Transcatheter bx s&i at WellSpan Good Samaritan Hospital
252 S. 4th St., Lebanon, PA · Wellspan · · NPI 1407928500
$1,067.20
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.
$1,334.00
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.
$21.88 with Highmark_Wholecare_Gateway_Medicaid vs $3,115.97 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 →
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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 |
|---|---|---|---|
| Highmark_Wholecare_Gateway_Medicaid | All_Plans | $21.88 | ↓ -98% |
| UPMC_Medicaid | All_Plans | $21.88 | ↓ -98% |
| PA_Health_&_Wellness_Medicaid | All_Plans | $21.88 | ↓ -98% |
| Geisinger_Medicaid | All_Plans | $21.88 | ↓ -98% |
| Health_Partners_Medicaid | All_Other_Plans | $21.88 | ↓ -98% |
| Amerihealth_Caritas_Medicaid | All_Plans | $24.85 | ↓ -98% |
| Aetna_Better_Health_Kids | All_Plans | $59.50 | ↓ -94% |
| Blue_Cross | Capital_Blue_Performance_PPO | $475.43 | ↓ -55% |
| Cigna | All_Plans | $785.86 | ↓ -26% |
| UPMC | Employees_And_Dependents | $800.40 | ↓ -25% |
| UPMC | UPMC_For_Kids | $800.40 | ↓ -25% |
| Geisinger | All_Plans | $800.40 | ↓ -25% |
| WellSpan_Capital_Blue_Cross | All_Plans | $800.40 | ↓ -25% |
| PHC | All_Plans | $1,067.20 | ↑ +0% |
| Aetna | All_Plans | $1,083.21 | ↑ +2% |
| First_Health_Network | All_Plans | $1,191.26 | ↑ +12% |
| Blue_Cross | Capital_Cares_4_kids | $2,181.18 | ↑ +104% |
| Blue_Cross | Capital_Blue_Cross_Healthy_Benefits_PPO | $2,492.77 | ↑ +134% |
| Blue_Cross | All_Other_Plans | $3,115.97 | ↑ +192% |
Visitor-reported prices
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Transcatheter bx s&i at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $3,331.20 | $10.00 – $4,441.60 |
| UPMC Carlisle | Carlisle | $6,169.80 | $13.10 – $8,740.55 |
| UPMC Community Osteopathic | Harrisburg | $6,169.80 | $13.10 – $8,740.55 |
| UPMC Hamot | Erie | $1,911.60 | $19.25 – $1,174.76 |
| UPMC Hanover | Hanover | $6,169.80 | $13.10 – $1,137.12 |
| UPMC Lititz | Lititz | $6,169.80 | $13.10 – $1,119.67 |
| UPMC Magee | Pittsburgh | $2,271.60 | $19.25 – $1,174.76 |
| UPMC Memorial | York | $6,169.80 | $13.10 – $3,108.22 |