Thiamine hcl (vitamin b1) 100 mg/ml injection solution 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

$129.80

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.

$162.25

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.

$1.97 with Blue_Cross vs $97.35 with WellSpan_Capital_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 Capital_Blue_Performance_PPO $1.97 ↓ -98%
Blue_Cross Capital_Cares_4_kids $2.76 ↓ -98%
Blue_Cross Capital_Blue_Cross_Healthy_Benefits_PPO $3.15 ↓ -98%
Health_Partners_Medicaid All_Other_Plans $3.63 ↓ -97%
Geisinger_Medicaid All_Plans $3.63 ↓ -97%
Amerihealth_Caritas_Medicaid All_Plans $3.63 ↓ -97%
Highmark_Wholecare_Gateway_Medicaid All_Plans $3.63 ↓ -97%
UPMC_Medicaid All_Plans $3.70 ↓ -97%
Blue_Cross All_Other_Plans $3.94 ↓ -97%
Aetna All_Plans $11.05 ↓ -91%
United_Healthcare All_Plans $11.46 ↓ -91%
First_Health_Network All_Plans $12.15 ↓ -91%
Cigna All_Plans $12.32 ↓ -91%
Geisinger All_Plans $32.55 ↓ -75%
UPMC UPMC_For_Kids $32.55 ↓ -75%
UPMC Employees_And_Dependents $32.55 ↓ -75%
PHC All_Plans $43.40 ↓ -67%
WellSpan_Capital_Blue_Cross All_Plans $97.35 ↓ -25%

Visitor-reported prices

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Thiamine hcl (vitamin b1) 100 mg/ml injection solution at other Pennsylvania hospitals

Hospital City Cash price Negotiated range
UPMC Altoona Altoona $32.60 $0.50 – $16.00
UPMC Bedford Everett $28.80 $1.15 – $16.20
UPMC Carlisle Carlisle $2.40 $0.27 – $3.47
UPMC Cole Coudersport $12.60 $1.82 – $16.80
UPMC Community Osteopathic Harrisburg $2.40 $0.40 – $2.73
UPMC East Monroeville $35.00 $0.51 – $17.60
UPMC Hamot Erie $42.20 $0.50 – $6.70
UPMC Northwest Seneca $38.20 $1.15 – $3.28

All Pennsylvania hospitals for this procedure →