Trnscath tx thromblytc artery non-intracrn ini day 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

$2,880.00

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.

$3,600.00

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.

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The hospital's undiscounted list price — almost no one pays this.

$404.81 with Health_Partners_Medicaid vs $19,460.05 with Highmark — 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
Health_Partners_Medicaid All_Other_Plans $404.81 ↓ -86%
Geisinger_Medicaid All_Plans $404.81 ↓ -86%
UPMC_Medicaid All_Plans $404.81 ↓ -86%
PA_Health_&_Wellness_Medicaid All_Plans $404.81 ↓ -86%
Highmark_Wholecare_Gateway_Medicaid All_Plans $404.81 ↓ -86%
Amerihealth_Caritas_Medicaid All_Plans $459.87 ↓ -84%
Aetna_Better_Health_Kids All_Plans $1,101.09 ↓ -62%
Aetna All_Plans $2,016.00 ↓ -30%
WellSpan_Capital_Blue_Cross All_Plans $2,160.00 ↓ -25%
UPMC Employees_And_Dependents $2,160.00 ↓ -25%
UPMC UPMC_For_Kids $2,160.00 ↓ -25%
Geisinger All_Plans $2,160.00 ↓ -25%
First_Health_Network All_Plans $2,217.60 ↓ -23%
Cigna All_Plans $2,297.52 ↓ -20%
PHC All_Plans $2,880.00 ↑ +0%
United_Healthcare All_Plans $3,376.80 ↑ +17%
Blue_Cross Capital_Blue_Performance_PPO $4,396.00 ↑ +53%
Blue_Cross Capital_Blue_Cross_Healthy_Benefits_PPO $4,696.00 ↑ +63%
Blue_Cross_BlueJourney_Medicare All_Plans $5,339.86 ↑ +85%
Highmark_Medicare All_Plans $5,393.26 ↑ +87%
Aetna_Advantra_Medicare All_Plans $5,500.06 ↑ +91%
Aetna_Medicare All_Plans $5,500.06 ↑ +91%
Devoted_Medicare All_Plans $5,606.85 ↑ +95%
Geisinger_Gold_Medicare All_Plans $5,606.85 ↑ +95%
United_Medicare ISNP_DSNP_Plans $5,606.85 ↑ +95%
Highmark_Wholecare_Gateway_Medicare All_Plans $5,630.88 ↑ +96%
UPMC_Medicare UPMC_for_Life_Community_HealthChoices $5,633.55 ↑ +96%
Amerihealth_Medicare All_Plans $5,633.55 ↑ +96%
UPMC_Medicare UPMC_for_Life_Complete_Care $5,633.55 ↑ +96%
Blue_Cross Capital_Cares_4_kids $5,670.70 ↑ +97%
Jefferson_Health_Medicare_Advantage All_Plans $5,767.05 ↑ +100%
PA_Health_&_Wellness_Medicare All_Plans $5,767.05 ↑ +100%
Blue_Cross All_Other_Plans $5,870.00 ↑ +104%
Highmark Higmark_Healthy_Kids $8,276.78 ↑ +187%
Health_Partners_Medicaid Kidz_Partners $8,810.77 ↑ +206%
United_Medicaid Community_Plan_For_Kids $9,344.76 ↑ +224%
Highmark Blue_Cross_High_Performance_Network $16,151.47 ↑ +461%
Highmark Choice_Blue_PPO $16,151.47 ↑ +461%
Highmark Performance_Blue $16,151.47 ↑ +461%
Highmark All_Other_Plans $19,460.05 ↑ +576%

Visitor-reported prices

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Trnscath tx thromblytc artery non-intracrn ini day at other Pennsylvania hospitals

Hospital City Cash price Negotiated range
UPMC Altoona Altoona $2,252.40 $323.85 – $3,003.20
UPMC Carlisle Carlisle $6,966.60 $411.29 – $9,869.35
UPMC Community Osteopathic Harrisburg $6,966.60 $437.20 – $9,869.35
UPMC East Monroeville $14,086.20 $348.45 – $18,781.60
UPMC Hamot Erie $6,346.80 $345.16 – $7,495.67
UPMC Northwest Seneca $8,554.80 $356.24 – $5,411.37
UPMC Hanover Hanover $6,966.60 $411.29 – $8,262.51
UPMC Jameson New Castle $5,764.20 $351.25 – $6,957.48

All Pennsylvania hospitals for this procedure →