Repair complex wound scalp/arms/legs 2.6 - 7.5 cm 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

not published by hospital

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.

not published by hospital

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.

$970.00 with Health_Partners_Medicaid vs $10,303.13 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
Health_Partners_Medicaid All_Other_Plans $970.00
PA_Health_&_Wellness_Medicaid All_Plans $970.00
UPMC_Medicaid All_Plans $970.00
Highmark_Wholecare_Gateway_Medicaid All_Plans $970.00
Geisinger_Medicaid All_Plans $970.00
Amerihealth_Caritas_Medicaid All_Plans $1,101.92
Blue_Cross Capital_Blue_Performance_PPO $2,571.00
Blue_Cross Capital_Blue_Cross_Healthy_Benefits_PPO $2,745.60
Blue_Cross_BlueJourney_Medicare All_Plans $2,827.19
Highmark_Medicare All_Plans $2,855.46
Aetna_Medicare All_Plans $2,912.01
Aetna_Advantra_Medicare All_Plans $2,912.01
United_Medicare ISNP_DSNP_Plans $2,968.55
Geisinger_Gold_Medicare All_Plans $2,968.55
Devoted_Medicare All_Plans $2,968.55
Highmark_Wholecare_Gateway_Medicare All_Plans $2,981.27
UPMC_Medicare UPMC_for_Life_Complete_Care $2,982.69
UPMC_Medicare UPMC_for_Life_Community_HealthChoices $2,982.69
Amerihealth_Medicare All_Plans $2,982.69
PA_Health_&_Wellness_Medicare All_Plans $3,053.37
Jefferson_Health_Medicare_Advantage All_Plans $3,053.37
Blue_Cross Capital_Cares_4_kids $3,432.00
Blue_Cross All_Other_Plans $3,432.00
Highmark Higmark_Healthy_Kids $4,382.14
Health_Partners_Medicaid Kidz_Partners $4,664.86
United_Medicaid Community_Plan_For_Kids $4,947.58
Aetna_Better_Health_Kids All_Plans $6,420.00
Highmark Choice_Blue_PPO $8,551.40
Highmark Performance_Blue $8,551.40
Highmark Blue_Cross_High_Performance_Network $8,551.40
Highmark All_Other_Plans $10,303.13
WellSpan_Capital_Blue_Cross All_Plans not published by hospital
UPMC Employees_And_Dependents not published by hospital
UPMC UPMC_For_Kids not published by hospital
Geisinger All_Plans not published by hospital
Cigna All_Plans not published by hospital
First_Health_Network All_Plans not published by hospital
PHC All_Plans not published by hospital
Aetna All_Plans not published by hospital

Visitor-reported prices

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Repair complex wound scalp/arms/legs 2.6 - 7.5 cm at other Pennsylvania hospitals

Hospital City Cash price Negotiated range
UPMC Altoona Altoona $1,402.20 $577.06 – $1,869.60
UPMC Bedford Everett $1,863.00 $210.56 – $2,794.50
UPMC Carlisle Carlisle $1,664.40 $322.07 – $2,357.90
UPMC Cole Coudersport $1,941.60 $195.70 – $1,192.92
UPMC Community Osteopathic Harrisburg $1,664.40 $554.80 – $2,655.46
UPMC East Monroeville $3,504.60 $585.17 – $4,672.80
UPMC Hamot Erie $3,582.60 $603.82 – $848.80
UPMC Northwest Seneca $5,299.20 $529.26 – $630.28

All Pennsylvania hospitals for this procedure →