Removal cerclage without anes at WellSpan Good Samaritan Hospital
252 S. 4th St., Lebanon, PA · Wellspan · · NPI 1407928500
$192.80
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.
$241.00
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.
$43.38 with Aetna_Better_Health_Kids vs $1,616.00 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 |
|---|---|---|---|
| Aetna_Better_Health_Kids | All_Plans | $43.38 | ↓ -78% |
| Aetna | All_Plans | $134.96 | ↓ -30% |
| UPMC | UPMC_For_Kids | $144.60 | ↓ -25% |
| Geisinger | All_Plans | $144.60 | ↓ -25% |
| WellSpan_Capital_Blue_Cross | All_Plans | $144.60 | ↓ -25% |
| UPMC | Employees_And_Dependents | $144.60 | ↓ -25% |
| First_Health_Network | All_Plans | $148.46 | ↓ -23% |
| Highmark_Wholecare_Gateway_Medicaid | All_Plans | $150.88 | ↓ -22% |
| Cigna | All_Plans | $153.81 | ↓ -20% |
| PHC | All_Plans | $192.80 | ↑ +0% |
| Blue_Cross_BlueJourney_Medicare | All_Plans | $198.72 | ↑ +3% |
| Health_Partners_Medicaid | All_Other_Plans | $198.72 | ↑ +3% |
| Highmark_Medicare | All_Plans | $200.71 | ↑ +4% |
| Aetna_Medicare | All_Plans | $204.68 | ↑ +6% |
| Aetna_Advantra_Medicare | All_Plans | $204.68 | ↑ +6% |
| Geisinger_Gold_Medicare | All_Plans | $208.66 | ↑ +8% |
| Devoted_Medicare | All_Plans | $208.66 | ↑ +8% |
| United_Medicare | ISNP_DSNP_Plans | $208.66 | ↑ +8% |
| Highmark_Wholecare_Gateway_Medicare | All_Plans | $209.55 | ↑ +9% |
| UPMC_Medicare | UPMC_for_Life_Community_HealthChoices | $209.65 | ↑ +9% |
| UPMC_Medicare | UPMC_for_Life_Complete_Care | $209.65 | ↑ +9% |
| Amerihealth_Medicare | All_Plans | $209.65 | ↑ +9% |
| Jefferson_Health_Medicare_Advantage | All_Plans | $214.62 | ↑ +11% |
| PA_Health_&_Wellness_Medicare | All_Plans | $214.62 | ↑ +11% |
| United_Healthcare | All_Plans | $226.06 | ↑ +17% |
| Highmark | Higmark_Healthy_Kids | $308.02 | ↑ +60% |
| Health_Partners_Medicaid | Kidz_Partners | $327.89 | ↑ +70% |
| United_Medicaid | Community_Plan_For_Kids | $347.76 | ↑ +80% |
| Highmark | Performance_Blue | $601.07 | ↑ +212% |
| Highmark | Blue_Cross_High_Performance_Network | $601.07 | ↑ +212% |
| Highmark | Choice_Blue_PPO | $601.07 | ↑ +212% |
| Highmark | All_Other_Plans | $724.20 | ↑ +276% |
| Blue_Cross | Capital_Cares_4_kids | $1,131.20 | ↑ +487% |
| Blue_Cross | Capital_Blue_Performance_PPO | $1,209.00 | ↑ +527% |
| Blue_Cross | Capital_Blue_Cross_Healthy_Benefits_PPO | $1,292.80 | ↑ +571% |
| Blue_Cross | All_Other_Plans | $1,616.00 | ↑ +738% |
Visitor-reported prices
Comments
Removal cerclage without anes at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Hamot | Erie | $2,788.20 | $221.35 – $490.91 |
| UPMC Magee | Pittsburgh | $427.20 | $179.50 – $495.58 |
| UPMC Williamsport | Williamsport | $3,022.20 | $139.08 – $207.13 |
| WellSpan Chambersburg Hospital | Chambersburg | $192.80 | $150.88 – $925.20 |
| WellSpan Ephrata Community Hospital | Ephrata | $192.80 | $150.88 – $340.01 |
| Uniontown Hospital | Uniontown | $246.50 | not published |
| WellSpan Gettysburg Hospital | Gettysburg | $192.80 | $150.88 – $360.52 |
| UPMC Community Osteopathic | Harrisburg | not published | $142.34 – $1,471.05 |