Trimethobenzamide hcl inj at WellSpan Good Samaritan Hospital
252 S. 4th St., Lebanon, PA · Wellspan · · NPI 1407928500
$650.60
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.
$813.25
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.
$43.67 with Blue_Cross vs $650.60 with PHC — 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 |
|---|---|---|---|
| Blue_Cross | Capital_Cares_4_kids | $43.67 | ↓ -93% |
| Blue_Cross | Capital_Blue_Cross_Healthy_Benefits_PPO | $49.91 | ↓ -92% |
| UPMC_Medicaid | All_Plans | $55.42 | ↓ -91% |
| Geisinger_Medicaid | All_Plans | $57.51 | ↓ -91% |
| Amerihealth_Caritas_Medicaid | All_Plans | $57.51 | ↓ -91% |
| Highmark_Wholecare_Gateway_Medicaid | All_Plans | $57.51 | ↓ -91% |
| Health_Partners_Medicaid | All_Other_Plans | $57.51 | ↓ -91% |
| Blue_Cross | Capital_Blue_Performance_PPO | $62.39 | ↓ -90% |
| Blue_Cross | All_Other_Plans | $62.39 | ↓ -90% |
| United_Healthcare | All_Plans | $170.88 | ↓ -74% |
| Aetna | All_Plans | $174.82 | ↓ -73% |
| Cigna | All_Plans | $175.14 | ↓ -73% |
| First_Health_Network | All_Plans | $192.30 | ↓ -70% |
| WellSpan_Capital_Blue_Cross | All_Plans | $487.95 | ↓ -25% |
| Geisinger | All_Plans | $487.95 | ↓ -25% |
| UPMC | UPMC_For_Kids | $487.95 | ↓ -25% |
| UPMC | Employees_And_Dependents | $487.95 | ↓ -25% |
| PHC | All_Plans | $650.60 | ↑ +0% |
Visitor-reported prices
Comments
Trimethobenzamide hcl inj at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $99.20 | $4.20 – $152.85 |
| UPMC East | Monroeville | $99.20 | $4.24 – $99.20 |
| UPMC Northwest | Seneca | $77.60 | $12.74 – $57.51 |
| UPMC Magee | Pittsburgh | $98.40 | $4.24 – $57.51 |
| UPMC Mercy | Pittsburgh | $99.20 | $4.20 – $57.51 |
| UPMC Muncy | Muncy | $162.60 | $57.51 – $63.26 |
| UPMC Passavant-McCandless | Pittsburgh | $98.40 | $4.24 – $57.51 |
| UPMC Presbyterian | Pittsburgh | $98.40 | $4.24 – $57.51 |