Replace g/c tube perc at WellSpan Good Samaritan Hospital
252 S. 4th St., Lebanon, PA · Wellspan · · NPI 1407928500
$1,808.80
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.
?
What you pay up front if you don't use insurance.
$2,261.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$63.88 with Highmark_Wholecare_Gateway_Medicaid vs $3,432.00 with Blue_Cross — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 |
|---|---|---|---|
| Highmark_Wholecare_Gateway_Medicaid | All_Plans | $63.88 | ↓ -96% |
| Geisinger_Medicaid | All_Plans | $63.88 | ↓ -96% |
| Health_Partners_Medicaid | All_Other_Plans | $63.88 | ↓ -96% |
| UPMC_Medicaid | All_Plans | $63.88 | ↓ -96% |
| PA_Health_&_Wellness_Medicaid | All_Plans | $63.88 | ↓ -96% |
| Amerihealth_Caritas_Medicaid | All_Plans | $72.56 | ↓ -96% |
| Aetna_Better_Health_Kids | All_Plans | $173.74 | ↓ -90% |
| Blue_Cross_BlueJourney_Medicare | All_Plans | $926.14 | ↓ -49% |
| Highmark_Medicare | All_Plans | $935.40 | ↓ -48% |
| Aetna_Advantra_Medicare | All_Plans | $953.92 | ↓ -47% |
| Aetna_Medicare | All_Plans | $953.92 | ↓ -47% |
| Geisinger_Gold_Medicare | All_Plans | $972.45 | ↓ -46% |
| United_Medicare | ISNP_DSNP_Plans | $972.45 | ↓ -46% |
| Devoted_Medicare | All_Plans | $972.45 | ↓ -46% |
| Highmark_Wholecare_Gateway_Medicare | All_Plans | $976.61 | ↓ -46% |
| UPMC_Medicare | UPMC_for_Life_Complete_Care | $977.08 | ↓ -46% |
| UPMC_Medicare | UPMC_for_Life_Community_HealthChoices | $977.08 | ↓ -46% |
| Amerihealth_Medicare | All_Plans | $977.08 | ↓ -46% |
| PA_Health_&_Wellness_Medicare | All_Plans | $1,000.23 | ↓ -45% |
| Jefferson_Health_Medicare_Advantage | All_Plans | $1,000.23 | ↓ -45% |
| Aetna | All_Plans | $1,266.16 | ↓ -30% |
| Geisinger | All_Plans | $1,356.60 | ↓ -25% |
| WellSpan_Capital_Blue_Cross | All_Plans | $1,356.60 | ↓ -25% |
| UPMC | Employees_And_Dependents | $1,356.60 | ↓ -25% |
| UPMC | UPMC_For_Kids | $1,356.60 | ↓ -25% |
| First_Health_Network | All_Plans | $1,392.78 | ↓ -23% |
| Highmark | Higmark_Healthy_Kids | $1,435.52 | ↓ -21% |
| Cigna | All_Plans | $1,442.97 | ↓ -20% |
| Health_Partners_Medicaid | Kidz_Partners | $1,528.13 | ↓ -16% |
| United_Medicaid | Community_Plan_For_Kids | $1,620.75 | ↓ -10% |
| PHC | All_Plans | $1,808.80 | ↑ +0% |
| United_Healthcare | All_Plans | $2,120.82 | ↑ +17% |
| Blue_Cross | Capital_Cares_4_kids | $2,402.40 | ↑ +33% |
| Blue_Cross | Capital_Blue_Performance_PPO | $2,571.00 | ↑ +42% |
| Blue_Cross | Capital_Blue_Cross_Healthy_Benefits_PPO | $2,745.60 | ↑ +52% |
| Highmark | Blue_Cross_High_Performance_Network | $2,801.30 | ↑ +55% |
| Highmark | Choice_Blue_PPO | $2,801.30 | ↑ +55% |
| Highmark | Performance_Blue | $2,801.30 | ↑ +55% |
| Highmark | All_Other_Plans | $3,375.13 | ↑ +87% |
| Blue_Cross | All_Other_Plans | $3,432.00 | ↑ +90% |
Visitor-reported prices
Comments
Replace g/c tube perc at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $2,872.20 | $51.10 – $3,829.60 |
| UPMC Bedford | Everett | $8,557.80 | $53.66 – $12,836.70 |
| UPMC Carlisle | Carlisle | $3,972.00 | $64.90 – $5,627.00 |
| UPMC Community Osteopathic | Harrisburg | $3,972.00 | $68.98 – $5,627.00 |
| UPMC East | Monroeville | $5,715.00 | $56.21 – $7,620.00 |
| UPMC Hamot | Erie | $2,828.40 | $56.21 – $1,317.78 |
| UPMC Northwest | Seneca | $2,695.80 | $56.21 – $1,150.09 |
| UPMC Hanover | Hanover | $3,972.00 | $64.90 – $1,433.04 |