Radphm lcl tomogr sgl area sgl day 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.
$272.87 with Blue_Cross 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 |
|---|---|---|---|
| Blue_Cross | Capital_Blue_Performance_PPO | $272.87 | ↓ -94% |
| Highmark_Wholecare_Gateway_Medicaid | All_Plans | $341.46 | ↓ -93% |
| PA_Health_&_Wellness_Medicaid | All_Plans | $341.46 | ↓ -93% |
| Health_Partners_Medicaid | All_Other_Plans | $341.46 | ↓ -93% |
| UPMC_Medicaid | All_Plans | $341.46 | ↓ -93% |
| Geisinger_Medicaid | All_Plans | $341.46 | ↓ -93% |
| Amerihealth_Caritas_Medicaid | All_Plans | $387.90 | ↓ -92% |
| Aetna_Better_Health_Kids | All_Plans | $928.78 | ↓ -80% |
| Blue_Cross | Capital_Cares_4_kids | $1,251.87 | ↓ -73% |
| Blue_Cross_BlueJourney_Medicare | All_Plans | $1,289.58 | ↓ -73% |
| Highmark_Medicare | All_Plans | $1,302.48 | ↓ -72% |
| Aetna_Medicare | All_Plans | $1,328.27 | ↓ -72% |
| Aetna_Advantra_Medicare | All_Plans | $1,328.27 | ↓ -72% |
| Geisinger_Gold_Medicare | All_Plans | $1,354.06 | ↓ -71% |
| Devoted_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% |
| UPMC_Medicare | UPMC_for_Life_Complete_Care | $1,360.51 | ↓ -71% |
| UPMC_Medicare | UPMC_for_Life_Community_HealthChoices | $1,360.51 | ↓ -71% |
| Amerihealth_Medicare | All_Plans | $1,360.51 | ↓ -71% |
| Jefferson_Health_Medicare_Advantage | All_Plans | $1,392.75 | ↓ -70% |
| PA_Health_&_Wellness_Medicare | All_Plans | $1,392.75 | ↓ -70% |
| Blue_Cross | Capital_Blue_Cross_Healthy_Benefits_PPO | $1,430.71 | ↓ -70% |
| Blue_Cross | All_Other_Plans | $1,788.39 | ↓ -62% |
| Highmark | Higmark_Healthy_Kids | $1,998.85 | ↓ -58% |
| Health_Partners_Medicaid | Kidz_Partners | $2,127.81 | ↓ -55% |
| United_Medicaid | Community_Plan_For_Kids | $2,256.77 | ↓ -52% |
| 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 tomogr sgl area sgl day at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $2,767.80 | $222.19 – $3,690.40 |
| UPMC Bedford | Everett | $2,311.80 | $286.83 – $3,467.70 |
| UPMC Carlisle | Carlisle | $4,242.60 | $291.07 – $6,010.35 |
| UPMC Cole | Coudersport | $1,448.40 | $286.83 – $1,931.20 |
| UPMC Community Osteopathic | Harrisburg | $4,242.60 | $68.20 – $1,374.06 |
| UPMC East | Monroeville | $2,929.80 | $300.49 – $3,906.40 |
| UPMC Hamot | Erie | $3,064.20 | $300.49 – $1,888.73 |
| UPMC Northwest | Seneca | $2,929.80 | $300.49 – $1,306.85 |