How many shoppable procedure prices are published for Lancaster General Hospital?

Lancaster General Hospital in Lancaster, PA currently has 106 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Lancaster General Hospital's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, Lancaster General Hospital's median negotiated commercial rate is 1.5× the regionally adjusted fair BaseRate benchmark.

What is Lancaster General Hospital's CMS Care Compare overall star rating?

CMS Care Compare assigns Lancaster General Hospital an overall hospital quality rating of 5 out of 5 stars based on public federal clinical and patient-experience measures.

Hospital Profile Acute Care Hospital Voluntary non-profit - Private 620 Beds · rural Updated: 2026-03-31

Lancaster General Hospital

555 North Duke Street, Lancaster, PA 17602 · 106 Priced Procedures · 73% Patient Recommendation

CMS Overall Rating 5 / 5 Stars

High Markup · Shop Alternatives

1.51×vs. Fair Market Price

Typical commercial prices here are +51% above the fair benchmark (1.51×) even after accounting for local nurse/doctor wages and patient complexity.

68/100 · Caution

68/100Self-Pay Cash Beats Insurance 25% of the Time

File Completeness85

Price Logic69

Peer Alignment77

Clean Billing94

Real Cash Discount6

High-Markup · Check Safety

3-Star CMS clinical quality rating paired with 1.51× fair market pricing.

Behavioral Pricing FingerprintHigh-HHI Market Leverage

Consolidated System Premium Pricer

Operating in a concentrated regional market (CBSA HHI 4,081), Lancaster General Hospital commands a 1.51× BaseRate commercial premium across insurers. Self-pay cash quotes, in-state peer hospitals, and freestanding outpatient facilities offer critical leverage against consolidated system pricing.

#118 of 134 in PA · 87th State Percentile#2,657 of 3,385 in U.S. · 78th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 1.06× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 25% of shoppable procedures (25/100 Cash Honesty)
5-Star CMS clinical rating with 73% patient recommendation (73/100 safety score)
IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (44.8% AGB cap)

Watchout

Where You Can Get Burned (Markup Traps)

Outpatient surgery & OR suites carry a 1.6× markup over Medicare rates
Commercial insurance median sits at 1.47× Fair BaseRate (1.9× Medicare), so insured patients should always compare the self-pay cash price before paying.
Upper-quartile procedures (Q75 1.81×) jump +23% above the median procedure ratio (Q50 1.47×)
Consolidated metro market (HHI 4,081) limits in-network hospital competition (Highly Concentrated Monopoly (>2,500))

Front-Door ShoppableElective / Imaging

1.9× Medicare

Pre-scheduled outpatient procedures where patients can comparison-shop.

Back-Door Captive & ER0.84× Divergence

1.6× Medicare

Emergency, inpatient DRG, lab, and specialty drug lines billed after admission.

Quantile Tail Spread+23% Upper Tail

Q25 1.06× · Q50 1.47× · Q75 1.81×

Detects median-gaming when upper-quartile codes spike above the p50 median.

Select any lens to inspect department markups, federal cost accounting, or insurer discounts.

Department & Integrity Multiples (vs. CMS Medicare Cost Anchor) Green ≤1.3× · Teal 1.3–1.8× · Amber 1.8–2.5× · Rose >2.5×

Front-Door Shoppable CareFront-Door Shoppable

1.9× MedicareGood

Outpatient Surgery & ORBack-Door Captive

1.6× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

2.4× MedicareFair

Back-Door Captive ER VisitsBack-Door Captive

1.9× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

1.6× MedicareGood

Specialty & Infusion Drugs (J-Codes)Back-Door Captive

1.5× MedicareGood

Self-Pay Cash Honesty & 501(r)Integrity & Outcomes

25% Cash Edge · 25/100Watchout

CMS Clinical Safety & Star ValueIntegrity & Outcomes

5 CMS · 73/100Fair

Procedure Prices at Lancaster General Hospital

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 106 published procedures.

