Ultrasound pregnant uterus < 14 weeks each additional gestation at WellSpan Good Samaritan Hospital
252 S. 4th St., Lebanon, PA · Wellspan · · NPI 1407928500
$336.80
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.
$421.00
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.
$31.03 with Blue_Cross vs $375.95 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 | $31.03 | ↓ -91% |
| UPMC_Medicaid | All_Plans | $68.70 | ↓ -80% |
| PA_Health_&_Wellness_Medicaid | All_Plans | $68.70 | ↓ -80% |
| Highmark_Wholecare_Gateway_Medicaid | All_Plans | $68.70 | ↓ -80% |
| Health_Partners_Medicaid | All_Other_Plans | $68.70 | ↓ -80% |
| Geisinger_Medicaid | All_Plans | $68.70 | ↓ -80% |
| Amerihealth_Caritas_Medicaid | All_Plans | $78.04 | ↓ -77% |
| Blue_Cross | Capital_Cares_4_kids | $142.36 | ↓ -58% |
| Blue_Cross | Capital_Blue_Cross_Healthy_Benefits_PPO | $162.70 | ↓ -52% |
| Aetna_Better_Health_Kids | All_Plans | $186.86 | ↓ -45% |
| WellSpan_Capital_Blue_Cross | All_Plans | $191.00 | ↓ -43% |
| Blue_Cross | All_Other_Plans | $203.37 | ↓ -40% |
| Cigna | All_Plans | $219.09 | ↓ -35% |
| UPMC | Employees_And_Dependents | $252.60 | ↓ -25% |
| Geisinger | All_Plans | $252.60 | ↓ -25% |
| UPMC | UPMC_For_Kids | $252.60 | ↓ -25% |
| PHC | All_Plans | $336.80 | ↑ +0% |
| Aetna | All_Plans | $341.85 | ↑ +1% |
| First_Health_Network | All_Plans | $375.95 | ↑ +12% |
Visitor-reported prices
Comments
Ultrasound pregnant uterus < 14 weeks each additional gestation at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $387.60 | $21.98 – $516.80 |
| UPMC Bedford | Everett | $285.60 | $57.71 – $428.40 |
| UPMC Carlisle | Carlisle | $304.80 | $28.79 – $431.80 |
| UPMC Cole | Coudersport | $532.20 | $57.71 – $709.60 |
| UPMC Community Osteopathic | Harrisburg | $304.80 | $28.79 – $431.80 |
| UPMC Hamot | Erie | $352.20 | $42.64 – $146.97 |
| UPMC Northwest | Seneca | $610.80 | $60.46 – $133.29 |
| UPMC Hanover | Hanover | $304.80 | $28.79 – $139.49 |