Tacrolimus therapeutic drug level 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

$50.00

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.

$72.00

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.

$13.73 with Blue_Cross_BlueJourney_Medicare vs $127.63 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 →

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
Blue_Cross_BlueJourney_Medicare All_Plans $13.73 ↓ -73%
Highmark_Medicare All_Plans $13.87 ↓ -72%
Aetna_Medicare All_Plans $14.14 ↓ -72%
Aetna_Advantra_Medicare All_Plans $14.14 ↓ -72%
Geisinger_Gold_Medicare All_Plans $14.42 ↓ -71%
United_Medicare ISNP_DSNP_Plans $14.42 ↓ -71%
Devoted_Medicare All_Plans $14.42 ↓ -71%
Highmark_Wholecare_Gateway_Medicare All_Plans $14.48 ↓ -71%
Amerihealth_Medicare All_Plans $14.49 ↓ -71%
UPMC_Medicare UPMC_for_Life_Complete_Care $14.49 ↓ -71%
UPMC_Medicare UPMC_for_Life_Community_HealthChoices $14.49 ↓ -71%
PA_Health_&_Wellness_Medicare All_Plans $14.83 ↓ -70%
Jefferson_Health_Medicare_Advantage All_Plans $14.83 ↓ -70%
Highmark_Wholecare_Gateway_Medicaid All_Plans $19.45 ↓ -61%
PA_Health_&_Wellness_Medicaid All_Plans $19.45 ↓ -61%
UPMC_Medicaid All_Plans $19.45 ↓ -61%
Geisinger_Medicaid All_Plans $19.45 ↓ -61%
Health_Partners_Medicaid All_Other_Plans $19.45 ↓ -61%
Blue_Cross Capital_Blue_Performance_PPO $20.04 ↓ -60%
Highmark Higmark_Healthy_Kids $21.28 ↓ -57%
Amerihealth_Caritas_Medicaid All_Plans $22.10 ↓ -56%
Health_Partners_Medicaid Kidz_Partners $22.65 ↓ -55%
United_Medicaid Community_Plan_For_Kids $24.03 ↓ -52%
United_Healthcare All_Plans $41.19 ↓ -18%
Highmark Blue_Cross_High_Performance_Network $41.53 ↓ -17%
Highmark Choice_Blue_PPO $41.53 ↓ -17%
Highmark Performance_Blue $41.53 ↓ -17%
WellSpan_Capital_Blue_Cross All_Plans $43.20 ↓ -14%
UPMC Employees_And_Dependents $43.20 ↓ -14%
UPMC UPMC_For_Kids $43.20 ↓ -14%
Geisinger All_Plans $43.20 ↓ -14%
Highmark All_Other_Plans $50.04 ↑ +0%
Aetna_Better_Health_Kids All_Plans $52.90 ↑ +6%
Aetna All_Plans $56.70 ↑ +13%
PHC All_Plans $57.60 ↑ +15%
Cigna All_Plans $60.09 ↑ +20%
First_Health_Network All_Plans $62.33 ↑ +25%
Blue_Cross Capital_Cares_4_kids $89.34 ↑ +79%
Blue_Cross Capital_Blue_Cross_Healthy_Benefits_PPO $102.11 ↑ +104%
Blue_Cross All_Other_Plans $127.63 ↑ +155%

Visitor-reported prices

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Tacrolimus therapeutic drug level at other Pennsylvania hospitals

Hospital City Cash price Negotiated range
UPMC Altoona Altoona $178.80 $13.56 – $238.40
UPMC Bedford Everett $91.20 $4.95 – $136.80
UPMC Carlisle Carlisle $98.40 $13.59 – $139.40
UPMC Cole Coudersport $175.80 $8.92 – $234.40
UPMC Community Osteopathic Harrisburg $98.40 $12.20 – $96.94
UPMC East Monroeville $282.60 $13.56 – $376.80
UPMC Hamot Erie $231.60 $13.56 – $36.43
UPMC Northwest Seneca $121.20 $12.45 – $17.89

All Pennsylvania hospitals for this procedure →