Unlistd noninvas vasc dx std 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

$528.80

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.

Full explanation →

What you pay up front if you don't use insurance.

$661.00

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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$18.37 with Highmark_Wholecare_Gateway_Medicaid vs $514.96 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.

Full explanation →

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
Highmark_Wholecare_Gateway_Medicaid All_Plans $18.37 ↓ -97%
Blue_Cross_BlueJourney_Medicare All_Plans $24.19 ↓ -95%
Health_Partners_Medicaid All_Other_Plans $24.19 ↓ -95%
Highmark_Medicare All_Plans $24.43 ↓ -95%
Aetna_Medicare All_Plans $24.92 ↓ -95%
Aetna_Advantra_Medicare All_Plans $24.92 ↓ -95%
Devoted_Medicare All_Plans $25.40 ↓ -95%
Geisinger_Gold_Medicare All_Plans $25.40 ↓ -95%
United_Medicare ISNP_DSNP_Plans $25.40 ↓ -95%
Highmark_Wholecare_Gateway_Medicare All_Plans $25.51 ↓ -95%
UPMC_Medicare UPMC_for_Life_Complete_Care $25.52 ↓ -95%
Amerihealth_Medicare All_Plans $25.52 ↓ -95%
UPMC_Medicare UPMC_for_Life_Community_HealthChoices $25.52 ↓ -95%
Jefferson_Health_Medicare_Advantage All_Plans $26.13 ↓ -95%
PA_Health_&_Wellness_Medicare All_Plans $26.13 ↓ -95%
Highmark Higmark_Healthy_Kids $37.49 ↓ -93%
Health_Partners_Medicaid Kidz_Partners $39.91 ↓ -92%
United_Medicaid Community_Plan_For_Kids $42.33 ↓ -92%
Highmark Performance_Blue $73.17 ↓ -86%
Highmark Choice_Blue_PPO $73.17 ↓ -86%
Highmark Blue_Cross_High_Performance_Network $73.17 ↓ -86%
Highmark All_Other_Plans $88.16 ↓ -83%
Aetna_Better_Health_Kids All_Plans $98.82 ↓ -81%
Blue_Cross Capital_Cares_4_kids $224.49 ↓ -58%
Blue_Cross Capital_Blue_Cross_Healthy_Benefits_PPO $256.55 ↓ -51%
Blue_Cross All_Other_Plans $320.67 ↓ -39%
Cigna All_Plans $323.42 ↓ -39%
WellSpan_Capital_Blue_Cross All_Plans $329.40 ↓ -38%
UPMC Employees_And_Dependents $329.40 ↓ -38%
UPMC UPMC_For_Kids $329.40 ↓ -38%
Geisinger All_Plans $329.40 ↓ -38%
PHC All_Plans $439.20 ↓ -17%
Aetna All_Plans $445.79 ↓ -16%
First_Health_Network All_Plans $490.26 ↓ -7%
United_Healthcare All_Plans $514.96 ↓ -3%

Visitor-reported prices

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Unlistd noninvas vasc dx std at other Pennsylvania hospitals

Hospital City Cash price Negotiated range
WellSpan Gettysburg Hospital Gettysburg $439.20 $18.37 – $43.89

All Pennsylvania hospitals for this procedure →