +17% |
| Highmark | Blue_Cross_High_Performance_Network | $2,069.17 | ↑ +49% |
| Highmark | Performance_Blue | $2,069.17 | ↑ +49% |
| Highmark | Choice_Blue_PPO | $2,069.17 | ↑ +49% |
| Blue_Cross | Capital_Cares_4_kids | $2,402.40 | ↑ +73% |
| Highmark | All_Other_Plans | $2,493.03 | ↑ +79% |
| Blue_Cross | Capital_Blue_Performance_PPO | $2,571.00 | ↑ +85% |
| Blue_Cross | Capital_Blue_Cross_Healthy_Benefits_PPO | $2,745.60 | ↑ +97% |
| Blue_Cross | All_Other_Plans | $3,432.00 | ↑ +147% |
Visitor-reported prices
Comments
Puncture spinal lumbar diagnostic at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $1,192.20 | $42.00 – $1,589.60 |
| UPMC Bedford | Everett | $1,214.40 | $44.10 – $1,821.60 |
| UPMC Carlisle | Carlisle | $2,020.80 | $53.34 – $2,862.80 |
| UPMC Cole | Coudersport | $1,266.00 | $33.54 – $771.51 |
| UPMC Community Osteopathic | Harrisburg | $2,040.00 | $53.34 – $2,862.80 |
| UPMC East | Monroeville | $2,281.20 | $46.20 – $3,041.60 |
| UPMC Hamot | Erie | $2,310.60 | $46.20 – $960.26 |
| UPMC Northwest | Seneca | $1,156.80 | $46.20 – $693.24 |