Rmvl tv pm lead sgl at WellSpan Good Samaritan Hospital
252 S. 4th St., Lebanon, PA · Wellspan · · NPI 1407928500
$15,964.80
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.
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What you pay up front if you don't use insurance.
$19,956.00
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.
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The hospital's undiscounted list price — almost no one pays this.
$3,594.97 with Blue_Cross_BlueJourney_Medicare vs $18,718.73 with United_Healthcare — 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 →
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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 ?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_BlueJourney_Medicare | All_Plans | $3,594.97 | ↓ -77% |
| Highmark_Medicare | All_Plans | $3,630.92 | ↓ -77% |
| Health_Partners_Medicaid | All_Other_Plans | $3,639.30 | ↓ -77% |
| Aetna_Medicare | All_Plans | $3,702.82 | ↓ -77% |
| Aetna_Advantra_Medicare | All_Plans | $3,702.82 | ↓ -77% |
| Devoted_Medicare | All_Plans | $3,774.72 | ↓ -76% |
| Geisinger_Gold_Medicare | All_Plans | $3,774.72 | ↓ -76% |
| United_Medicare | ISNP_DSNP_Plans | $3,774.72 | ↓ -76% |
| Highmark_Wholecare_Gateway_Medicare | All_Plans | $3,790.90 | ↓ -76% |
| UPMC_Medicare | UPMC_for_Life_Community_HealthChoices | $3,792.69 | ↓ -76% |
| UPMC_Medicare | UPMC_for_Life_Complete_Care | $3,792.69 | ↓ -76% |
| Amerihealth_Medicare | All_Plans | $3,792.69 | ↓ -76% |
| PA_Health_&_Wellness_Medicare | All_Plans | $3,882.57 | ↓ -76% |
| Jefferson_Health_Medicare_Advantage | All_Plans | $3,882.57 | ↓ -76% |
| Highmark | Higmark_Healthy_Kids | $5,572.20 | ↓ -65% |
| Health_Partners_Medicaid | Kidz_Partners | $5,931.70 | ↓ -63% |
| Blue_Cross | Capital_Blue_Performance_PPO | $6,066.00 | ↓ -62% |
| United_Medicaid | Community_Plan_For_Kids | $6,291.20 | ↓ -61% |
| Aetna_Better_Health_Kids | All_Plans | $6,420.00 | ↓ -60% |
| Blue_Cross | Capital_Blue_Cross_Healthy_Benefits_PPO | $6,480.80 | ↓ -59% |
| Blue_Cross | Capital_Cares_4_kids | $6,956.60 | ↓ -56% |
| Blue_Cross | All_Other_Plans | $8,101.00 | ↓ -49% |
| Highmark | Performance_Blue | $10,873.71 | ↓ -32% |
| Highmark | Blue_Cross_High_Performance_Network | $10,873.71 | ↓ -32% |
| Highmark | Choice_Blue_PPO | $10,873.71 | ↓ -32% |
| Aetna | All_Plans | $11,175.36 | ↓ -30% |
| WellSpan_Capital_Blue_Cross | All_Plans | $11,973.60 | ↓ -25% |
| Geisinger | All_Plans | $11,973.60 | ↓ -25% |
| UPMC | UPMC_For_Kids | $11,973.60 | ↓ -25% |
| UPMC | Employees_And_Dependents | $11,973.60 | ↓ -25% |
| First_Health_Network | All_Plans | $12,292.90 | ↓ -23% |
| Cigna | All_Plans | $12,735.92 | ↓ -20% |
| Highmark | All_Other_Plans | $13,101.15 | ↓ -18% |
| PHC | All_Plans | $15,964.80 | ↑ +0% |
| United_Healthcare | All_Plans | $18,718.73 | ↑ +17% |
Visitor-reported prices
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Rmvl tv pm lead sgl at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $1,894.80 | $899.92 – $3,747.21 |
| UPMC Carlisle | Carlisle | $4,523.40 | $978.64 – $6,408.15 |
| UPMC Community Osteopathic | Harrisburg | $4,523.40 | $978.64 – $6,408.15 |
| UPMC East | Monroeville | $5,021.40 | $908.49 – $6,695.20 |
| UPMC Hamot | Erie | $2,115.00 | $899.92 – $5,046.33 |
| UPMC Hanover | Hanover | $4,523.40 | $978.64 – $5,562.59 |
| UPMC Lititz | Lititz | $4,523.40 | $978.64 – $5,592.64 |
| UPMC Memorial | York | $4,523.40 | $733.47 – $5,583.55 |