Hospital Profile Acute Care Hospitals Voluntary non-profit - Private

Wellspan Good Samaritan Hospital

252 S 4TH ST, Lebanon, PA 17042

CMS Overall Rating ★★★★★

How this hospital's prices compare 94 procedures scored

1.0×

the fair BaseRate, typically

about the fair price

Across 94 shoppable procedures, Wellspan Good Samaritan Hospital typically charges about the fair BaseRate for the procedures it prices. 14 of them run 30%+ above the fair BaseRate.

Where it's most above the fair price

Office visit, established patient (20-29 min) fair $140 → $385 2.8×
Sleep study (overnight, in lab) fair $1,571 → $3,040 1.9×
Echocardiogram (heart ultrasound) fair $1,028 → $1,974 1.9×

How we calculate the BaseRate →

Wellspan Good Samaritan Hospital publishes prices for 95 shoppable procedures in Lebanon, PA. It's classified by CMS as Acute Care Hospitals (Voluntary non-profit - Private). CMS rates it 5/5 stars, and 63% of patients would recommend it.

Facility Overview

Setting: rural Bed Count: 149 Beds Teaching Status: Teaching Hospital Annual Discharges: 7,223

Patient Experience

Recommendation Rate: 63% High Patient Rating: 62% ER Wait Time (Med): 197 min Readmission Rate: same

Pricing & Transparency

Procedures Mapped: 95 codes Typical vs Fair BaseRate: 1.0× Price File In Index: Yes MRF Version: 3.0.0

Prices at Wellspan Good Samaritan Hospital

Every shoppable procedure, ranked by how far its price sits above the fair BaseRate. Fair BaseRate is the modeled typical charge; vs Fair is how many times higher this hospital's price is.

