Warde calcitonin at WellSpan Good Samaritan Hospital
252 S. 4th St., Lebanon, PA · Wellspan · · NPI 1407928500
$111.20
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.
$139.00
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.
$26.16 with Health_Partners_Medicaid vs $249.03 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 |
|---|---|---|---|
| Health_Partners_Medicaid | All_Other_Plans | $26.16 | ↓ -76% |
| Highmark_Wholecare_Gateway_Medicaid | All_Plans | $26.16 | ↓ -76% |
| PA_Health_&_Wellness_Medicaid | All_Plans | $26.16 | ↓ -76% |
| UPMC_Medicaid | All_Plans | $26.16 | ↓ -76% |
| Geisinger_Medicaid | All_Plans | $26.16 | ↓ -76% |
| Blue_Cross_BlueJourney_Medicare | All_Plans | $26.79 | ↓ -76% |
| Highmark_Medicare | All_Plans | $27.06 | ↓ -76% |
| Aetna_Advantra_Medicare | All_Plans | $27.59 | ↓ -75% |
| Aetna_Medicare | All_Plans | $27.59 | ↓ -75% |
| United_Medicare | ISNP_DSNP_Plans | $28.13 | ↓ -75% |
| Geisinger_Gold_Medicare | All_Plans | $28.13 | ↓ -75% |
| Devoted_Medicare | All_Plans | $28.13 | ↓ -75% |
| Highmark_Wholecare_Gateway_Medicare | All_Plans | $28.25 | ↓ -75% |
| UPMC_Medicare | UPMC_for_Life_Complete_Care | $28.26 | ↓ -75% |
| Amerihealth_Medicare | All_Plans | $28.26 | ↓ -75% |
| UPMC_Medicare | UPMC_for_Life_Community_HealthChoices | $28.26 | ↓ -75% |
| Jefferson_Health_Medicare_Advantage | All_Plans | $28.93 | ↓ -74% |
| PA_Health_&_Wellness_Medicare | All_Plans | $28.93 | ↓ -74% |
| Amerihealth_Caritas_Medicaid | All_Plans | $29.72 | ↓ -73% |
| Blue_Cross | Capital_Blue_Performance_PPO | $39.10 | ↓ -65% |
| Highmark | Higmark_Healthy_Kids | $41.52 | ↓ -63% |
| Health_Partners_Medicaid | Kidz_Partners | $44.20 | ↓ -60% |
| United_Medicaid | Community_Plan_For_Kids | $46.88 | ↓ -58% |
| Aetna_Better_Health_Kids | All_Plans | $71.16 | ↓ -36% |
| United_Healthcare | All_Plans | $80.37 | ↓ -28% |
| Highmark | Blue_Cross_High_Performance_Network | $81.03 | ↓ -27% |
| Highmark | Choice_Blue_PPO | $81.03 | ↓ -27% |
| Highmark | Performance_Blue | $81.03 | ↓ -27% |
| WellSpan_Capital_Blue_Cross | All_Plans | $83.40 | ↓ -25% |
| UPMC | Employees_And_Dependents | $83.40 | ↓ -25% |
| UPMC | UPMC_For_Kids | $83.40 | ↓ -25% |
| Geisinger | All_Plans | $83.40 | ↓ -25% |
| Highmark | All_Other_Plans | $97.63 | ↓ -12% |
| Aetna | All_Plans | $110.64 | ↓ -1% |
| PHC | All_Plans | $111.20 | ↑ +0% |
| Cigna | All_Plans | $116.01 | ↑ +4% |
| First_Health_Network | All_Plans | $121.63 | ↑ +9% |
| Blue_Cross | Capital_Cares_4_kids | $174.32 | ↑ +57% |
| Blue_Cross | Capital_Blue_Cross_Healthy_Benefits_PPO | $199.22 | ↑ +79% |
| Blue_Cross | All_Other_Plans | $249.03 | ↑ +124% |
Visitor-reported prices
Comments
Warde calcitonin at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $183.00 | $20.93 – $244.00 |
| UPMC Bedford | Everett | $125.40 | $9.67 – $188.10 |
| UPMC Carlisle | Carlisle | $136.20 | $20.93 – $192.95 |
| UPMC Cole | Coudersport | $181.20 | $17.41 – $241.60 |
| UPMC Community Osteopathic | Harrisburg | $136.20 | $20.93 – $192.95 |
| UPMC East | Monroeville | $400.80 | $20.93 – $534.40 |
| UPMC Hamot | Erie | $311.40 | $20.93 – $51.75 |
| UPMC Northwest | Seneca | $133.20 | $23.02 – $28.93 |