Treponema pallidum antibody 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

$65.60

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.

$82.00

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.

$13.24 with Blue_Cross_BlueJourney_Medicare vs $120.82 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 $13.24 ↓ -80%
Highmark_Medicare All_Plans $13.37 ↓ -80%
Aetna_Medicare All_Plans $13.64 ↓ -79%
Aetna_Advantra_Medicare All_Plans $13.64 ↓ -79%
Geisinger_Gold_Medicare All_Plans $13.90 ↓ -79%
United_Medicare ISNP_DSNP_Plans $13.90 ↓ -79%
Devoted_Medicare All_Plans $13.90 ↓ -79%
Highmark_Wholecare_Gateway_Medicare All_Plans $13.96 ↓ -79%
Amerihealth_Medicare All_Plans $13.97 ↓ -79%
UPMC_Medicare UPMC_for_Life_Complete_Care $13.97 ↓ -79%
UPMC_Medicare UPMC_for_Life_Community_HealthChoices $13.97 ↓ -79%
PA_Health_&_Wellness_Medicare All_Plans $14.30 ↓ -78%
Jefferson_Health_Medicare_Advantage All_Plans $14.30 ↓ -78%
Highmark_Wholecare_Gateway_Medicaid All_Plans $18.98 ↓ -71%
PA_Health_&_Wellness_Medicaid All_Plans $18.98 ↓ -71%
UPMC_Medicaid All_Plans $18.98 ↓ -71%
Geisinger_Medicaid All_Plans $18.98 ↓ -71%
Health_Partners_Medicaid All_Other_Plans $18.98 ↓ -71%
Highmark Higmark_Healthy_Kids $20.52 ↓ -69%
Amerihealth_Caritas_Medicaid All_Plans $21.56 ↓ -67%
Health_Partners_Medicaid Kidz_Partners $21.85 ↓ -67%
United_Medicaid Community_Plan_For_Kids $23.17 ↓ -65%
United_Healthcare All_Plans $39.72 ↓ -39%
Highmark Blue_Cross_High_Performance_Network $40.05 ↓ -39%
Highmark Performance_Blue $40.05 ↓ -39%
Highmark Choice_Blue_PPO $40.05 ↓ -39%
Highmark All_Other_Plans $48.25 ↓ -26%
WellSpan_Capital_Blue_Cross All_Plans $49.20 ↓ -25%
UPMC Employees_And_Dependents $49.20 ↓ -25%
UPMC UPMC_For_Kids $49.20 ↓ -25%
Geisinger All_Plans $49.20 ↓ -25%
Aetna_Better_Health_Kids All_Plans $51.61 ↓ -21%
Aetna All_Plans $54.68 ↓ -17%
First_Health_Network All_Plans $60.11 ↓ -8%
PHC All_Plans $65.60 ↑ +0%
Cigna All_Plans $68.44 ↑ +4%
Blue_Cross Capital_Blue_Performance_PPO $71.25 ↑ +9%
Blue_Cross Capital_Cares_4_kids $84.57 ↑ +29%
Blue_Cross Capital_Blue_Cross_Healthy_Benefits_PPO $96.66 ↑ +47%
Blue_Cross All_Other_Plans $120.82 ↑ +84%

Visitor-reported prices

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Treponema pallidum antibody at other Pennsylvania hospitals

Hospital City Cash price Negotiated range
UPMC Altoona Altoona $121.80 $13.08 – $162.40
UPMC Bedford Everett $75.00 $4.78 – $112.50
UPMC Carlisle Carlisle $74.40 $13.11 – $105.40
UPMC Cole Coudersport $97.80 $8.61 – $130.40
UPMC Community Osteopathic Harrisburg $79.80 $13.11 – $105.40
UPMC East Monroeville $272.40 $13.08 – $363.20
UPMC Hamot Erie $143.40 $13.08 – $35.26
UPMC Northwest Seneca $67.20 $12.01 – $17.46

All Pennsylvania hospitals for this procedure →