CMS Price Transparency Data

Blood test, potassium

Facility: Wellspan Good Samaritan Hospital

Billing Code: 84132 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$16
about 3.2× the $5 Medicare rate · typically $16–$16
modeled estimate · not a bill or quote
Medicare pays $5 Fair price $16 Cash price $26 Hospital's list price $32

How we calculate the fair BaseRate →

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

4 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $14 294%
Blue Cross Blue Shieldmajor $7 - $43 147%
Aetnamajor $5 - $22 105%
Cignamajor $27 567%
Geisinger $19 399%
UPMC Health Plan $19 399%
Government programs also on file: Medicare, Medicaid.
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 252 South 4Th Street, Lebanon, PA 17042
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals