Reposition pm/icd lead 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

$9,317.60

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.

$11,647.00

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.

$3,109.16 with Blue_Cross_BlueJourney_Medicare 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
Blue_Cross_BlueJourney_Medicare All_Plans $3,109.16 ↓ -67%
Highmark_Medicare All_Plans $3,140.25 ↓ -66%
Health_Partners_Medicaid All_Other_Plans $3,147.50 ↓ -66%
Aetna_Advantra_Medicare All_Plans $3,202.43 ↓ -66%
Aetna_Medicare All_Plans $3,202.43 ↓ -66%
Devoted_Medicare All_Plans $3,264.62 ↓ -65%
United_Medicare ISNP_DSNP_Plans $3,264.62 ↓ -65%
Geisinger_Gold_Medicare All_Plans $3,264.62 ↓ -65%
Highmark_Wholecare_Gateway_Medicare All_Plans $3,278.61 ↓ -65%
UPMC_Medicare UPMC_for_Life_Community_HealthChoices $3,280.16 ↓ -65%
UPMC_Medicare UPMC_for_Life_Complete_Care $3,280.16 ↓ -65%
Amerihealth_Medicare All_Plans $3,280.16 ↓ -65%
Jefferson_Health_Medicare_Advantage All_Plans $3,357.89 ↓ -64%
PA_Health_&_Wellness_Medicare All_Plans $3,357.89 ↓ -64%
Highmark Higmark_Healthy_Kids $4,819.20 ↓ -48%
Health_Partners_Medicaid Kidz_Partners $5,130.11 ↓ -45%
United_Medicaid Community_Plan_For_Kids $5,441.03 ↓ -42%
Blue_Cross Capital_Blue_Performance_PPO $6,066.00 ↓ -35%
Aetna_Better_Health_Kids All_Plans $6,420.00 ↓ -31%
Blue_Cross Capital_Blue_Cross_Healthy_Benefits_PPO $6,480.80 ↓ -30%
Aetna All_Plans $6,522.32 ↓ -30%
Blue_Cross Capital_Cares_4_kids $6,956.60 ↓ -25%
Geisinger All_Plans $6,988.20 ↓ -25%
WellSpan_Capital_Blue_Cross All_Plans $6,988.20 ↓ -25%
UPMC Employees_And_Dependents $6,988.20 ↓ -25%
UPMC UPMC_For_Kids $6,988.20 ↓ -25%
First_Health_Network All_Plans $7,174.55 ↓ -23%
Cigna All_Plans $7,433.12 ↓ -20%
Blue_Cross All_Other_Plans $8,101.00 ↓ -13%
PHC All_Plans $9,317.60 ↑ +0%
Highmark Performance_Blue $9,404.28 ↑ +1%
Highmark Blue_Cross_High_Performance_Network $9,404.28 ↑ +1%
Highmark Choice_Blue_PPO $9,404.28 ↑ +1%
United_Healthcare All_Plans $10,924.89 ↑ +17%
Highmark All_Other_Plans $11,330.71 ↑ +22%

Visitor-reported prices

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Reposition pm/icd lead at other Pennsylvania hospitals

Hospital City Cash price Negotiated range
UPMC Altoona Altoona $2,233.80 $560.82 – $3,240.82
UPMC Carlisle Carlisle $4,608.60 $591.07 – $6,528.85
UPMC Community Osteopathic Harrisburg $4,608.60 $591.07 – $8,604.23
UPMC East Monroeville $2,346.60 $564.80 – $3,240.82
UPMC Hamot Erie $4,009.80 $560.82 – $4,364.40
UPMC Hanover Hanover $4,608.60 $591.07 – $8,604.23
UPMC Jameson New Castle $3,602.40 $564.80 – $4,051.03
UPMC Lititz Lititz $4,608.60 $591.07 – $8,604.23

All Pennsylvania hospitals for this procedure →