Rem endovas vena cava filter at WellSpan Good Samaritan Hospital

252 S. 4th St., Lebanon, PA · Wellspan · · NPI 1407928500

Source: hospital's published price file ↗ · Published Jan 1, 2026 · Ingested Sep 17, 2026

$5,162.40

Cash price

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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.

$6,453.00

Gross charge

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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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$369.78 with Highmark_Wholecare_Gateway_Medicaid vs $11,330.71 with Highmark — 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 →

Payer
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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
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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
Highmark_Wholecare_Gateway_Medicaid All_Plans $369.78 ↓ -93%
Blue_Cross_BlueJourney_Medicare All_Plans $3,109.16 ↓ -40%
Health_Partners_Medicaid All_Other_Plans $3,109.16 ↓ -40%
Highmark_Medicare All_Plans $3,140.25 ↓ -39%
Aetna_Medicare All_Plans $3,202.43 ↓ -38%
Aetna_Advantra_Medicare All_Plans $3,202.43 ↓ -38%
Devoted_Medicare All_Plans $3,264.62 ↓ -37%
Geisinger_Gold_Medicare All_Plans $3,264.62 ↓ -37%
United_Medicare ISNP_DSNP_Plans $3,264.62 ↓ -37%
Highmark_Wholecare_Gateway_Medicare All_Plans $3,278.61 ↓ -36%
UPMC_Medicare UPMC_for_Life_Community_HealthChoices $3,280.16 ↓ -36%
Amerihealth_Medicare All_Plans $3,280.16 ↓ -36%
UPMC_Medicare UPMC_for_Life_Complete_Care $3,280.16 ↓ -36%
Jefferson_Health_Medicare_Advantage All_Plans $3,357.89 ↓ -35%
PA_Health_&_Wellness_Medicare All_Plans $3,357.89 ↓ -35%
Aetna All_Plans $3,613.68 ↓ -30%
UPMC Employees_And_Dependents $3,871.80 ↓ -25%
WellSpan_Capital_Blue_Cross All_Plans $3,871.80 ↓ -25%
UPMC UPMC_For_Kids $3,871.80 ↓ -25%
Geisinger All_Plans $3,871.80 ↓ -25%
First_Health_Network All_Plans $3,975.05 ↓ -23%
Cigna All_Plans $4,118.30 ↓ -20%
Highmark Higmark_Healthy_Kids $4,819.20 ↓ -7%
Health_Partners_Medicaid Kidz_Partners $5,130.11 ↓ -1%
PHC All_Plans $5,162.40 ↑ +0%
United_Medicaid Community_Plan_For_Kids $5,441.03 ↑ +5%
United_Healthcare All_Plans $6,052.91 ↑ +17%
Blue_Cross Capital_Blue_Performance_PPO $7,441.00 ↑ +44%
Blue_Cross Capital_Blue_Cross_Healthy_Benefits_PPO $7,950.40 ↑ +54%
Highmark Blue_Cross_High_Performance_Network $9,404.28 ↑ +82%
Highmark Choice_Blue_PPO $9,404.28 ↑ +82%
Highmark Performance_Blue $9,404.28 ↑ +82%
Blue_Cross All_Other_Plans $9,938.00 ↑ +93%
Blue_Cross Capital_Cares_4_kids $11,224.50 ↑ +117%
Highmark All_Other_Plans $11,330.71 ↑ +119%

Visitor-reported prices

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Rem endovas vena cava filter at other Pennsylvania hospitals

Hospital City Cash price Negotiated range
UPMC Altoona Altoona $4,810.80 $2,027.30 – $6,414.40
UPMC Carlisle Carlisle $5,819.40 $1,016.56 – $8,244.15
UPMC Community Osteopathic Harrisburg $5,819.40 $1,016.56 – $8,281.62
UPMC East Monroeville $9,767.40 $2,046.60 – $13,023.20
UPMC Hamot Erie $7,189.20 $2,027.30 – $4,364.40
UPMC Northwest Seneca $12,835.80 $2,346.68 – $3,240.82
UPMC Hanover Hanover $5,819.40 $1,016.56 – $8,281.62
UPMC Jameson New Castle $4,217.40 $892.40 – $4,051.03

All Pennsylvania hospitals for this procedure →