X-ray arthrogram shoulder supervision & interpretation (both sides) at WellSpan Good Samaritan Hospital
252 S. 4th St., Lebanon, PA · Wellspan · · NPI 1407928500
$1,144.00
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.
$1,430.00
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.
$34.38 with Health_Partners_Medicaid vs $2,106.92 with United_Healthcare — 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 | $34.38 | ↓ -97% |
| Geisinger_Medicaid | All_Plans | $34.38 | ↓ -97% |
| UPMC_Medicaid | All_Plans | $34.38 | ↓ -97% |
| PA_Health_&_Wellness_Medicaid | All_Plans | $34.38 | ↓ -97% |
| Highmark_Wholecare_Gateway_Medicaid | All_Plans | $34.38 | ↓ -97% |
| Amerihealth_Caritas_Medicaid | All_Plans | $39.05 | ↓ -97% |
| Blue_Cross | Capital_Blue_Performance_PPO | $73.07 | ↓ -94% |
| WellSpan_Capital_Blue_Cross | All_Plans | $86.00 | ↓ -92% |
| Aetna_Better_Health_Kids | All_Plans | $93.50 | ↓ -92% |
| Blue_Cross | Capital_Cares_4_kids | $335.23 | ↓ -71% |
| Blue_Cross_BlueJourney_Medicare | All_Plans | $352.78 | ↓ -69% |
| Highmark_Medicare | All_Plans | $356.31 | ↓ -69% |
| Aetna_Medicare | All_Plans | $363.36 | ↓ -68% |
| Aetna_Advantra_Medicare | All_Plans | $363.36 | ↓ -68% |
| Devoted_Medicare | All_Plans | $370.42 | ↓ -68% |
| Geisinger_Gold_Medicare | All_Plans | $370.42 | ↓ -68% |
| United_Medicare | ISNP_DSNP_Plans | $370.42 | ↓ -68% |
| Highmark_Wholecare_Gateway_Medicare | All_Plans | $372.01 | ↓ -67% |
| Amerihealth_Medicare | All_Plans | $372.18 | ↓ -67% |
| UPMC_Medicare | UPMC_for_Life_Complete_Care | $372.18 | ↓ -67% |
| UPMC_Medicare | UPMC_for_Life_Community_HealthChoices | $372.18 | ↓ -67% |
| PA_Health_&_Wellness_Medicare | All_Plans | $381.00 | ↓ -67% |
| Jefferson_Health_Medicare_Advantage | All_Plans | $381.00 | ↓ -67% |
| Blue_Cross | Capital_Blue_Cross_Healthy_Benefits_PPO | $383.12 | ↓ -67% |
| Blue_Cross | All_Other_Plans | $478.90 | ↓ -58% |
| Highmark | Higmark_Healthy_Kids | $546.81 | ↓ -52% |
| Health_Partners_Medicaid | Kidz_Partners | $582.09 | ↓ -49% |
| United_Medicaid | Community_Plan_For_Kids | $617.37 | ↓ -46% |
| Cigna | All_Plans | $842.41 | ↓ -26% |
| UPMC | UPMC_For_Kids | $858.00 | ↓ -25% |
| UPMC | Employees_And_Dependents | $858.00 | ↓ -25% |
| Geisinger | All_Plans | $858.00 | ↓ -25% |
| Highmark | Performance_Blue | $1,067.05 | ↓ -7% |
| Highmark | Blue_Cross_High_Performance_Network | $1,067.05 | ↓ -7% |
| Highmark | Choice_Blue_PPO | $1,067.05 | ↓ -7% |
| PHC | All_Plans | $1,144.00 | ↑ +0% |
| Aetna | All_Plans | $1,161.16 | ↑ +2% |
| First_Health_Network | All_Plans | $1,276.99 | ↑ +12% |
| Highmark | All_Other_Plans | $1,285.64 | ↑ +12% |
| United_Healthcare | All_Plans | $2,106.92 | ↑ +84% |
Visitor-reported prices
Comments
X-ray arthrogram shoulder supervision & interpretation (both sides) at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $358.20 | $123.52 – $477.60 |
| UPMC Bedford | Everett | $441.60 | $110.60 – $662.40 |
| UPMC Carlisle | Carlisle | $814.20 | $21.61 – $2,006.79 |
| UPMC Cole | Coudersport | $291.60 | $121.17 – $388.80 |
| UPMC Community Osteopathic | Harrisburg | $814.20 | $21.61 – $1,153.45 |
| UPMC Hamot | Erie | $913.20 | $123.52 – $566.90 |
| UPMC Northwest | Seneca | $782.40 | $110.11 – $367.72 |
| UPMC Hanover | Hanover | $814.20 | $21.61 – $2,006.79 |