Thyroid (TSH) Test 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

$40.00

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.

$119.00

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.

$16.80 with Blue_Cross_BlueJourney_Medicare vs $156.23 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 $16.80 ↓ -58%
Highmark_Medicare All_Plans $16.97 ↓ -58%
Aetna_Advantra_Medicare All_Plans $17.30 ↓ -57%
Aetna_Medicare All_Plans $17.30 ↓ -57%
United_Medicare ISNP_DSNP_Plans $17.64 ↓ -56%
Geisinger_Gold_Medicare All_Plans $17.64 ↓ -56%
Devoted_Medicare All_Plans $17.64 ↓ -56%
Highmark_Wholecare_Gateway_Medicare All_Plans $17.72 ↓ -56%
UPMC_Medicare UPMC_for_Life_Community_HealthChoices $17.72 ↓ -56%
UPMC_Medicare UPMC_for_Life_Complete_Care $17.72 ↓ -56%
Amerihealth_Medicare All_Plans $17.72 ↓ -56%
PA_Health_&_Wellness_Medicare All_Plans $18.14 ↓ -55%
Jefferson_Health_Medicare_Advantage All_Plans $18.14 ↓ -55%
Blue_Cross Capital_Blue_Performance_PPO $24.53 ↓ -39%
Highmark Higmark_Healthy_Kids $26.04 ↓ -35%
Health_Partners_Medicaid Kidz_Partners $27.72 ↓ -31%
Health_Partners_Medicaid All_Other_Plans $29.01 ↓ -27%
UPMC_Medicaid All_Plans $29.01 ↓ -27%
PA_Health_&_Wellness_Medicaid All_Plans $29.01 ↓ -27%
Highmark_Wholecare_Gateway_Medicaid All_Plans $29.01 ↓ -27%
Geisinger_Medicaid All_Plans $29.01 ↓ -27%
United_Medicaid Community_Plan_For_Kids $29.40 ↓ -27%
WellSpan_Capital_Blue_Cross All_Plans $31.00 ↓ -23%
Amerihealth_Caritas_Medicaid All_Plans $32.96 ↓ -18%
United_Healthcare All_Plans $50.40 ↑ +26%
Highmark Performance_Blue $50.81 ↑ +27%
Highmark Blue_Cross_High_Performance_Network $50.81 ↑ +27%
Highmark Choice_Blue_PPO $50.81 ↑ +27%
Highmark All_Other_Plans $61.22 ↑ +53%
Aetna All_Plans $69.38 ↑ +73%
Geisinger All_Plans $71.40 ↑ +79%
UPMC Employees_And_Dependents $71.40 ↑ +79%
UPMC UPMC_For_Kids $71.40 ↑ +79%
First_Health_Network All_Plans $76.27 ↑ +91%
Aetna_Better_Health_Kids All_Plans $78.91 ↑ +97%
PHC All_Plans $95.20 ↑ +138%
Cigna All_Plans $99.32 ↑ +148%
Blue_Cross Capital_Cares_4_kids $109.36 ↑ +173%
Blue_Cross Capital_Blue_Cross_Healthy_Benefits_PPO $124.99 ↑ +212%
Blue_Cross All_Other_Plans $156.23 ↑ +291%

Visitor-reported prices

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Thyroid (TSH) Test at other Pennsylvania hospitals

Hospital City Cash price Negotiated range
UPMC Altoona Altoona $126.00 $16.60 – $168.00
UPMC Bedford Everett $91.20 $6.06 – $136.80
UPMC Carlisle Carlisle $85.80 $16.63 – $121.55
UPMC Cole Coudersport $78.60 $10.92 – $104.80
UPMC Community Osteopathic Harrisburg $85.80 $16.63 – $101.30
UPMC East Monroeville $251.40 $16.60 – $335.20
UPMC Hamot Erie $257.40 $16.60 – $32.47
UPMC Northwest Seneca $89.40 $15.24 – $26.69

All Pennsylvania hospitals for this procedure →