Upper Back (Thoracic Spine) MRI (without contrast) at WellSpan Good Samaritan Hospital
252 S. 4th St., Lebanon, PA · Wellspan · · NPI 1407928500
$454.00
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.
$2,225.00
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.
$238.78 with Blue_Cross_BlueJourney_Medicare vs $2,128.08 with Blue_Cross — 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 |
|---|---|---|---|
| Blue_Cross_BlueJourney_Medicare | All_Plans | $238.78 | ↓ -47% |
| Highmark_Medicare | All_Plans | $241.17 | ↓ -47% |
| Aetna_Medicare | All_Plans | $245.94 | ↓ -46% |
| Aetna_Advantra_Medicare | All_Plans | $245.94 | ↓ -46% |
| Devoted_Medicare | All_Plans | $250.72 | ↓ -45% |
| United_Medicare | ISNP_DSNP_Plans | $250.72 | ↓ -45% |
| Geisinger_Gold_Medicare | All_Plans | $250.72 | ↓ -45% |
| Highmark_Wholecare_Gateway_Medicare | All_Plans | $251.79 | ↓ -45% |
| UPMC_Medicare | UPMC_for_Life_Complete_Care | $251.91 | ↓ -45% |
| Amerihealth_Medicare | All_Plans | $251.91 | ↓ -45% |
| UPMC_Medicare | UPMC_for_Life_Community_HealthChoices | $251.91 | ↓ -45% |
| Jefferson_Health_Medicare_Advantage | All_Plans | $257.88 | ↓ -43% |
| PA_Health_&_Wellness_Medicare | All_Plans | $257.88 | ↓ -43% |
| Blue_Cross | Capital_Blue_Performance_PPO | $324.70 | ↓ -28% |
| Highmark_Wholecare_Gateway_Medicaid | All_Plans | $326.69 | ↓ -28% |
| Geisinger_Medicaid | All_Plans | $326.69 | ↓ -28% |
| PA_Health_&_Wellness_Medicaid | All_Plans | $326.69 | ↓ -28% |
| Health_Partners_Medicaid | All_Other_Plans | $326.69 | ↓ -28% |
| UPMC_Medicaid | All_Plans | $326.69 | ↓ -28% |
| Highmark | Higmark_Healthy_Kids | $370.11 | ↓ -18% |
| Amerihealth_Caritas_Medicaid | All_Plans | $371.12 | ↓ -18% |
| Health_Partners_Medicaid | Kidz_Partners | $393.99 | ↓ -13% |
| United_Medicaid | Community_Plan_For_Kids | $417.87 | ↓ -8% |
| WellSpan_Capital_Blue_Cross | All_Plans | $466.00 | ↑ +3% |
| Highmark | Choice_Blue_PPO | $722.24 | ↑ +59% |
| Highmark | Blue_Cross_High_Performance_Network | $722.24 | ↑ +59% |
| Highmark | Performance_Blue | $722.24 | ↑ +59% |
| Highmark | All_Other_Plans | $870.19 | ↑ +92% |
| Aetna_Better_Health_Kids | All_Plans | $888.59 | ↑ +96% |
| Cigna | All_Plans | $1,157.89 | ↑ +155% |
| Geisinger | All_Plans | $1,335.00 | ↑ +194% |
| UPMC | Employees_And_Dependents | $1,335.00 | ↑ +194% |
| UPMC | UPMC_For_Kids | $1,335.00 | ↑ +194% |
| United_Healthcare | All_Plans | $1,342.45 | ↑ +196% |
| Aetna | All_Plans | $1,477.00 | ↑ +225% |
| Blue_Cross | Capital_Cares_4_kids | $1,489.66 | ↑ +228% |
| First_Health_Network | All_Plans | $1,624.00 | ↑ +258% |
| Blue_Cross | Capital_Blue_Cross_Healthy_Benefits_PPO | $1,702.47 | ↑ +275% |
| PHC | All_Plans | $1,780.00 | ↑ +292% |
| Blue_Cross | All_Other_Plans | $2,128.08 | ↑ +369% |
Visitor-reported prices
Comments
Upper Back (Thoracic Spine) MRI (without contrast) at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $1,699.20 | $187.20 – $2,265.60 |
| UPMC Bedford | Everett | $1,705.20 | $83.15 – $2,557.80 |
| UPMC Carlisle | Carlisle | $1,656.00 | $228.92 – $2,346.00 |
| UPMC Cole | Coudersport | $1,042.20 | $224.37 – $1,389.60 |
| UPMC Community Osteopathic | Harrisburg | $1,656.00 | $235.40 – $2,346.00 |
| UPMC East | Monroeville | $3,940.80 | $231.07 – $5,254.40 |
| UPMC Hamot | Erie | $1,642.80 | $183.52 – $1,362.62 |
| UPMC Northwest | Seneca | $2,205.00 | $209.00 – $1,262.92 |