Wellspan Good Samaritan Hospital — prices & quality

Published cash, insurer and chargemaster prices for 356 procedures at Wellspan Good Samaritan Hospital, Lebanon, PA — from its federally-required machine-readable file.

about averagevs the US average price, across 356 priced procedures
★★★★★  CMS ratingCompare with another hospital

252 South 4th Street, Lebanon, PA 17042

CMS overall rating★★★★★
Patient survey★★★☆☆
Would recommend63%
ER wait (median)197 min
30-day readmission14.3%
Patient safety (PSI-90)Average
Infections vs nationalBetter than national
Sepsis care54%
🍼 Birthing-Friendly hospital

Acute Care Hospitals · Voluntary non-profit - Private · 196 beds

Price vs US average = median of this hospital’s cash prices against the national median across 343 procedures. Sepsis care = share of cases treated per the recommended protocol (higher is better). Quality ratings from CMS Care Compare.

All published prices

ProcedureCashChargemasterInsurerMedicareEst. you pay
3D mammogram (tomosynthesis) $91 $114 $43 $51
Abdominal fluid drain (paracentesis) $1,589 $1,986 $1,056 $284
Abdominal ultrasound $1,501 $1,877 $149 $100
Abdominal ultrasound (complete) $1,754 $2,192 $149 $114
Abdominal ultrasound (limited) $1,249 $1,561 $138 $86
Abscess drainage (complex or multiple) $907 $1,134 $519 $220
Abscess drainage (simple) $570 $712 $324 $129
Abscess incision and drainage $738 $923 $416 $174
Albumin blood test $21 $26 $7 $5
Aldosterone test $170 $212 $61 $41
Alkaline phosphatase test $22 $27 $8 $5
Alpha-fetoprotein (AFP) test $70 $87 $27 $17
ALT liver enzyme test $22 $28 $9 $5
Ammonia blood test $61 $76 $19 $15
Amylase test $26 $33 $10 $6
Anal fistula repair $2,858 $541
Antinuclear antibody (ANA) test $50 $62 $21 $12
Arterial blood gas (ABG) $108 $135 $39 $26
AST liver enzyme test $22 $27 $9 $5
Barium swallow study $535 $669 $190 $107
Bartholin cyst removal $632 $790 $261 $182
Basic metabolic panel $20 $46 $13 $8
Benign skin lesion removal $1,147 $171
Bilirubin blood test $10 $31 $9 $5
Blood clotting test (PT/INR) $15 $44 $7 $4
Blood crossmatch $654 $817 $183
Blood glucose test $18 $23 $7 $5
Blood transfusion $1,714 $2,143 $568 $47
Blood type and screen $241 $301 $56 $10
Blood type test $95 $165 $52 $3
Blood type test (ABO group) $146 $242 $134 $3
Blood type test (Rh/D antigen) $43 $88 $41 $3
BNP (heart failure) test $80 $204 $57 $39
Bone density scan (DEXA) $237 $627 $138 $39
Bone marrow biopsy $2,464 $3,080 $2,199 $172
Bone scan (nuclear) $1,714 $2,142 $429 $259
Breast biopsy $2,721 $3,401 $1,689 $478
Breast MRI $577 $2,413 $394 $216
Breast MRI without contrast $449 $2,225 $326 $216
Breast ultrasound $516 $646 $126 $92
Breast ultrasound (complete) $541 $676 $140 $100
Breast ultrasound (limited) $492 $615 $116 $84
Breathing tube insertion (intubation) $1,186 $1,482 $302 $133
Bronchoscopy $3,598 $4,498 $2,179 $303
Bunion surgery (bunionectomy) $7,441 $883
Burn dressing and debridement (small) $521 $651 $258 $93
Burn treatment $521 $651 $258 $129
C-reactive protein (CRP) $20 $27 $8 $5
CA 19-9 tumor marker test $85 $108 $34 $21
CA-125 ovarian marker test $85 $108 $34 $21
Calcium blood test $22 $27 $9 $5
Cardiac catheterization $13,618 $17,023 $5,560 $1,049
Cardiac rehabilitation $296 $370 $134 $26
Cardiac stress test $1,118 $1,398 $405 $39
Cardioversion $1,771 $2,214 $1,034 $155
Carotid artery ultrasound $951 $1,189 $255 $156
CEA tumor marker test $65 $99 $29 $19
Celiac disease test $48 $60 $23 $12
Central line placement $2,099 $2,624 $3,234 $238
Cesarean section (C-section) $11,305 $7,552
