Rmvl subq card rhythm mntr 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

$3,167.20

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.

$3,959.00

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.

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

$695.02 with Blue_Cross_BlueJourney_Medicare vs $13,047.20 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
Blue_Cross_BlueJourney_Medicare All_Plans $695.02 ↓ -78%
Highmark_Medicare All_Plans $701.97 ↓ -78%
Health_Partners_Medicaid All_Other_Plans $703.59 ↓ -78%
Aetna_Advantra_Medicare All_Plans $715.87 ↓ -77%
Aetna_Medicare All_Plans $715.87 ↓ -77%
Geisinger_Gold_Medicare All_Plans $729.77 ↓ -77%
United_Medicare ISNP_DSNP_Plans $729.77 ↓ -77%
Devoted_Medicare All_Plans $729.77 ↓ -77%
Highmark_Wholecare_Gateway_Medicare All_Plans $732.90 ↓ -77%
UPMC_Medicare UPMC_for_Life_Community_HealthChoices $733.25 ↓ -77%
UPMC_Medicare UPMC_for_Life_Complete_Care $733.25 ↓ -77%
Amerihealth_Medicare All_Plans $733.25 ↓ -77%
Jefferson_Health_Medicare_Advantage All_Plans $750.62 ↓ -76%
PA_Health_&_Wellness_Medicare All_Plans $750.62 ↓ -76%
Highmark Higmark_Healthy_Kids $1,077.28 ↓ -66%
Health_Partners_Medicaid Kidz_Partners $1,146.78 ↓ -64%
United_Medicaid Community_Plan_For_Kids $1,216.29 ↓ -62%
Highmark Choice_Blue_PPO $2,102.23 ↓ -34%
Highmark Performance_Blue $2,102.23 ↓ -34%
Highmark Blue_Cross_High_Performance_Network $2,102.23 ↓ -34%
Aetna All_Plans $2,217.04 ↓ -30%
WellSpan_Capital_Blue_Cross All_Plans $2,375.40 ↓ -25%
UPMC Employees_And_Dependents $2,375.40 ↓ -25%
UPMC UPMC_For_Kids $2,375.40 ↓ -25%
Geisinger All_Plans $2,375.40 ↓ -25%
First_Health_Network All_Plans $2,438.74 ↓ -23%
Blue_Cross Capital_Cares_4_kids $2,448.60 ↓ -23%
Cigna All_Plans $2,526.63 ↓ -20%
Highmark All_Other_Plans $2,532.86 ↓ -20%
Blue_Cross Capital_Blue_Performance_PPO $2,620.00 ↓ -17%
PHC All_Plans $3,167.20 ↑ +0%
Blue_Cross All_Other_Plans $3,498.00 ↑ +10%
United_Healthcare All_Plans $3,713.54 ↑ +17%
Aetna_Better_Health_Kids All_Plans $6,420.00 ↑ +103%
Blue_Cross Capital_Blue_Cross_Healthy_Benefits_PPO $13,047.20 ↑ +312%

Visitor-reported prices

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Rmvl subq card rhythm mntr at other Pennsylvania hospitals

Hospital City Cash price Negotiated range
UPMC Altoona Altoona $1,810.20 $81.16 – $2,413.60
UPMC Carlisle Carlisle $2,304.60 $168.45 – $3,264.85
UPMC Community Osteopathic Harrisburg $2,304.60 $168.45 – $3,264.85
UPMC East Monroeville $2,162.40 $81.93 – $2,883.20
UPMC Hamot Erie $1,760.40 $81.16 – $975.61
UPMC Hanover Hanover $2,304.60 $168.45 – $1,785.22
UPMC Jameson New Castle $2,580.00 $82.59 – $905.57
UPMC Lititz Lititz $2,304.60 $168.45 – $1,785.22

All Pennsylvania hospitals for this procedure →