Tympanometry & reflex thresh at WellSpan Good Samaritan Hospital
252 S. 4th St., Lebanon, PA · Wellspan · · NPI 1407928500
$136.00
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.
$170.00
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.
$20.31 with UPMC_Medicaid vs $563.23 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 |
|---|---|---|---|
| UPMC_Medicaid | All_Plans | $20.31 | ↓ -85% |
| Geisinger_Medicaid | All_Plans | $20.31 | ↓ -85% |
| PA_Health_&_Wellness_Medicaid | All_Plans | $20.31 | ↓ -85% |
| Health_Partners_Medicaid | All_Other_Plans | $20.31 | ↓ -85% |
| Highmark_Wholecare_Gateway_Medicaid | All_Plans | $20.31 | ↓ -85% |
| Amerihealth_Caritas_Medicaid | All_Plans | $23.08 | ↓ -83% |
| Aetna_Better_Health_Kids | All_Plans | $55.25 | ↓ -59% |
| Blue_Cross | Capital_Blue_Performance_PPO | $55.54 | ↓ -59% |
| Blue_Cross | Capital_Cares_4_kids | $69.51 | ↓ -49% |
| Blue_Cross | Capital_Blue_Cross_Healthy_Benefits_PPO | $79.44 | ↓ -42% |
| Blue_Cross | All_Other_Plans | $99.30 | ↓ -27% |
| UPMC | Employees_And_Dependents | $102.00 | ↓ -25% |
| UPMC | UPMC_For_Kids | $102.00 | ↓ -25% |
| WellSpan_Capital_Blue_Cross | All_Plans | $102.00 | ↓ -25% |
| Geisinger | All_Plans | $102.00 | ↓ -25% |
| Cigna | All_Plans | $108.49 | ↓ -20% |
| PHC | All_Plans | $136.00 | ↑ +0% |
| Aetna | All_Plans | $138.04 | ↑ +2% |
| First_Health_Network | All_Plans | $151.81 | ↑ +12% |
| Blue_Cross_BlueJourney_Medicare | All_Plans | $154.55 | ↑ +14% |
| Highmark_Medicare | All_Plans | $156.10 | ↑ +15% |
| Aetna_Advantra_Medicare | All_Plans | $159.19 | ↑ +17% |
| Aetna_Medicare | All_Plans | $159.19 | ↑ +17% |
| United_Healthcare | All_Plans | $159.46 | ↑ +17% |
| Devoted_Medicare | All_Plans | $162.28 | ↑ +19% |
| United_Medicare | ISNP_DSNP_Plans | $162.28 | ↑ +19% |
| Geisinger_Gold_Medicare | All_Plans | $162.28 | ↑ +19% |
| Highmark_Wholecare_Gateway_Medicare | All_Plans | $162.97 | ↑ +20% |
| UPMC_Medicare | UPMC_for_Life_Complete_Care | $163.05 | ↑ +20% |
| Amerihealth_Medicare | All_Plans | $163.05 | ↑ +20% |
| UPMC_Medicare | UPMC_for_Life_Community_HealthChoices | $163.05 | ↑ +20% |
| Jefferson_Health_Medicare_Advantage | All_Plans | $166.91 | ↑ +23% |
| PA_Health_&_Wellness_Medicare | All_Plans | $166.91 | ↑ +23% |
| Highmark | Higmark_Healthy_Kids | $239.55 | ↑ +76% |
| Health_Partners_Medicaid | Kidz_Partners | $255.01 | ↑ +88% |
| United_Medicaid | Community_Plan_For_Kids | $270.46 | ↑ +99% |
| Highmark | Performance_Blue | $467.47 | ↑ +244% |
| Highmark | Choice_Blue_PPO | $467.47 | ↑ +244% |
| Highmark | Blue_Cross_High_Performance_Network | $467.47 | ↑ +244% |
| Highmark | All_Other_Plans | $563.23 | ↑ +314% |
Visitor-reported prices
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Tympanometry & reflex thresh at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Hamot | Erie | $240.00 | $17.88 – $205.40 |
| UPMC Mercy | Pittsburgh | $312.00 | $17.88 – $164.09 |