Chemotherapy infusion $785 $982 $337 $81
Chemotherapy infusion (each additional) $496 $620 $103 $28
Chemotherapy infusion (first hour) $1,074 $1,343 $389 $133
Chest fluid drain (thoracentesis) $1,308 $1,635 $788 $311
Chest tube insertion $2,039 $2,549 $1,615 $143
Chest X-ray $369 $462 $109 $37
Chest X-ray (1 view) $293 $366 $92 $25
Chest X-ray (2 views) $322 $403 $93 $33
Circumcision $413 $516 $2,105 $167
CK-MB heart enzyme test $48 $60 $16 $12
Clotting time test (PTT) $30 $57 $10 $6
Complete blood count (CBC) $15 $68 $11 $7
Complete blood count (CBC) (complete) $15 $74 $12 $8
Complex wound repair $1,689 $390
Comprehensive metabolic panel $25 $57 $16 $11
Contraceptive implant (Nexplanon) $426 $533 $406 $115
Copper blood test $51 $64 $19 $12
Coronary artery bypass (CABG) $43,389 $36,593
Coronary CT angiography $407 $2,107 $486 $326
Cortisol test $68 $85 $25 $16
COVID-19 PCR test $100 $192 $81 $51
CPAP titration study $1,038 $1,298 $441 $69
Creatine kinase (CK) test $27 $34 $10 $7
CT angiography of the chest $532 $2,649 $382 $281
CT angiography of the head $538 $2,763 $352 $274
CT scan of the abdomen $469 $2,362 $225 $230
CT scan of the abdomen and pelvis $438 $3,012 $416 $300
CT scan of the abdomen and pelvis with and without contrast $525 $3,188 $479 $338
CT scan of the abdomen and pelvis with contrast $438 $3,012 $388 $300
CT scan of the abdomen and pelvis without contrast $243 $2,322 $258 $183
CT scan of the abdomen with and without contrast $560 $2,645 $281 $259
CT scan of the abdomen with contrast $469 $2,362 $275 $230
CT scan of the abdomen without contrast $274 $1,610 $177 $136
CT scan of the arm $476 $2,350 $363 $199
CT scan of the arm with contrast $476 $2,350 $409 $199
CT scan of the arm without contrast $286 $1,610 $177 $161
CT scan of the chest $470 $2,362 $223 $167
CT scan of the chest with and without contrast $562 $2,645 $281 $196
CT scan of the chest with contrast $470 $2,362 $266 $167
CT scan of the chest without contrast $285 $1,610 $177 $133
CT scan of the head $478 $2,362 $204 $148
CT scan of the head with and without contrast $569 $2,645 $265 $173
CT scan of the head with contrast $478 $2,362 $241 $148
CT scan of the head without contrast $296 $1,610 $165 $107
CT scan of the leg $476 $2,362 $202 $166
CT scan of the leg with contrast $476 $2,362 $260 $166
CT scan of the leg without contrast $286 $1,610 $177 $130
CT scan of the lower back (lumbar spine) $472 $2,350 $363 $169
CT scan of the lower back (lumbar spine) with and without contrast $569 $2,645 $284 $197
CT scan of the lower back (lumbar spine) with contrast $472 $2,350 $407 $169
CT scan of the lower back (lumbar spine) without contrast $286 $1,610 $177 $130
CT scan of the neck $462 $2,362 $207 $183
CT scan of the neck (cervical spine) $377 $1,980 $370 $168
CT scan of the neck (cervical spine) with contrast $472 $2,350 $407 $168
CT scan of the neck (cervical spine) without contrast $282 $1,610 $177 $131
CT scan of the neck with and without contrast $558 $2,645 $281 $220
CT scan of the neck with contrast $462 $2,362 $259 $183
CT scan of the neck without contrast $268 $1,610 $177 $150
CT scan of the pelvis $476 $2,362 $212 $226
CT scan of the pelvis with and without contrast $572 $2,645 $281 $251
CT scan of the pelvis with contrast $476 $2,362 $260 $226
CT scan of the pelvis without contrast $281 $1,610 $168 $133
CT scan of the sinuses $494 $2,362 $221 $152
CT scan of the sinuses with and without contrast $568 $2,645 $281 $184
CT scan of the sinuses with contrast $494 $2,362 $263 $152
