Tc-99m non-heu per study dose at WellSpan Good Samaritan Hospital
252 S. 4th St., Lebanon, PA · Wellspan · · NPI 1407928500
$17.60
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.
$22.00
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.
$3.96 with Aetna_Better_Health_Kids vs $36.44 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 →
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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 |
|---|---|---|---|
| Aetna_Better_Health_Kids | All_Plans | $3.96 | ↓ -78% |
| Highmark_Wholecare_Gateway_Medicaid | All_Plans | $7.50 | ↓ -57% |
| Blue_Cross | Capital_Cares_4_kids | $9.00 | ↓ -49% |
| Health_Partners_Medicaid | All_Other_Plans | $10.00 | ↓ -43% |
| Blue_Cross_BlueJourney_Medicare | All_Plans | $10.00 | ↓ -43% |
| Highmark_Medicare | All_Plans | $10.10 | ↓ -43% |
| Blue_Cross | Capital_Blue_Cross_Healthy_Benefits_PPO | $10.28 | ↓ -42% |
| Aetna_Advantra_Medicare | All_Plans | $10.30 | ↓ -41% |
| Aetna_Medicare | All_Plans | $10.30 | ↓ -41% |
| Devoted_Medicare | All_Plans | $10.50 | ↓ -40% |
| Geisinger_Gold_Medicare | All_Plans | $10.50 | ↓ -40% |
| United_Medicare | ISNP_DSNP_Plans | $10.50 | ↓ -40% |
| Amerihealth_Medicare | All_Plans | $10.55 | ↓ -40% |
| UPMC_Medicare | UPMC_for_Life_Complete_Care | $10.55 | ↓ -40% |
| UPMC_Medicare | UPMC_for_Life_Community_HealthChoices | $10.55 | ↓ -40% |
| Highmark_Wholecare_Gateway_Medicare | All_Plans | $10.55 | ↓ -40% |
| Jefferson_Health_Medicare_Advantage | All_Plans | $10.80 | ↓ -39% |
| PA_Health_&_Wellness_Medicare | All_Plans | $10.80 | ↓ -39% |
| Blue_Cross | All_Other_Plans | $12.85 | ↓ -27% |
| WellSpan_Capital_Blue_Cross | All_Plans | $13.20 | ↓ -25% |
| UPMC | Employees_And_Dependents | $13.20 | ↓ -25% |
| UPMC | UPMC_For_Kids | $13.20 | ↓ -25% |
| Geisinger | All_Plans | $13.20 | ↓ -25% |
| Cigna | All_Plans | $14.04 | ↓ -20% |
| Highmark | Higmark_Healthy_Kids | $15.50 | ↓ -12% |
| Health_Partners_Medicaid | Kidz_Partners | $16.50 | ↓ -6% |
| United_Medicaid | Community_Plan_For_Kids | $17.50 | ↓ -1% |
| PHC | All_Plans | $17.60 | ↑ +0% |
| Aetna | All_Plans | $17.86 | ↑ +1% |
| First_Health_Network | All_Plans | $19.65 | ↑ +12% |
| Highmark | Choice_Blue_PPO | $30.25 | ↑ +72% |
| Highmark | Blue_Cross_High_Performance_Network | $30.25 | ↑ +72% |
| Highmark | Performance_Blue | $30.25 | ↑ +72% |
| Highmark | All_Other_Plans | $36.44 | ↑ +107% |
Visitor-reported prices
Comments
Tc-99m non-heu per study dose at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $15.00 | $8.75 – $20.00 |
| UPMC Bedford | Everett | $15.00 | $3.61 – $22.50 |
| UPMC East | Monroeville | $15.00 | $8.50 – $20.00 |
| UPMC Hamot | Erie | $15.00 | $10.00 – $10.80 |
| UPMC Northwest | Seneca | $15.00 | $9.07 – $10.80 |
| UPMC Horizon-Greenville | Greenville | $15.00 | $8.95 – $18.77 |
| UPMC Jameson | New Castle | $15.00 | $10.00 – $12.50 |
| UPMC Magee | Pittsburgh | $15.60 | $9.36 – $11.00 |