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Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	—	$18,693	$19,432	1.0×
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	—	$15,680	$19,087	0.8×
Heart stent placement (inpatient stay) MS-DRG Code: `322`	—	$14,279	$17,936	0.8×
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	—	$12,256	$8,223	1.5×
Sleep study (overnight, in lab) CPT Code: `95810`	$5,536	$2,925	$1,021	unverified
Trauma team activation HCPCS Code: `G0390`	$5,403	$2,634	$1,453	1.8×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$3,915	$1,829	$583	3.1×
MRI, brain (with and without contrast) CPT Code: `70553`	$1,818	$1,063	$511	2.1×
MRI, knee or other leg joint CPT Code: `73721`	$1,820	$882	$369	unverified
MRI, brain (no contrast) CPT Code: `70551`	$1,820	$727	$343	unverified
MRI, lower back (no contrast) CPT Code: `72148`	$1,820	$727	$338	unverified
Ultrasound, leg veins (duplex) CPT Code: `93970`	$1,294	$691	$272	2.5×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$2,609	$503	$448	1.1×
Blood transfusion CPT Code: `36430`	$2,025	$471	$498	0.9×
Rabies immune globulin HCPCS Code: `90375`	$4,093	$386	$322	1.2×
CT scan, head (no contrast) CPT Code: `70450`	$1,748	$319	$160	unverified
CT scan, sinuses CPT Code: `70486`	$1,748	$325	$166	unverified
CT scan, neck (cervical spine) CPT Code: `72125`	$1,748	$334	$169	unverified
CT scan, lower back (lumbar spine) CPT Code: `72131`	$1,748	$334	$168	unverified
Ultrasound, abdomen (limited) CPT Code: `76705`	$664	$346	$126	unverified
Diagnostic mammogram (both breasts) CPT Code: `77066`	$906	$268	$148	1.8×
CT scan, head (with and without contrast) CPT Code: `70470`	$3,101	$290	$258	1.1×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$1,917	$289	$303	1.0×
X-ray, lower back CPT Code: `72110`	$536	$280	$112	unverified
Ultrasound, thyroid and neck CPT Code: `76536`	$673	$230	$132	1.7×
CT scan, head (with contrast) CPT Code: `70460`	$2,609	$253	$242	1.0×
X-ray, chest (two views) CPT Code: `71046`	$514	$242	$93	unverified
Office visit, established patient (30-39 min) CPT Code: `99214`	$494	$214	$123	1.7×
Ultrasound, abdomen (complete) CPT Code: `76700`	$744	$215	$134	1.6×
Ultrasound, pelvis CPT Code: `76856`	$725	$207	$130	1.6×
CT scan, pelvis CPT Code: `72192`	$1,917	$207	$163	1.3×
X-ray, hand CPT Code: `73130`	$509	$212	$93	unverified
X-ray, shoulder CPT Code: `73030`	$309	$172	$92	1.9×
X-ray, foot CPT Code: `73630`	$309	$172	$92	1.9×
X-ray, ankle CPT Code: `73610`	$309	$172	$93	1.8×
Hepatitis B immune globulin HCPCS Code: `90371`	$1,168	$196	$151	1.3×
X-ray, neck (cervical spine) CPT Code: `72040`	$309	$165	$93	1.8×
Psychotherapy session (45 minutes) CPT Code: `90834`	$194	$180	$166	1.1×
Psychotherapy session (60 minutes) CPT Code: `90837`	$184	$180	$181	1.0×
Office visit, established patient (20-29 min) CPT Code: `99213`	$342	$145	$87	1.7×
X-ray, pelvis CPT Code: `72170`	$309	$161	$110	1.5×
Psychiatric evaluation (first visit) CPT Code: `90791`	$159	$159	$185	0.9×
Breathing treatment (nebulizer) CPT Code: `94640`	$166	$167	$201	0.8×
Speech therapy (group session) CPT Code: `92508`	$170	$170	$27	unverified
Speech therapy (language evaluation) CPT Code: `92507`	$213	$123	$86	1.4×
X-ray, hip CPT Code: `73502`	$352	$126	$93	1.4×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$181	$85	$64	1.3×
X-ray, chest (single view) CPT Code: `71045`	$437	$93	$92	1.0×
Screening mammogram (both breasts) CPT Code: `77067`	$785	$87	$123	0.7×
CT scan, chest (no contrast) CPT Code: `71250`	$1,917	$109	$167	0.7×
Hospital observation (per hour) HCPCS Code: `G0378`	$147	$82	$86	1.0×
