Splint finger frog med 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

$79.20

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.

Full explanation →

What you pay up front if you don't use insurance.

$99.00

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.

$28.13 with Highmark_Wholecare_Gateway_Medicaid vs $136.37 with Highmark — 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
Highmark_Wholecare_Gateway_Medicaid All_Plans $28.13 ↓ -64%
Blue_Cross_BlueJourney_Medicare All_Plans $37.42 ↓ -53%
Health_Partners_Medicaid All_Other_Plans $37.42 ↓ -53%
Highmark_Medicare All_Plans $37.79 ↓ -52%
Aetna_Advantra_Medicare All_Plans $38.54 ↓ -51%
Aetna_Medicare All_Plans $38.54 ↓ -51%
Devoted_Medicare All_Plans $39.29 ↓ -50%
United_Medicare ISNP_DSNP_Plans $39.29 ↓ -50%
Geisinger_Gold_Medicare All_Plans $39.29 ↓ -50%
Highmark_Wholecare_Gateway_Medicare All_Plans $39.46 ↓ -50%
UPMC_Medicare UPMC_for_Life_Complete_Care $39.48 ↓ -50%
UPMC_Medicare UPMC_for_Life_Community_HealthChoices $39.48 ↓ -50%
Amerihealth_Medicare All_Plans $39.48 ↓ -50%
Jefferson_Health_Medicare_Advantage All_Plans $40.41 ↓ -49%
PA_Health_&_Wellness_Medicare All_Plans $40.41 ↓ -49%
Blue_Cross Capital_Cares_4_kids $40.48 ↓ -49%
Blue_Cross Capital_Blue_Cross_Healthy_Benefits_PPO $46.26 ↓ -42%
Blue_Cross All_Other_Plans $57.83 ↓ -27%
Highmark Higmark_Healthy_Kids $58.00 ↓ -27%
WellSpan_Capital_Blue_Cross All_Plans $59.40 ↓ -25%
UPMC Employees_And_Dependents $59.40 ↓ -25%
UPMC UPMC_For_Kids $59.40 ↓ -25%
Geisinger All_Plans $59.40 ↓ -25%
Health_Partners_Medicaid Kidz_Partners $61.74 ↓ -22%
Cigna All_Plans $63.18 ↓ -20%
United_Medicaid Community_Plan_For_Kids $65.49 ↓ -17%
PHC All_Plans $79.20 ↑ +0%
Aetna All_Plans $80.39 ↑ +2%
First_Health_Network All_Plans $88.41 ↑ +12%
United_Healthcare All_Plans $92.86 ↑ +17%
Highmark Blue_Cross_High_Performance_Network $113.18 ↑ +43%
Highmark Choice_Blue_PPO $113.18 ↑ +43%
Highmark Performance_Blue $113.18 ↑ +43%
Highmark All_Other_Plans $136.37 ↑ +72%

Visitor-reported prices

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Splint finger frog med at other Pennsylvania hospitals

Hospital City Cash price Negotiated range
WellSpan Chambersburg Hospital Chambersburg $79.20 $28.13 – $166.46
WellSpan Waynesboro Hospital Waynesboro $79.20 $28.13 – $127.23
WellSpan Gettysburg Hospital Gettysburg $79.20 $28.13 – $76.50

All Pennsylvania hospitals for this procedure →