CT scan of the sinuses without contrast $295 $1,610 $177 $128
D-dimer test $61 $76 $16 $10
Defibrillator (ICD) implant $71,449 $89,311 $36,135 $798
DHEA-sulfate test $92 $115 $33 $22
Diagnostic mammogram $215 $532 $159 $140
Drug screen (urine) $172 $215 $94 $17
Ear pressure test (tympanometry) $141 $176 $51 $16
Echocardiogram $2,407 $3,009 $823 $138
Echocardiogram with and without contrast $1,781 $2,226 $381 $101
Echocardiogram without contrast $2,407 $3,009 $1,026 $138
EEG (awake and asleep) $1,077 $1,346 $405 $482
EKG / ECG (tracing only) $314 $393 $63 $7
Electrocardiogram (EKG) $314 $393 $63 $8
Electroencephalogram (EEG) $1,017 $1,271 $405 $448
Electrolyte panel $30 $37 $11 $7
Emergency department visit $1,226 $1,533 $444 $69
Emergency department visit (level 1) $511 $639 $139 $11
Emergency department visit (level 2) $668 $835 $249 $40
Emergency department visit (level 3) $1,226 $1,533 $360 $69
Emergency department visit (level 4) $1,810 $2,263 $553 $118
Emergency department visit (level 5) $1,845 $2,306 $797 $171
Endometrial biopsy $530 $662 $261 $98
Estradiol (estrogen) test $117 $146 $41 $28
Fallopian tube X-ray (HSG) $530 $662 $251 $164
Fecal occult blood (stool) test $26 $44 $19 $10
Fecal occult blood (stool) test (guaiac, gFOBT) $15 $22 $6 $4
Fecal occult blood (stool) test (immunochemical, FIT) $36 $65 $27 $16
Ferritin (iron) test $40 $71 $21 $14
Fibrinogen test $64 $80 $16 $10
Folate (folic acid) test $45 $77 $22 $15
Foreign body removal (skin) $578 $723 $434 $157
Free T4 thyroid test $35 $47 $14 $9
FSH hormone test $78 $97 $28 $19
Gallbladder scan (HIDA) $1,970 $2,462 $595 $334
GGT liver test $30 $37 $12 $7
Glucose tolerance test $35 $44 $14 $8
H. pylori test $280 $350 $95 $67
HDL cholesterol test $34 $43 $12 $8
Hearing test (audiometry) $257 $321 $163 $36
Hematocrit test $18 $22 $4 $2
Hemodialysis $208 $260 $726 $75
Hemoglobin A1c (diabetes test) $25 $75 $15 $10
Hepatitis B test $43 $54 $18 $10
Hepatitis C test $55 $74 $24 $14
HIV test $100 $125 $39 $19
HIV test (antigen/antibody combo) $100 $125 $39 $24
Home sleep apnea test $847 $1,059 $240 $123
Iron blood test $20 $33 $11 $6
IV infusion therapy $468 $585 $138 $44
IV infusion therapy (each additional) $162 $203 $60 $21
IV infusion therapy (initial) $774 $967 $225 $67
IVC filter placement $8,253 $10,316 $6,190 $1,885
Joint aspiration (small/intermediate) $654 $818 $586 $57
Joint aspiration or injection (mid-size joint) $782 $977 $970 $57
Joint aspiration or injection (small joint) $526 $658 $355 $56
Kidney biopsy $1,993 $2,491 $1,681 $492
Kidney scan (nuclear) $2,226 $2,782 $568 $172
Kidney ultrasound $1,222 $1,528 $139 $84
Kidney ultrasound (limited) $1,015 $1,269 $138 $61
Knee joint injection $815 $1,019 $383 $69
Knee replacement $16,218 $18,054
Lactate test $75 $94 $17 $12
Laryngoscopy $618 $772 $266 $189
LDH test $25 $31 $10 $6
LDL cholesterol test $44 $55 $17 $11
Leg artery angiogram $6,960 $8,700 $3,280 $149
Leg artery angioplasty $14,014 $17,518 $11,258
Leg vein ultrasound (Doppler) $1,039 $1,299 $255 $150
Leg vein ultrasound (Doppler) (limited) $863 $1,079 $163 $116
LH hormone test $78 $97 $28 $19
Lipase test $28 $35 $10 $7
Lipid (cholesterol) panel $40 $70 $20 $13
Liver biopsy $2,307 $2,884 $1,729 $288
Liver function panel $25 $43 $13 $8
Lung function test (PFT) $583 $729 $309 $37
Lung scan (V/Q) $2,226 $2,782 $692 $291
Magnesium blood test $30 $47 $10 $7
MRA of the brain $474 $2,225 $404 $226
MRA of the neck $604 $2,436 $600 $245
MRA of the neck without contrast $735 $2,646 $697 $343
MRI of the abdomen $640 $2,350 $570 $300