Typhoid vaccine HCPCS Code: `90675`	$349	$317	$347	0.9×
Colorectal cancer screening (alternative) HCPCS Code: `G0145`	$192	$192	$27	7.1×
Varicella (chickenpox) vaccine HCPCS Code: `90716`	$533	$215	$203	1.1×
Drug screening test HCPCS Code: `G0480`	$265	$117	$116	1.0×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$213	$102	$111	0.9×
Electrical stimulation therapy HCPCS Code: `G0283`	$96	$45	$14	3.2×
Physical therapy (manual therapy) CPT Code: `97140`	$138	$68	$34	2.0×
Blood test, vitamin D CPT Code: `82306`	$211	$57	$31	1.8×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$124	$62	$35	1.8×
Physical therapy (functional capacity test) CPT Code: `97750`	$100	$63	$38	1.7×
Occupational therapy (self-care training) CPT Code: `97535`	$119	$60	$38	1.6×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$133	$33	$20	1.6×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$112	$56	$40	1.4×
Blood antibody screen CPT Code: `86850`	$110	$53	$46	1.2×
Orthotic fitting and training CPT Code: `97760`	$110	$54	$51	1.1×
Pneumococcal vaccine HCPCS Code: `90732`	$200	$78	$140	0.6×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$123	$68	$38	unverified
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$95	$8	$4	2.0×
Hepatitis C antibody test CPT Code: `86803`	$100	$27	$15	1.8×
Electrocardiogram (ECG/EKG) CPT Code: `93000`	$85	$45	$25	1.8×
Physical therapy (gait training) CPT Code: `97116`	$97	$49	$33	1.5×
Hepatitis B vaccine HCPCS Code: `90744`	$109	$49	$37	1.3×
Prosthetic fitting and training CPT Code: `97761`	$120	$58	$45	1.3×
New patient office visit (30-44 min) CPT Code: `99203`	$125	$75	$110	0.7×
Flu vaccine injection HCPCS Code: `G0008`	$58	$48	$48	1.0×
Pneumonia vaccine injection HCPCS Code: `G0009`	$70	$49	$49	1.0×
Colorectal cancer screening HCPCS Code: `G0010`	$70	$49	$49	1.0×
Blood test, creatinine (kidney) CPT Code: `82565`	$40	$10	$5	2.0×
Blood test, calcium CPT Code: `82310`	$37	$9	$5	1.8×
Culture, bacterial CPT Code: `87070`	$62	$16	$9	1.8×
Blood test, ferritin (iron stores) CPT Code: `82728`	$98	$24	$14	1.7×
Blood test, liver function panel CPT Code: `80076`	$58	$15	$9	1.7×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$22	$5	$3	1.7×
Blood test, clotting time (PTT) CPT Code: `85730`	$43	$10	$6	1.7×
Culture, blood CPT Code: `87040`	$75	$17	$11	1.5×
Blood test, PSA (prostate screen) CPT Code: `84153`	$133	$29	$19	1.5×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$97	$21	$14	1.5×
Blood test, thyroid (TSH) CPT Code: `84443`	$121	$27	$18	1.5×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$77	$16	$11	1.5×
Blood test, basic metabolic panel CPT Code: `80048`	$62	$13	$9	1.4×
Blood test, magnesium CPT Code: `83735`	$48	$10	$7	1.4×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$52	$14	$10	1.4×
Blood test, potassium CPT Code: `84132`	$33	$7	$5	1.4×
Blood test, sodium CPT Code: `84295`	$35	$7	$5	1.4×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$29	$7	$5	1.4×
Blood test, vitamin B12 CPT Code: `82607`	$116	$22	$16	1.4×
Blood test, complete blood count (CBC) CPT Code: `85025`	$57	$11	$8	1.4×
Blood test, hemoglobin CPT Code: `85018`	$17	$4	$3	1.3×
Blood test, amylase CPT Code: `82150`	$47	$9	$7	1.3×
Blood test, lipase CPT Code: `83690`	$49	$9	$7	1.3×
Blood test, glucose (blood sugar) CPT Code: `82947`	$21	$5	$4	1.3×
Flu vaccine (high dose) HCPCS Code: `90656`	$33	$23	$25	0.9×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$67	$33	$39	0.8×
Extended office visit (prolonged) HCPCS Code: `G2212`	$63	$23	$33	0.7×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$43	$30	$56	0.5×

