Screening hepatitis b non-obstetric high risk 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

$117.60

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.

$147.00

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.

$23.75 with Health_Partners_Medicaid vs $222.28 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
Health_Partners_Medicaid All_Other_Plans $23.75 ↓ -80%
Highmark_Wholecare_Gateway_Medicaid All_Plans $23.75 ↓ -80%
PA_Health_&_Wellness_Medicaid All_Plans $23.75 ↓ -80%
UPMC_Medicaid All_Plans $23.75 ↓ -80%
Geisinger_Medicaid All_Plans $23.75 ↓ -80%
Amerihealth_Caritas_Medicaid All_Plans $26.98 ↓ -77%
Blue_Cross_BlueJourney_Medicare All_Plans $28.27 ↓ -76%
Highmark_Medicare All_Plans $28.55 ↓ -76%
Aetna_Advantra_Medicare All_Plans $29.12 ↓ -75%
Aetna_Medicare All_Plans $29.12 ↓ -75%
Devoted_Medicare All_Plans $29.68 ↓ -75%
Geisinger_Gold_Medicare All_Plans $29.68 ↓ -75%
United_Medicare ISNP_DSNP_Plans $29.68 ↓ -75%
Highmark_Wholecare_Gateway_Medicare All_Plans $29.81 ↓ -75%
UPMC_Medicare UPMC_for_Life_Complete_Care $29.82 ↓ -75%
Amerihealth_Medicare All_Plans $29.82 ↓ -75%
UPMC_Medicare UPMC_for_Life_Community_HealthChoices $29.82 ↓ -75%
Jefferson_Health_Medicare_Advantage All_Plans $30.53 ↓ -74%
PA_Health_&_Wellness_Medicare All_Plans $30.53 ↓ -74%
Highmark Higmark_Healthy_Kids $43.82 ↓ -63%
Health_Partners_Medicaid Kidz_Partners $46.65 ↓ -60%
United_Medicaid Community_Plan_For_Kids $49.47 ↓ -58%
Aetna_Better_Health_Kids All_Plans $64.60 ↓ -45%
Blue_Cross Capital_Blue_Cross_Healthy_Benefits_PPO $68.69 ↓ -42%
United_Healthcare All_Plans $84.81 ↓ -28%
Highmark Blue_Cross_High_Performance_Network $85.51 ↓ -27%
Highmark Choice_Blue_PPO $85.51 ↓ -27%
Highmark Performance_Blue $85.51 ↓ -27%
WellSpan_Capital_Blue_Cross All_Plans $88.20 ↓ -25%
UPMC Employees_And_Dependents $88.20 ↓ -25%
UPMC UPMC_For_Kids $88.20 ↓ -25%
Geisinger All_Plans $88.20 ↓ -25%
Blue_Cross Capital_Blue_Performance_PPO $90.28 ↓ -23%
Highmark All_Other_Plans $103.02 ↓ -12%
Aetna All_Plans $116.76 ↓ -1%
PHC All_Plans $117.60 ↑ +0%
Cigna All_Plans $122.69 ↑ +4%
First_Health_Network All_Plans $128.35 ↑ +9%
Blue_Cross Capital_Cares_4_kids $155.59 ↑ +32%
Blue_Cross All_Other_Plans $222.28 ↑ +89%

Visitor-reported prices

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Screening hepatitis b non-obstetric high risk at other Pennsylvania hospitals

Hospital City Cash price Negotiated range
UPMC Altoona Altoona $142.20 $11.28 – $189.60
UPMC Bedford Everett $100.20 $10.20 – $150.30
UPMC Carlisle Carlisle $60.00 $13.70 – $85.00
UPMC Community Osteopathic Harrisburg $60.00 $19.00 – $85.00
UPMC East Monroeville $49.80 $11.39 – $66.40
UPMC Hamot Erie $63.60 $11.28 – $30.53
UPMC Northwest Seneca $70.20 $20.90 – $30.53
UPMC Hanover Hanover $60.00 $19.00 – $45.23

All Pennsylvania hospitals for this procedure →