Radphm lcl tmr plnr bdy two day img at WellSpan Good Samaritan Hospital
252 S. 4th St., Lebanon, PA · Wellspan · · NPI 1407928500
$4,720.00
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.
$5,900.00
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.
$447.83 with UPMC_Medicaid vs $7,779.35 with United_Healthcare — 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 |
|---|---|---|---|
| UPMC_Medicaid | All_Plans | $447.83 | ↓ -91% |
| Highmark_Wholecare_Gateway_Medicaid | All_Plans | $447.83 | ↓ -91% |
| PA_Health_&_Wellness_Medicaid | All_Plans | $447.83 | ↓ -91% |
| Health_Partners_Medicaid | All_Other_Plans | $447.83 | ↓ -91% |
| Geisinger_Medicaid | All_Plans | $447.83 | ↓ -91% |
| Blue_Cross | Capital_Blue_Performance_PPO | $464.08 | ↓ -90% |
| Amerihealth_Caritas_Medicaid | All_Plans | $508.73 | ↓ -89% |
| Aetna_Better_Health_Kids | All_Plans | $1,218.08 | ↓ -74% |
| Blue_Cross_BlueJourney_Medicare | All_Plans | $1,289.58 | ↓ -73% |
| Highmark_Medicare | All_Plans | $1,302.48 | ↓ -72% |
| Aetna_Advantra_Medicare | All_Plans | $1,328.27 | ↓ -72% |
| Aetna_Medicare | All_Plans | $1,328.27 | ↓ -72% |
| Devoted_Medicare | All_Plans | $1,354.06 | ↓ -71% |
| Geisinger_Gold_Medicare | All_Plans | $1,354.06 | ↓ -71% |
| United_Medicare | ISNP_DSNP_Plans | $1,354.06 | ↓ -71% |
| Highmark_Wholecare_Gateway_Medicare | All_Plans | $1,359.86 | ↓ -71% |
| Amerihealth_Medicare | All_Plans | $1,360.51 | ↓ -71% |
| UPMC_Medicare | UPMC_for_Life_Community_HealthChoices | $1,360.51 | ↓ -71% |
| UPMC_Medicare | UPMC_for_Life_Complete_Care | $1,360.51 | ↓ -71% |
| Jefferson_Health_Medicare_Advantage | All_Plans | $1,392.75 | ↓ -70% |
| PA_Health_&_Wellness_Medicare | All_Plans | $1,392.75 | ↓ -70% |
| Highmark | Higmark_Healthy_Kids | $1,998.85 | ↓ -58% |
| Health_Partners_Medicaid | Kidz_Partners | $2,127.81 | ↓ -55% |
| Blue_Cross | Capital_Cares_4_kids | $2,129.11 | ↓ -55% |
| United_Medicaid | Community_Plan_For_Kids | $2,256.77 | ↓ -52% |
| Blue_Cross | Capital_Blue_Cross_Healthy_Benefits_PPO | $2,433.26 | ↓ -48% |
| Blue_Cross | All_Other_Plans | $3,041.58 | ↓ -36% |
| Cigna | All_Plans | $3,070.36 | ↓ -35% |
| WellSpan_Capital_Blue_Cross | All_Plans | $3,540.00 | ↓ -25% |
| UPMC | Employees_And_Dependents | $3,540.00 | ↓ -25% |
| UPMC | UPMC_For_Kids | $3,540.00 | ↓ -25% |
| Geisinger | All_Plans | $3,540.00 | ↓ -25% |
| Highmark | Blue_Cross_High_Performance_Network | $3,900.59 | ↓ -17% |
| Highmark | Performance_Blue | $3,900.59 | ↓ -17% |
| Highmark | Choice_Blue_PPO | $3,900.59 | ↓ -17% |
| Highmark | All_Other_Plans | $4,699.62 | ↓ -0% |
| PHC | All_Plans | $4,720.00 | ↑ +0% |
| Aetna | All_Plans | $4,790.80 | ↑ +2% |
| First_Health_Network | All_Plans | $5,268.70 | ↑ +12% |
| United_Healthcare | All_Plans | $7,779.35 | ↑ +65% |
Visitor-reported prices
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Radphm lcl tmr plnr bdy two day img at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $2,796.00 | $232.80 – $3,728.00 |
| UPMC Carlisle | Carlisle | $4,242.60 | $412.78 – $6,010.35 |
| UPMC Community Osteopathic | Harrisburg | $4,242.60 | $412.78 – $6,010.35 |
| UPMC Hamot | Erie | $2,486.40 | $232.80 – $1,888.73 |
| UPMC Hanover | Hanover | $4,242.60 | $412.78 – $1,995.41 |
| UPMC Jameson | New Castle | $2,109.00 | $236.90 – $1,555.78 |
| UPMC Kane | Kane | $1,603.80 | $394.09 – $2,271.73 |
| UPMC Lititz | Lititz | $4,242.60 | $412.78 – $2,006.18 |