Search Procedures & Codes

Procedure & Code	Cash Price	This Hospital	Fair BaseRate	vs Fair
Office visit, established patient (20-29 min) CPT Code: `99213`	$353	$385	$140	2.8×
Sleep study (overnight, in lab) CPT Code: `95810`	$3,935	$3,040	$1,571	1.9×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$3,438	$1,974	$1,028	1.9×
Blood transfusion CPT Code: `36430`	$1,714	$1,306	$698	1.9×
Breast lump removal CPT Code: `19120`	—	$8,101	$4,428	1.8×
Office visit, established patient (30-39 min) CPT Code: `99214`	$450	$385	$224	1.7×
Heart stent placement (inpatient stay) MS-DRG Code: `322`	—	$34,850	$20,718	1.7×
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	—	$30,811	$21,810	1.4×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$314	$177	$130	1.4×
Speech therapy (language evaluation) CPT Code: `92507`	$401	$220	$172	1.3×
Blood antibody screen CPT Code: `86850`	$241	$68	$54	1.3×
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	—	$26,507	$21,576	1.2×
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	—	$11,406	$9,630	1.2×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$1,214	$722	$653	1.1×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$438	$1,067	$973	1.1×
Physical therapy (gait training) CPT Code: `97116`	$186	$84	$79	1.1×
MRI, knee or other leg joint CPT Code: `73721`	$462	$722	$697	1.0×
Ultrasound, abdomen (limited) CPT Code: `76705`	$1,249	$318	$315	1.0×
CT scan, head (with and without contrast) CPT Code: `70470`	$569	$532	$528	1.0×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$204	$84	$83	1.0×
Ultrasound, thyroid and neck CPT Code: `76536`	$1,031	$318	$316	1.0×
CT scan, head (with contrast) CPT Code: `70460`	$478	$532	$531	1.0×
Ultrasound, pelvis CPT Code: `76856`	$518	$318	$318	1.0×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$243	$662	$662	1.0×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$214	$100	$100	1.0×
MRI, brain (with and without contrast) CPT Code: `70553`	$702	$1,067	$1,068	1.0×
Occupational therapy (self-care training) CPT Code: `97535`	$145	$93	$93	1.0×
Physical therapy (functional capacity test) CPT Code: `97750`	$176	$97	$97	1.0×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$200	$93	$93	1.0×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$208	$304	$306	1.0×
MRI, lower back (no contrast) CPT Code: `72148`	$454	$722	$730	1.0×
Screening mammogram (both breasts) CPT Code: `77067`	$225	$251	$255	1.0×
MRI, brain (no contrast) CPT Code: `70551`	$455	$722	$734	1.0×
Ultrasound, abdomen (complete) CPT Code: `76700`	$1,754	$318	$328	1.0×
X-ray, chest (single view) CPT Code: `71045`	$293	$123	$129	1.0×
Orthotic fitting and training CPT Code: `97760`	$145	$132	$139	0.9×
Physical therapy (manual therapy) CPT Code: `97140`	$219	$79	$84	0.9×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$348	$115	$124	0.9×
X-ray, foot CPT Code: `73630`	$348	$130	$141	0.9×
Prosthetic fitting and training CPT Code: `97761`	$118	$117	$129	0.9×
CT scan, head (no contrast) CPT Code: `70450`	$296	$318	$352	0.9×
CT scan, pelvis CPT Code: `72192`	$281	$318	$355	0.9×
X-ray, chest (two views) CPT Code: `71046`	$322	$128	$145	0.9×
CT scan, chest (no contrast) CPT Code: `71250`	$285	$318	$363	0.9×
Speech therapy (group session) CPT Code: `92508`	$108	$69	$79	0.9×
CT scan, sinuses CPT Code: `70486`	$295	$318	$365	0.9×
Flu vaccine (high dose) HCPCS Code: `90656`	$145	$29	$33	0.9×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$286	$318	$367	0.9×
CT scan, neck (cervical spine) CPT Code: `72125`	$282	$318	$378	0.8×
X-ray, ankle CPT Code: `73610`	$398	$132	$161	0.8×
X-ray, hand CPT Code: `73130`	$370	$132	$166	0.8×
X-ray, neck (cervical spine) CPT Code: `72040`	$484	$135	$170	0.8×
X-ray, lower back CPT Code: `72110`	$526	$185	$234	0.8×
X-ray, shoulder CPT Code: `73030`	$398	$124	$162	0.8×
X-ray, hip CPT Code: `73502`	$454	$147	$198	0.7×
X-ray, pelvis CPT Code: `72170`	$316	$111	$154	0.7×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$467	$47	$73	0.6×
Typhoid vaccine HCPCS Code: `90675`	$1,368	$486	$768	0.6×
Hepatitis B vaccine HCPCS Code: `90744`	$269	$34	$57	0.6×
Drug screening test HCPCS Code: `G0480`	$186	—	$267	—
Blood test, basic metabolic panel CPT Code: `80048`	$20	—	$28	—
Blood test, potassium CPT Code: `84132`	$26	—	$16	—
Hepatitis B immune globulin HCPCS Code: `90371`	$2,931	—	$358	—
Pneumonia vaccine injection HCPCS Code: `G0009`	$162	—	$105	—
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$17	—	$13	—
Colorectal cancer screening HCPCS Code: `G0010`	$23	—	$109	—
Blood test, PSA (prostate screen) CPT Code: `84153`	$45	—	$53	—
Culture, bacterial CPT Code: `87070`	$36	—	$29	—
Blood test, complete blood count (CBC) CPT Code: `85025`	$15	—	$23	—
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$40	—	$41	—
Blood test, lipase CPT Code: `83690`	$28	—	$21	—
Blood test, vitamin D CPT Code: `82306`	$100	—	$82	—
Blood test, liver function panel CPT Code: `80076`	$25	—	$27	—
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$45	—	$56	—
Breathing treatment (nebulizer) CPT Code: `94640`	$310	—	$212	—
Blood test, glucose (blood sugar) CPT Code: `82947`	$15	—	$12	—
Blood test, hemoglobin CPT Code: `85018`	$18	—	$7	—
Blood test, ferritin (iron stores) CPT Code: `82728`	$40	—	$43	—
Blood test, calcium CPT Code: `82310`	$22	—	$18	—
Hepatitis C antibody test CPT Code: `86803`	$55	—	$44	—
New patient office visit (30-44 min) CPT Code: `99203`	$181	—	$187	—
Blood test, creatinine (kidney) CPT Code: `82565`	$15	—	$17	—
Blood test, amylase CPT Code: `82150`	$26	—	$20	—
Blood test, average blood sugar (A1c) CPT Code: `83036`	$25	—	$31	—
Urinalysis (automated, with microscopy) CPT Code: `81001`	$10	—	$9	—
Culture, blood CPT Code: `87040`	$43	—	$35	—
Blood test, sodium CPT Code: `84295`	$26	—	$15	—
Blood test, vitamin B12 CPT Code: `82607`	$40	—	$46	—
Blood test, clotting time (PTT) CPT Code: `85730`	$30	—	$21	—
Hospital observation (per hour) HCPCS Code: `G0378`	$74	—	—	—
Blood test, thyroid (TSH) CPT Code: `84443`	$40	—	$49	—
Blood test, comprehensive metabolic panel CPT Code: `80053`	$25	—	$34	—
Blood test, clotting time (PT/INR) CPT Code: `85610`	$15	—	$13	—
Flu vaccine injection HCPCS Code: `G0008`	$106	—	$95	—
Blood test, magnesium CPT Code: `83735`	$30	—	$21	—