Showing top 25 high-impact procedures of 106 total

Inline Bill X-Ray & 501(r) Calculator 501(c)(3) Nonprofit · Free Care ≤200% FPL · AGB Cap 44.8%

Audit a Bill or Quote at Lancaster General Hospital (Zero PHI Required)

CMS CCN: 390100

CPT 470

Select Procedure to Audit:

Fair BaseRate™ $19,432

Medicare Rate $14,044

Self-Pay Cash Request Quote

Insurer Median $18,693

1. Amount on Your Bill or Quote ($) Pre-filled with Lancaster General Hospital’s charged/list benchmark

2. Household Annual Income ($) Screened against 2026 HHS Federal Poverty Guidelines

3. Household Size (1–8) 2026 FPL: $15,650 + $5,500 per additional person

Step 1 · 501(r) Charity Care Check 501(r) AGB Cap: $20,103 (274% FPL)

Statutory 501(r) AGB Cap Limits Bill to $20,103

At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (44.8% of gross = $20,103).

Step 2 · Cash vs. Insurance Arbitrage Request Prompt-Pay Quote

Compare Prompt-Pay Cash Rate Against Remaining Deductible

Ask Lancaster General Hospital's billing desk for their written 45 CFR § 180 discounted self-pay cash price and Good Faith Estimate under the No Surprises Act.

Step 3 · Fair BaseRate Target +$25,431 Above Fair BaseRate

Negotiate Toward $19,432 Fair BaseRate ($14,044 Medicare)

Your bill ($44,863) is $25,431 above the denoised Fair BaseRate ($19,432) and 3.2× the $14,044 Medicare rate.

1-Click Factual Dispute Summary: Copy a citation-backed benchmark memo (with CMS CCN, CPT code, Medicare reference, Fair BaseRate, and 26 U.S.C. § 501(r) calculations) to paste into patient-portal messages or billing appeals.

IRS Form 990 Schedule H & 26 U.S.C. § 501(r) 501(c)(3) Nonprofit Hospital

Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)

EIN: 231365353

Filing Period: 193702

Free Care Eligibility BenchmarkUp to 200% FPL100% charity write-off income threshold

Discounted Care EligibilityUp to 400% FPLSliding-scale & AGB billing cap tier

Charity Care Share of ExpensesSee Schedule HNet community financial assistance reported

26 U.S.C. § 501(r)(5) AGB Benchmark Method: lookback_commercial_median

Hospital-Specific CMS HCRIS Benchmark (44.8% of gross charges)

Under 26 U.S.C. § 501(r)(5), a tax-exempt hospital organization may not bill FAP-eligible patients more than Amounts Generally Billed (AGB) to individuals with insurance covering emergency or medically necessary care. Derived from this facility’s reported CMS HCRIS cost-to-charge & insurer allowance filings. Verify your exact Financial Assistance Policy (FAP) determination directly with the billing office.

Screen your household size, income, and itemized CPT codes against 2026 HHS Federal Poverty Guidelines: Calculate Your 501(r) Cap Above ↑

CMS Care Compare Public Quality Record

Clinical Quality, Patient Experience & Infection Benchmarks

CMS Overall3/5 Stars (3/5)

Safety Composite73/100

Would Recommend73%

Rated 9 or 10 (HCAHPS)74%

Median ER Wait206 min

Left ER Before Seen0%

30-Day Mortality vs U.S.better

Unplanned Readmissionbetter

Hip/Knee Complication Rate2.8%

Healthcare-Associated Infections (CDC NHSN / CMS HAI)

1.00 SIR = National Predicted Baseline (Lower Is Safer)

Central-Line Bloodstream Infectionbetter

C. diff Hospital-Onset Infectionbetter

CMS Price Transparency Administrative Enforcement Log

Factual public administrative actions published by the Centers for Medicare & Medicaid Services regarding 45 CFR § 180 compliance at Lancaster General Hospital. Prior administrative notices do not necessarily reflect current compliance status.

2025-02-13·administrative_or_closure
Closure Notice
Recorded
2024-12-03·cap_corrective_action
CAP Request
Recorded
2024-08-23·warning_notice
Warning Notice
Recorded

Source: CMS Hospital Care Compare (434 completed HCAHPS patient surveys). Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.

Care-Setting Arbitrage, Bilateral SVD Insurer Leverage & Regional Alternatives

How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings

Higher-Quality, Above-Median Price Tier Pareto Frontier (Price + Quality)

2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Lancaster General Hospital.

Price Index: 1.03× regional baseline

Quality: 84/100 CMS composite

Notable Payer Contract Outliers (SVD Matrix Anomalies)

HealthPartners

-57.3%

AmeriHealth

-47.5%

Median Household Income$83,703U.S. Census ACS

Local Uninsured Share11.0%Regional ACS estimate

200% FPL (1 Person)$31,920Common free-care ceiling

400% FPL (Family of 4)$128,600Common AGB cap ceiling

45 CFR § 180 Primary-Source Lineage & Federal Verification VeriRate 68/100 · Caution CMS CCN 390100 EIN 231365353

Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings

Download Official Hospital MRF ↗ Verify on CMS Medicare.gov (CCN 390100) ↗ Verify IRS Form 990 (EIN 231365353) ↗ CMS HCRIS Cost Reports ↗

Published MRF File231365353_lancaster-general-hospital_standardcharges.csv

Publication / Vintage2026-03-31 · 564.51 MB

Validated Rate Rows38,341 (CMS v3.0.0)

File Integrity Digest9047c37e50bba5d6f88f…

Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.

Submit MRF Update Correction Policy