Ultrasound pregnant uterus transvaginal 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

$533.60

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.

$667.00

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.

$58.05 with Blue_Cross vs $602.31 with United_Healthcare — 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.

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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
Blue_Cross Capital_Blue_Performance_PPO $58.05 ↓ -89%
Blue_Cross_BlueJourney_Medicare All_Plans $105.04 ↓ -80%
Highmark_Medicare All_Plans $106.09 ↓ -80%
Aetna_Medicare All_Plans $108.19 ↓ -80%
Aetna_Advantra_Medicare All_Plans $108.19 ↓ -80%
Highmark_Wholecare_Gateway_Medicaid All_Plans $109.49 ↓ -79%
Geisinger_Medicaid All_Plans $109.49 ↓ -79%
Health_Partners_Medicaid All_Other_Plans $109.49 ↓ -79%
UPMC_Medicaid All_Plans $109.49 ↓ -79%
PA_Health_&_Wellness_Medicaid All_Plans $109.49 ↓ -79%
Geisinger_Gold_Medicare All_Plans $110.29 ↓ -79%
United_Medicare ISNP_DSNP_Plans $110.29 ↓ -79%
Devoted_Medicare All_Plans $110.29 ↓ -79%
Highmark_Wholecare_Gateway_Medicare All_Plans $110.76 ↓ -79%
UPMC_Medicare UPMC_for_Life_Complete_Care $110.82 ↓ -79%
Amerihealth_Medicare All_Plans $110.82 ↓ -79%
UPMC_Medicare UPMC_for_Life_Community_HealthChoices $110.82 ↓ -79%
Jefferson_Health_Medicare_Advantage All_Plans $113.44 ↓ -79%
PA_Health_&_Wellness_Medicare All_Plans $113.44 ↓ -79%
Amerihealth_Caritas_Medicaid All_Plans $124.38 ↓ -77%
Highmark Higmark_Healthy_Kids $162.81 ↓ -69%
Health_Partners_Medicaid Kidz_Partners $173.32 ↓ -68%
United_Medicaid Community_Plan_For_Kids $183.82 ↓ -66%
WellSpan_Capital_Blue_Cross All_Plans $196.00 ↓ -63%
Blue_Cross Capital_Cares_4_kids $266.32 ↓ -50%
Aetna_Better_Health_Kids All_Plans $297.81 ↓ -44%
Blue_Cross Capital_Blue_Cross_Healthy_Benefits_PPO $304.37 ↓ -43%
Highmark Choice_Blue_PPO $317.71 ↓ -40%
Highmark Blue_Cross_High_Performance_Network $317.71 ↓ -40%
Highmark Performance_Blue $317.71 ↓ -40%
Cigna All_Plans $347.11 ↓ -35%
Blue_Cross All_Other_Plans $380.46 ↓ -29%
Highmark All_Other_Plans $382.80 ↓ -28%
UPMC Employees_And_Dependents $400.20 ↓ -25%
UPMC UPMC_For_Kids $400.20 ↓ -25%
Geisinger All_Plans $400.20 ↓ -25%
PHC All_Plans $533.60 ↑ +0%
Aetna All_Plans $541.60 ↑ +1%
First_Health_Network All_Plans $595.63 ↑ +12%
United_Healthcare All_Plans $602.31 ↑ +13%

Visitor-reported prices

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Ultrasound pregnant uterus transvaginal at other Pennsylvania hospitals

Hospital City Cash price Negotiated range
UPMC Altoona Altoona $534.60 $53.03 – $712.80
UPMC Bedford Everett $769.20 $36.58 – $1,153.80
UPMC Carlisle Carlisle $394.20 $69.47 – $558.45
UPMC Cole Coudersport $326.40 $91.97 – $435.20
UPMC Community Osteopathic Harrisburg $394.20 $69.47 – $558.45
UPMC East Monroeville $1,272.60 $96.35 – $1,696.80
UPMC Hamot Erie $906.60 $96.35 – $175.50
UPMC Northwest Seneca $441.60 $91.94 – $175.50

All Pennsylvania hospitals for this procedure →