Repair rpr lip full thickness vermilion only 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

$1,601.60

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.

$2,002.00

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.

$311.16 with UPMC_Medicaid vs $3,498.00 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 →

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
UPMC_Medicaid All_Plans $311.16 ↓ -81%
Geisinger_Medicaid All_Plans $311.16 ↓ -81%
Health_Partners_Medicaid All_Other_Plans $311.16 ↓ -81%
Highmark_Wholecare_Gateway_Medicaid All_Plans $311.16 ↓ -81%
PA_Health_&_Wellness_Medicaid All_Plans $311.16 ↓ -81%
Amerihealth_Caritas_Medicaid All_Plans $353.48 ↓ -78%
Blue_Cross_BlueJourney_Medicare All_Plans $503.05 ↓ -69%
Highmark_Medicare All_Plans $508.08 ↓ -68%
Aetna_Medicare All_Plans $518.14 ↓ -68%
Aetna_Advantra_Medicare All_Plans $518.14 ↓ -68%
Geisinger_Gold_Medicare All_Plans $528.20 ↓ -67%
United_Medicare ISNP_DSNP_Plans $528.20 ↓ -67%
Devoted_Medicare All_Plans $528.20 ↓ -67%
Highmark_Wholecare_Gateway_Medicare All_Plans $530.47 ↓ -67%
UPMC_Medicare UPMC_for_Life_Community_HealthChoices $530.72 ↓ -67%
Amerihealth_Medicare All_Plans $530.72 ↓ -67%
UPMC_Medicare UPMC_for_Life_Complete_Care $530.72 ↓ -67%
PA_Health_&_Wellness_Medicare All_Plans $543.29 ↓ -66%
Jefferson_Health_Medicare_Advantage All_Plans $543.29 ↓ -66%
Highmark Higmark_Healthy_Kids $779.73 ↓ -51%
Health_Partners_Medicaid Kidz_Partners $830.03 ↓ -48%
Aetna_Better_Health_Kids All_Plans $846.36 ↓ -47%
United_Medicaid Community_Plan_For_Kids $880.34 ↓ -45%
WellSpan_Capital_Blue_Cross All_Plans $1,201.20 ↓ -25%
UPMC Employees_And_Dependents $1,201.20 ↓ -25%
UPMC UPMC_For_Kids $1,201.20 ↓ -25%
Geisinger All_Plans $1,201.20 ↓ -25%
Cigna All_Plans $1,277.68 ↓ -20%
Highmark Blue_Cross_High_Performance_Network $1,521.58 ↓ -5%
Highmark Choice_Blue_PPO $1,521.58 ↓ -5%
Highmark Performance_Blue $1,521.58 ↓ -5%
PHC All_Plans $1,601.60 ↑ +0%
Aetna All_Plans $1,625.62 ↑ +1%
First_Health_Network All_Plans $1,787.79 ↑ +12%
Highmark All_Other_Plans $1,833.27 ↑ +14%
United_Healthcare All_Plans $1,877.88 ↑ +17%
Blue_Cross Capital_Cares_4_kids $2,448.60 ↑ +53%
Blue_Cross Capital_Blue_Performance_PPO $2,620.00 ↑ +64%
Blue_Cross Capital_Blue_Cross_Healthy_Benefits_PPO $2,798.40 ↑ +75%
Blue_Cross All_Other_Plans $3,498.00 ↑ +118%

Visitor-reported prices

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Repair rpr lip full thickness vermilion only at other Pennsylvania hospitals

Hospital City Cash price Negotiated range
UPMC Carlisle Carlisle $993.00 $226.74 – $1,406.75
UPMC Community Osteopathic Harrisburg $993.00 $316.14 – $2,637.49
UPMC Hamot Erie $3,558.60 $273.82 – $1,188.02
UPMC Hanover Hanover $993.00 $316.14 – $1,443.91
UPMC Jameson New Castle $1,159.80 $273.82 – $1,379.73
UPMC Lititz Lititz $993.00 $316.14 – $1,016.56
UPMC Memorial York $993.00 $316.14 – $1,443.91
UPMC Mercy Pittsburgh $2,097.00 $273.82 – $857.21

All Pennsylvania hospitals for this procedure →