Warde vitamin c (ascorbic acid) 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

$40.80

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.

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

$51.00

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.

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

$8.75 with Geisinger_Medicaid vs $91.90 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
Geisinger_Medicaid All_Plans $8.75 ↓ -79%
Highmark_Wholecare_Gateway_Medicaid All_Plans $8.75 ↓ -79%
PA_Health_&_Wellness_Medicaid All_Plans $8.75 ↓ -79%
UPMC_Medicaid All_Plans $8.75 ↓ -79%
Health_Partners_Medicaid All_Other_Plans $8.75 ↓ -79%
Blue_Cross_BlueJourney_Medicare All_Plans $9.89 ↓ -76%
Amerihealth_Caritas_Medicaid All_Plans $9.94 ↓ -76%
Highmark_Medicare All_Plans $9.99 ↓ -76%
Aetna_Advantra_Medicare All_Plans $10.19 ↓ -75%
Aetna_Medicare All_Plans $10.19 ↓ -75%
Geisinger_Gold_Medicare All_Plans $10.38 ↓ -75%
United_Medicare ISNP_DSNP_Plans $10.38 ↓ -75%
Devoted_Medicare All_Plans $10.38 ↓ -75%
Amerihealth_Medicare All_Plans $10.43 ↓ -74%
Highmark_Wholecare_Gateway_Medicare All_Plans $10.43 ↓ -74%
UPMC_Medicare UPMC_for_Life_Community_HealthChoices $10.43 ↓ -74%
UPMC_Medicare UPMC_for_Life_Complete_Care $10.43 ↓ -74%
PA_Health_&_Wellness_Medicare All_Plans $10.68 ↓ -74%
Jefferson_Health_Medicare_Advantage All_Plans $10.68 ↓ -74%
Blue_Cross Capital_Blue_Performance_PPO $14.43 ↓ -65%
Highmark Higmark_Healthy_Kids $15.33 ↓ -62%
Health_Partners_Medicaid Kidz_Partners $16.32 ↓ -60%
United_Medicaid Community_Plan_For_Kids $17.31 ↓ -58%
Aetna_Better_Health_Kids All_Plans $23.80 ↓ -42%
United_Healthcare All_Plans $29.67 ↓ -27%
Highmark Blue_Cross_High_Performance_Network $29.91 ↓ -27%
Highmark Choice_Blue_PPO $29.91 ↓ -27%
Highmark Performance_Blue $29.91 ↓ -27%
WellSpan_Capital_Blue_Cross All_Plans $30.60 ↓ -25%
UPMC Employees_And_Dependents $30.60 ↓ -25%
UPMC UPMC_For_Kids $30.60 ↓ -25%
Geisinger All_Plans $30.60 ↓ -25%
Highmark All_Other_Plans $36.04 ↓ -12%
PHC All_Plans $40.80 ↑ +0%
Aetna All_Plans $40.85 ↑ +0%
Cigna All_Plans $42.56 ↑ +4%
First_Health_Network All_Plans $44.90 ↑ +10%
Blue_Cross Capital_Cares_4_kids $64.33 ↑ +58%
Blue_Cross Capital_Blue_Cross_Healthy_Benefits_PPO $73.52 ↑ +80%
Blue_Cross All_Other_Plans $91.90 ↑ +125%

Visitor-reported prices

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Warde vitamin c (ascorbic acid) at other Pennsylvania hospitals

Hospital City Cash price Negotiated range
UPMC Altoona Altoona $123.00 $7.00 – $164.00
UPMC Bedford Everett $90.60 $3.57 – $135.90
UPMC Carlisle Carlisle $49.80 $7.00 – $70.55
UPMC Cole Coudersport $97.20 $6.43 – $129.60
UPMC Community Osteopathic Harrisburg $49.80 $7.00 – $70.55
UPMC East Monroeville $205.80 $7.00 – $274.40
UPMC Hamot Erie $147.60 $7.00 – $26.86
UPMC Northwest Seneca $72.00 $7.70 – $10.68

All Pennsylvania hospitals for this procedure →