Uric acid urine 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

$20.80

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.

$26.00

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.

$5.05 with Blue_Cross vs $32.16 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 →

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 $5.05 ↓ -76%
Blue_Cross_BlueJourney_Medicare All_Plans $5.08 ↓ -76%
Highmark_Medicare All_Plans $5.13 ↓ -75%
Aetna_Advantra_Medicare All_Plans $5.23 ↓ -75%
Aetna_Medicare All_Plans $5.23 ↓ -75%
Devoted_Medicare All_Plans $5.33 ↓ -74%
Geisinger_Gold_Medicare All_Plans $5.33 ↓ -74%
United_Medicare ISNP_DSNP_Plans $5.33 ↓ -74%
Highmark_Wholecare_Gateway_Medicare All_Plans $5.36 ↓ -74%
Amerihealth_Medicare All_Plans $5.36 ↓ -74%
UPMC_Medicare UPMC_for_Life_Community_HealthChoices $5.36 ↓ -74%
UPMC_Medicare UPMC_for_Life_Complete_Care $5.36 ↓ -74%
Jefferson_Health_Medicare_Advantage All_Plans $5.49 ↓ -74%
PA_Health_&_Wellness_Medicare All_Plans $5.49 ↓ -74%
Geisinger_Medicaid All_Plans $5.63 ↓ -73%
Highmark_Wholecare_Gateway_Medicaid All_Plans $5.63 ↓ -73%
UPMC_Medicaid All_Plans $5.63 ↓ -73%
PA_Health_&_Wellness_Medicaid All_Plans $5.63 ↓ -73%
Health_Partners_Medicaid All_Other_Plans $5.63 ↓ -73%
Amerihealth_Caritas_Medicaid All_Plans $6.39 ↓ -69%
Highmark Higmark_Healthy_Kids $7.87 ↓ -62%
Health_Partners_Medicaid Kidz_Partners $8.38 ↓ -60%
United_Medicaid Community_Plan_For_Kids $8.89 ↓ -57%
United_Healthcare All_Plans $15.24 ↓ -27%
Aetna_Better_Health_Kids All_Plans $15.30 ↓ -26%
Highmark Performance_Blue $15.37 ↓ -26%
Highmark Blue_Cross_High_Performance_Network $15.37 ↓ -26%
Highmark Choice_Blue_PPO $15.37 ↓ -26%
WellSpan_Capital_Blue_Cross All_Plans $15.60 ↓ -25%
UPMC Employees_And_Dependents $15.60 ↓ -25%
UPMC UPMC_For_Kids $15.60 ↓ -25%
Geisinger All_Plans $15.60 ↓ -25%
Highmark All_Other_Plans $18.51 ↓ -11%
PHC All_Plans $20.80 ↑ +0%
Aetna All_Plans $20.98 ↑ +1%
Cigna All_Plans $21.70 ↑ +4%
Blue_Cross Capital_Cares_4_kids $22.51 ↑ +8%
First_Health_Network All_Plans $23.06 ↑ +11%
Blue_Cross Capital_Blue_Cross_Healthy_Benefits_PPO $25.73 ↑ +24%
Blue_Cross All_Other_Plans $32.16 ↑ +55%

Visitor-reported prices

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Uric acid urine at other Pennsylvania hospitals

Hospital City Cash price Negotiated range
UPMC Altoona Altoona $82.80 $4.50 – $110.40
UPMC Bedford Everett $28.20 $1.83 – $42.30
UPMC Carlisle Carlisle $25.80 $4.50 – $36.55
UPMC Cole Coudersport $24.00 $3.30 – $32.00
UPMC Community Osteopathic Harrisburg $25.80 $4.50 – $19.55
UPMC East Monroeville $47.40 $2.22 – $63.20
UPMC Hamot Erie $118.20 $4.03 – $6.25
UPMC Northwest Seneca $36.00 $2.24 – $5.49

All Pennsylvania hospitals for this procedure →