Test stress cardiovascular tracing only 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

$1,118.40

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.

$1,398.00

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.

$58.13 with UPMC_Medicaid vs $3,432.00 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
UPMC_Medicaid All_Plans $58.13 ↓ -95%
Health_Partners_Medicaid All_Other_Plans $58.13 ↓ -95%
Highmark_Wholecare_Gateway_Medicaid All_Plans $58.13 ↓ -95%
PA_Health_&_Wellness_Medicaid All_Plans $58.13 ↓ -95%
Geisinger_Medicaid All_Plans $58.13 ↓ -95%
Amerihealth_Caritas_Medicaid All_Plans $66.03 ↓ -94%
Aetna_Better_Health_Kids All_Plans $158.10 ↓ -86%
Blue_Cross_BlueJourney_Medicare All_Plans $307.61 ↓ -72%
Highmark_Medicare All_Plans $310.69 ↓ -72%
Aetna_Medicare All_Plans $316.84 ↓ -72%
Aetna_Advantra_Medicare All_Plans $316.84 ↓ -72%
Geisinger_Gold_Medicare All_Plans $322.99 ↓ -71%
Devoted_Medicare All_Plans $322.99 ↓ -71%
United_Medicare ISNP_DSNP_Plans $322.99 ↓ -71%
Highmark_Wholecare_Gateway_Medicare All_Plans $324.37 ↓ -71%
UPMC_Medicare UPMC_for_Life_Complete_Care $324.53 ↓ -71%
UPMC_Medicare UPMC_for_Life_Community_HealthChoices $324.53 ↓ -71%
Amerihealth_Medicare All_Plans $324.53 ↓ -71%
Jefferson_Health_Medicare_Advantage All_Plans $332.22 ↓ -70%
PA_Health_&_Wellness_Medicare All_Plans $332.22 ↓ -70%
Highmark Higmark_Healthy_Kids $476.80 ↓ -57%
Health_Partners_Medicaid Kidz_Partners $507.56 ↓ -55%
United_Medicaid Community_Plan_For_Kids $538.32 ↓ -52%
WellSpan_Capital_Blue_Cross All_Plans $838.80 ↓ -25%
UPMC Employees_And_Dependents $838.80 ↓ -25%
UPMC UPMC_For_Kids $838.80 ↓ -25%
Geisinger All_Plans $838.80 ↓ -25%
Cigna All_Plans $892.20 ↓ -20%
Highmark Performance_Blue $930.43 ↓ -17%
Highmark Blue_Cross_High_Performance_Network $930.43 ↓ -17%
Highmark Choice_Blue_PPO $930.43 ↓ -17%
PHC All_Plans $1,118.40 ↑ +0%
Highmark All_Other_Plans $1,121.02 ↑ +0%
Aetna All_Plans $1,135.18 ↑ +2%
First_Health_Network All_Plans $1,248.41 ↑ +12%
United_Healthcare All_Plans $1,311.32 ↑ +17%
Blue_Cross Capital_Cares_4_kids $2,402.40 ↑ +115%
Blue_Cross Capital_Blue_Performance_PPO $2,571.00 ↑ +130%
Blue_Cross Capital_Blue_Cross_Healthy_Benefits_PPO $2,745.60 ↑ +145%
Blue_Cross All_Other_Plans $3,432.00 ↑ +207%

Visitor-reported prices

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Test stress cardiovascular tracing only at other Pennsylvania hospitals

Hospital City Cash price Negotiated range
UPMC Altoona Altoona $759.00 $46.50 – $1,012.00
UPMC Bedford Everett $390.00 $48.83 – $585.00
UPMC Carlisle Carlisle $953.40 $59.05 – $1,350.65
UPMC Cole Coudersport $609.00 $39.80 – $812.00
UPMC Community Osteopathic Harrisburg $953.40 $59.05 – $470.05
UPMC East Monroeville $253.20 $49.35 – $337.60
UPMC Hamot Erie $1,861.80 $48.89 – $375.76
UPMC Northwest Seneca $665.40 $51.15 – $311.72

All Pennsylvania hospitals for this procedure →