Rpl non-tun cvc wo sbq prt/pmp at WellSpan Good Samaritan Hospital
252 S. 4th St., Lebanon, PA · Wellspan · · NPI 1407928500
$3,220.00
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.
$4,025.00
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.
$80.60 with Highmark_Wholecare_Gateway_Medicaid vs $5,870.00 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 | $80.60 | ↓ -97% |
| Blue_Cross_BlueJourney_Medicare | All_Plans | $1,534.52 | ↓ -52% |
| Health_Partners_Medicaid | All_Other_Plans | $1,534.52 | ↓ -52% |
| Highmark_Medicare | All_Plans | $1,549.87 | ↓ -52% |
| Aetna_Medicare | All_Plans | $1,580.56 | ↓ -51% |
| Aetna_Advantra_Medicare | All_Plans | $1,580.56 | ↓ -51% |
| Devoted_Medicare | All_Plans | $1,611.25 | ↓ -50% |
| Geisinger_Gold_Medicare | All_Plans | $1,611.25 | ↓ -50% |
| United_Medicare | ISNP_DSNP_Plans | $1,611.25 | ↓ -50% |
| Highmark_Wholecare_Gateway_Medicare | All_Plans | $1,618.15 | ↓ -50% |
| UPMC_Medicare | UPMC_for_Life_Community_HealthChoices | $1,618.92 | ↓ -50% |
| Amerihealth_Medicare | All_Plans | $1,618.92 | ↓ -50% |
| UPMC_Medicare | UPMC_for_Life_Complete_Care | $1,618.92 | ↓ -50% |
| Jefferson_Health_Medicare_Advantage | All_Plans | $1,657.28 | ↓ -49% |
| PA_Health_&_Wellness_Medicare | All_Plans | $1,657.28 | ↓ -49% |
| Aetna | All_Plans | $2,254.00 | ↓ -30% |
| Highmark | Higmark_Healthy_Kids | $2,378.51 | ↓ -26% |
| Geisinger | All_Plans | $2,415.00 | ↓ -25% |
| UPMC | UPMC_For_Kids | $2,415.00 | ↓ -25% |
| UPMC | Employees_And_Dependents | $2,415.00 | ↓ -25% |
| WellSpan_Capital_Blue_Cross | All_Plans | $2,415.00 | ↓ -25% |
| First_Health_Network | All_Plans | $2,479.40 | ↓ -23% |
| Health_Partners_Medicaid | Kidz_Partners | $2,531.96 | ↓ -21% |
| Cigna | All_Plans | $2,568.76 | ↓ -20% |
| United_Medicaid | Community_Plan_For_Kids | $2,685.41 | ↓ -17% |
| PHC | All_Plans | $3,220.00 | ↑ +0% |
| United_Healthcare | All_Plans | $3,775.45 | ↑ +17% |
| Blue_Cross | Capital_Cares_4_kids | $4,109.00 | ↑ +28% |
| Blue_Cross | Capital_Blue_Performance_PPO | $4,396.00 | ↑ +37% |
| Highmark | Blue_Cross_High_Performance_Network | $4,641.46 | ↑ +44% |
| Highmark | Performance_Blue | $4,641.46 | ↑ +44% |
| Highmark | Choice_Blue_PPO | $4,641.46 | ↑ +44% |
| Blue_Cross | Capital_Blue_Cross_Healthy_Benefits_PPO | $4,696.00 | ↑ +46% |
| Highmark | All_Other_Plans | $5,592.25 | ↑ +74% |
| Blue_Cross | All_Other_Plans | $5,870.00 | ↑ +82% |
Visitor-reported prices
Comments
Rpl non-tun cvc wo sbq prt/pmp at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $3,588.60 | $572.47 – $5,083.85 |
| UPMC Community Osteopathic | Harrisburg | $3,588.60 | $572.47 – $5,083.85 |
| UPMC East | Monroeville | $2,449.20 | $547.03 – $3,265.60 |
| UPMC Hamot | Erie | $1,284.00 | $547.03 – $2,154.03 |
| UPMC Northwest | Seneca | $2,025.00 | $547.03 – $1,599.50 |
| UPMC Hanover | Hanover | $3,588.60 | $572.47 – $2,374.40 |
| UPMC Lititz | Lititz | $3,588.60 | $572.47 – $2,387.23 |
| UPMC Magee | Pittsburgh | $3,546.60 | $547.03 – $1,629.12 |