Screening Mammogram at WellSpan Good Samaritan Hospital
252 S. 4th St., Lebanon, PA · Wellspan · · NPI 1407928500
$225.00
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.
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What you pay up front if you don't use insurance.
$427.00
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.
$83.06 with Blue_Cross_BlueJourney_Medicare vs $614.63 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 →
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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 | $83.06 | ↓ -63% |
| Highmark_Medicare | All_Plans | $83.89 | ↓ -63% |
| Aetna_Medicare | All_Plans | $85.55 | ↓ -62% |
| Aetna_Advantra_Medicare | All_Plans | $85.55 | ↓ -62% |
| Devoted_Medicare | All_Plans | $87.21 | ↓ -61% |
| United_Medicare | ISNP_DSNP_Plans | $87.21 | ↓ -61% |
| Geisinger_Gold_Medicare | All_Plans | $87.21 | ↓ -61% |
| Highmark_Wholecare_Gateway_Medicare | All_Plans | $87.59 | ↓ -61% |
| UPMC_Medicare | UPMC_for_Life_Complete_Care | $87.63 | ↓ -61% |
| UPMC_Medicare | UPMC_for_Life_Community_HealthChoices | $87.63 | ↓ -61% |
| Amerihealth_Medicare | All_Plans | $87.63 | ↓ -61% |
| PA_Health_&_Wellness_Medicare | All_Plans | $89.70 | ↓ -60% |
| Jefferson_Health_Medicare_Advantage | All_Plans | $89.70 | ↓ -60% |
| Blue_Cross | Capital_Blue_Performance_PPO | $93.78 | ↓ -58% |
| Highmark | Higmark_Healthy_Kids | $128.74 | ↓ -43% |
| Highmark_Wholecare_Gateway_Medicaid | All_Plans | $130.88 | ↓ -42% |
| PA_Health_&_Wellness_Medicaid | All_Plans | $130.88 | ↓ -42% |
| Geisinger_Medicaid | All_Plans | $130.88 | ↓ -42% |
| UPMC_Medicaid | All_Plans | $130.88 | ↓ -42% |
| Health_Partners_Medicaid | All_Other_Plans | $130.88 | ↓ -42% |
| Health_Partners_Medicaid | Kidz_Partners | $137.05 | ↓ -39% |
| United_Medicaid | Community_Plan_For_Kids | $145.36 | ↓ -35% |
| Amerihealth_Caritas_Medicaid | All_Plans | $148.67 | ↓ -34% |
| WellSpan_Capital_Blue_Cross | All_Plans | $155.00 | ↓ -31% |
| Blue_Cross | Capital_Blue_Cross_Healthy_Benefits_PPO | $199.54 | ↓ -11% |
| Cigna | All_Plans | $222.21 | ↓ -1% |
| Highmark | Performance_Blue | $251.23 | ↑ +12% |
| Highmark | Choice_Blue_PPO | $251.23 | ↑ +12% |
| Highmark | Blue_Cross_High_Performance_Network | $251.23 | ↑ +12% |
| UPMC | Employees_And_Dependents | $256.20 | ↑ +14% |
| UPMC | UPMC_For_Kids | $256.20 | ↑ +14% |
| Geisinger | All_Plans | $256.20 | ↑ +14% |
| Highmark | All_Other_Plans | $302.70 | ↑ +35% |
| PHC | All_Plans | $341.60 | ↑ +52% |
| Aetna | All_Plans | $346.72 | ↑ +54% |
| Aetna_Better_Health_Kids | All_Plans | $355.98 | ↑ +58% |
| First_Health_Network | All_Plans | $381.31 | ↑ +69% |
| Blue_Cross | Capital_Cares_4_kids | $430.24 | ↑ +91% |
| United_Healthcare | All_Plans | $521.53 | ↑ +132% |
| Blue_Cross | All_Other_Plans | $614.63 | ↑ +173% |
Visitor-reported prices
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Screening Mammogram at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $345.00 | $60.95 – $460.00 |
| UPMC Bedford | Everett | $205.20 | $85.50 – $307.80 |
| UPMC Carlisle | Carlisle | $257.40 | $58.77 – $506.81 |
| UPMC Cole | Coudersport | $381.00 | $109.94 – $508.00 |
| UPMC Community Osteopathic | Harrisburg | $399.60 | $38.80 – $551.43 |
| UPMC Hamot | Erie | $205.20 | $60.95 – $178.43 |
| UPMC Northwest | Seneca | $205.20 | $115.17 – $178.43 |
| UPMC Hanover | Hanover | $257.40 | $98.28 – $506.81 |