Trnscath tx thromblytc artery non-intracrn ini day at WellSpan Good Samaritan Hospital
252 S. 4th St., Lebanon, PA · Wellspan · · NPI 1407928500
$2,880.00
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.
$3,600.00
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.
$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 →
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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 |
|---|---|---|---|
| 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 |