Rmvl perm pm pulse gen 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

$9,761.60

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.

Full explanation →

What you pay up front if you don't use insurance.

$12,202.00

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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$6,066.00 with Blue_Cross vs $29,792.81 with Highmark — 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 →

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
Blue_Cross Capital_Blue_Performance_PPO $6,066.00 ↓ -38%
Aetna_Better_Health_Kids All_Plans $6,420.00 ↓ -34%
Blue_Cross Capital_Blue_Cross_Healthy_Benefits_PPO $6,480.80 ↓ -34%
Aetna All_Plans $6,833.12 ↓ -30%
Blue_Cross Capital_Cares_4_kids $6,956.60 ↓ -29%
Geisinger All_Plans $7,321.20 ↓ -25%
WellSpan_Capital_Blue_Cross All_Plans $7,321.20 ↓ -25%
UPMC Employees_And_Dependents $7,321.20 ↓ -25%
UPMC UPMC_For_Kids $7,321.20 ↓ -25%
First_Health_Network All_Plans $7,516.43 ↓ -23%
Cigna All_Plans $7,787.32 ↓ -20%
Blue_Cross All_Other_Plans $8,101.00 ↓ -17%
Blue_Cross_BlueJourney_Medicare All_Plans $8,175.18 ↓ -16%
Highmark_Medicare All_Plans $8,256.93 ↓ -15%
Health_Partners_Medicaid All_Other_Plans $8,275.98 ↓ -15%
Aetna_Advantra_Medicare All_Plans $8,420.44 ↓ -14%
Aetna_Medicare All_Plans $8,420.44 ↓ -14%
Geisinger_Gold_Medicare All_Plans $8,583.94 ↓ -12%
United_Medicare ISNP_DSNP_Plans $8,583.94 ↓ -12%
Devoted_Medicare All_Plans $8,583.94 ↓ -12%
Highmark_Wholecare_Gateway_Medicare All_Plans $8,620.73 ↓ -12%
UPMC_Medicare UPMC_for_Life_Complete_Care $8,624.81 ↓ -12%
Amerihealth_Medicare All_Plans $8,624.81 ↓ -12%
UPMC_Medicare UPMC_for_Life_Community_HealthChoices $8,624.81 ↓ -12%
Jefferson_Health_Medicare_Advantage All_Plans $8,829.19 ↓ -10%
PA_Health_&_Wellness_Medicare All_Plans $8,829.19 ↓ -10%
PHC All_Plans $9,761.60 ↑ +0%
United_Healthcare All_Plans $11,445.48 ↑ +17%
Highmark Higmark_Healthy_Kids $12,671.53 ↑ +30%
Health_Partners_Medicaid Kidz_Partners $13,489.05 ↑ +38%
United_Medicaid Community_Plan_For_Kids $14,306.57 ↑ +47%
Highmark Blue_Cross_High_Performance_Network $24,727.47 ↑ +153%
Highmark Choice_Blue_PPO $24,727.47 ↑ +153%
Highmark Performance_Blue $24,727.47 ↑ +153%
Highmark All_Other_Plans $29,792.81 ↑ +205%

Visitor-reported prices

visitor-reported
Report what you paid sign in to post

Comments

Add a comment sign in to post

Rmvl perm pm pulse gen at other Pennsylvania hospitals

Hospital City Cash price Negotiated range
UPMC Altoona Altoona $1,894.80 $302.62 – $8,521.36
UPMC Carlisle Carlisle $11,583.60 $302.62 – $16,410.10
UPMC Cole Coudersport $481.20 $222.31 – $1,041.88
UPMC Community Osteopathic Harrisburg $11,583.60 $302.62 – $16,410.10
UPMC East Monroeville $1,909.80 $302.62 – $8,521.36
UPMC Hamot Erie $2,115.00 $375.72 – $11,475.67
UPMC Hanover Hanover $11,583.60 $302.62 – $12,649.66
UPMC Lititz Lititz $11,583.60 $302.62 – $12,718.00

All Pennsylvania hospitals for this procedure →