Warde mitochondrial antibody each 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

$127.20

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.

$159.00

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.

$25.45 with Blue_Cross_BlueJourney_Medicare vs $162.09 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_BlueJourney_Medicare All_Plans $25.45 ↓ -80%
Highmark_Medicare All_Plans $25.70 ↓ -80%
Aetna_Medicare All_Plans $26.21 ↓ -79%
Aetna_Advantra_Medicare All_Plans $26.21 ↓ -79%
United_Medicare ISNP_DSNP_Plans $26.72 ↓ -79%
Geisinger_Gold_Medicare All_Plans $26.72 ↓ -79%
Devoted_Medicare All_Plans $26.72 ↓ -79%
Highmark_Wholecare_Gateway_Medicare All_Plans $26.84 ↓ -79%
UPMC_Medicare UPMC_for_Life_Complete_Care $26.85 ↓ -79%
Amerihealth_Medicare All_Plans $26.85 ↓ -79%
UPMC_Medicare UPMC_for_Life_Community_HealthChoices $26.85 ↓ -79%
PA_Health_&_Wellness_Medicare All_Plans $27.49 ↓ -78%
Jefferson_Health_Medicare_Advantage All_Plans $27.49 ↓ -78%
Aetna_Better_Health_Kids All_Plans $28.62 ↓ -78%
Blue_Cross Capital_Blue_Performance_PPO $29.15 ↓ -77%
Highmark Higmark_Healthy_Kids $39.45 ↓ -69%
Health_Partners_Medicaid Kidz_Partners $41.99 ↓ -67%
United_Medicaid Community_Plan_For_Kids $44.54 ↓ -65%
Blue_Cross Capital_Blue_Cross_Healthy_Benefits_PPO $74.30 ↓ -42%
United_Healthcare All_Plans $76.35 ↓ -40%
Highmark Choice_Blue_PPO $76.98 ↓ -39%
Highmark Blue_Cross_High_Performance_Network $76.98 ↓ -39%
Highmark Performance_Blue $76.98 ↓ -39%
Highmark All_Other_Plans $92.75 ↓ -27%
WellSpan_Capital_Blue_Cross All_Plans $95.40 ↓ -25%
UPMC Employees_And_Dependents $95.40 ↓ -25%
UPMC UPMC_For_Kids $95.40 ↓ -25%
Geisinger All_Plans $95.40 ↓ -25%
Aetna All_Plans $105.11 ↓ -17%
Blue_Cross Capital_Cares_4_kids $113.46 ↓ -11%
First_Health_Network All_Plans $115.54 ↓ -9%
PHC All_Plans $127.20 ↑ +0%
Cigna All_Plans $132.70 ↑ +4%
Blue_Cross All_Other_Plans $162.09 ↑ +27%

Visitor-reported prices

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Warde mitochondrial antibody each at other Pennsylvania hospitals

Hospital City Cash price Negotiated range
UPMC Altoona Altoona $115.80 $10.80 – $154.40
UPMC Bedford Everett $100.20 $9.18 – $150.30
UPMC Carlisle Carlisle $87.60 $14.00 – $124.10
UPMC Community Osteopathic Harrisburg $87.60 $20.33 – $124.10
UPMC East Monroeville $179.40 $10.90 – $239.20
UPMC Hamot Erie $271.20 $10.80 – $27.49
UPMC Northwest Seneca $102.00 $23.08 – $27.49
UPMC Hanover Hanover $87.60 $20.33 – $107.63

All Pennsylvania hospitals for this procedure →