Ultrasound breast unilateral limited (both sides) at WellSpan Good Samaritan Hospital
252 S. 4th St., Lebanon, PA · Wellspan · · NPI 1407928500
$492.00
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.
?
What you pay up front if you don't use insurance.
$615.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$51.17 with Blue_Cross vs $549.20 with First_Health_Network — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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_Blue_Performance_PPO | $51.17 | ↓ -90% |
| Geisinger_Medicaid | All_Plans | $85.55 | ↓ -83% |
| Health_Partners_Medicaid | All_Other_Plans | $85.55 | ↓ -83% |
| Highmark_Wholecare_Gateway_Medicaid | All_Plans | $85.55 | ↓ -83% |
| UPMC_Medicaid | All_Plans | $85.55 | ↓ -83% |
| PA_Health_&_Wellness_Medicaid | All_Plans | $85.55 | ↓ -83% |
| Blue_Cross_BlueJourney_Medicare | All_Plans | $86.98 | ↓ -82% |
| Highmark_Medicare | All_Plans | $87.85 | ↓ -82% |
| Aetna_Advantra_Medicare | All_Plans | $89.59 | ↓ -82% |
| Aetna_Medicare | All_Plans | $89.59 | ↓ -82% |
| Geisinger_Gold_Medicare | All_Plans | $91.33 | ↓ -81% |
| United_Medicare | ISNP_DSNP_Plans | $91.33 | ↓ -81% |
| Devoted_Medicare | All_Plans | $91.33 | ↓ -81% |
| Highmark_Wholecare_Gateway_Medicare | All_Plans | $91.72 | ↓ -81% |
| UPMC_Medicare | UPMC_for_Life_Complete_Care | $91.76 | ↓ -81% |
| Amerihealth_Medicare | All_Plans | $91.76 | ↓ -81% |
| UPMC_Medicare | UPMC_for_Life_Community_HealthChoices | $91.76 | ↓ -81% |
| Jefferson_Health_Medicare_Advantage | All_Plans | $93.94 | ↓ -81% |
| PA_Health_&_Wellness_Medicare | All_Plans | $93.94 | ↓ -81% |
| Amerihealth_Caritas_Medicaid | All_Plans | $97.18 | ↓ -80% |
| Highmark | Higmark_Healthy_Kids | $134.82 | ↓ -73% |
| Health_Partners_Medicaid | Kidz_Partners | $143.52 | ↓ -71% |
| United_Medicaid | Community_Plan_For_Kids | $152.22 | ↓ -69% |
| WellSpan_Capital_Blue_Cross | All_Plans | $202.00 | ↓ -59% |
| Aetna_Better_Health_Kids | All_Plans | $232.70 | ↓ -53% |
| Blue_Cross | Capital_Cares_4_kids | $234.76 | ↓ -52% |
| Highmark | Choice_Blue_PPO | $263.09 | ↓ -47% |
| Highmark | Blue_Cross_High_Performance_Network | $263.09 | ↓ -47% |
| Highmark | Performance_Blue | $263.09 | ↓ -47% |
| Blue_Cross | Capital_Blue_Cross_Healthy_Benefits_PPO | $268.29 | ↓ -45% |
| Highmark | All_Other_Plans | $316.98 | ↓ -36% |
| Cigna | All_Plans | $320.05 | ↓ -35% |
| Blue_Cross | All_Other_Plans | $335.37 | ↓ -32% |
| UPMC | UPMC_For_Kids | $369.00 | ↓ -25% |
| Geisinger | All_Plans | $369.00 | ↓ -25% |
| UPMC | Employees_And_Dependents | $369.00 | ↓ -25% |
| PHC | All_Plans | $492.00 | ↑ +0% |
| United_Healthcare | All_Plans | $497.84 | ↑ +1% |
| Aetna | All_Plans | $499.38 | ↑ +2% |
| First_Health_Network | All_Plans | $549.20 | ↑ +12% |
Visitor-reported prices
Comments
Ultrasound breast unilateral limited (both sides) at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $253.80 | $34.59 – $338.40 |
| UPMC Bedford | Everett | $291.00 | $30.29 – $436.50 |
| UPMC Carlisle | Carlisle | $280.20 | $16.44 – $134.77 |
| UPMC Cole | Coudersport | $209.40 | $87.12 – $279.20 |
| UPMC Community Osteopathic | Harrisburg | $372.60 | $24.00 – $196.39 |
| UPMC East | Monroeville | $727.80 | $34.92 – $970.40 |
| UPMC Hamot | Erie | $616.80 | $34.59 – $118.50 |
| UPMC Northwest | Seneca | $400.20 | $54.53 – $116.07 |