MRI of the abdomen with contrast $640 $2,350 $552 $300
MRI of the abdomen without contrast $457 $2,225 $420 $194
MRI of the ankle $646 $2,350 $478 $261
MRI of the ankle with contrast $646 $2,350 $545 $261
MRI of the ankle without contrast $463 $2,225 $399 $222
MRI of the brain $636 $2,350 $473 $269
MRI of the brain with contrast $636 $2,350 $514 $269
MRI of the brain without contrast $455 $2,225 $422 $195
MRI of the chest $582 $2,436 $600 $371
MRI of the chest without contrast $706 $2,646 $722 $466
MRI of the knee $645 $2,481 $796 $315
MRI of the knee with contrast $645 $2,481 $843 $315
MRI of the knee without contrast $462 $2,225 $414 $204
MRI of the lower back (lumbar spine) $636 $2,350 $445 $270
MRI of the lower back (lumbar spine) with contrast $636 $2,350 $514 $270
MRI of the lower back (lumbar spine) without contrast $454 $2,225 $367 $192
MRI of the mid-back (thoracic spine) $634 $2,350 $445 $271
MRI of the mid-back (thoracic spine) with and without contrast $701 $2,646 $526 $319
MRI of the mid-back (thoracic spine) with contrast $634 $2,350 $514 $271
MRI of the mid-back (thoracic spine) without contrast $454 $2,225 $371 $190
MRI of the neck (cervical spine) $634 $2,350 $474 $274
MRI of the neck (cervical spine) with and without contrast $702 $2,646 $525 $318
MRI of the neck (cervical spine) with contrast $634 $2,350 $514 $274
MRI of the neck (cervical spine) without contrast $454 $2,225 $424 $191
MRI of the pelvis $581 $2,436 $600 $268
MRI of the pelvis without contrast $456 $2,225 $411 $227
MRI of the shoulder $646 $2,481 $796 $313
MRI of the shoulder with contrast $646 $2,481 $843 $313
MRI of the shoulder without contrast $462 $2,225 $414 $205
MRI of the wrist $588 $2,436 $439 $330
MRI of the wrist without contrast $464 $2,225 $399 $303
Nebulizer breathing treatment $310 $387 $226 $9
Nerve conduction study $903 $1,129 $332 $118
Nuclear cardiac stress test $6,240 $7,800 $1,377 $428
Occupational therapy evaluation $319 $399 $150 $101
Occupational therapy evaluation (high complexity) $319 $399 $155 $101
Occupational therapy evaluation (low complexity) $335 $419 $127 $101
Occupational therapy evaluation (moderate complexity) $319 $399 $127 $101
Office visit (established patient) $630 $788 $134 $115
Office visit (new patient) $175 $219 $134 $177
Office visit, established patient (level 3) $446 $557 $134 $95
Office visit, established patient (level 4) $814 $1,018 $134 $136
Office visit, new patient (level 3) $122 $153 $134 $118
Office visit, new patient (level 4) $175 $219 $134 $177
Office visit, new patient (level 5) $231 $289 $134 $237
Pacemaker insertion $23,685 $15,506
Pap smear (cervical screening) $98 $123 $39 $20
Parathyroid hormone (PTH) test $171 $214 $62 $41
Pelvic ultrasound $493 $616 $113 $78
Pelvic ultrasound (complete) $518 $647 $163 $105
Pelvic ultrasound (limited) $468 $585 $113 $51
PET scan $6,880 $8,600 $2,046
Phosphorus blood test $15 $25 $8 $5
Physical therapy evaluation $481 $601 $124 $98
Physical therapy evaluation (high complexity) $518 $648 $124 $98
Physical therapy evaluation (moderate complexity) $481 $601 $124 $98
Pilonidal cyst removal $2,983 $541
Platelet count $91 $114 $7 $4
Pregnancy ultrasound $986 $1,232 $141 $126
Pregnancy ultrasound (first trimester) $891 $1,114 $141 $117
Pregnancy ultrasound (second or third trimester) $1,080 $1,350 $138 $136
Procalcitonin test $136 $170 $37 $27
Prolactin test $81 $101 $31 $19
Prostate test (PSA) $45 $96 $30 $18
Pulmonary rehabilitation $284 $355 $103 $87
Scoliosis spine X-ray $437 $547 $111 $58
Scoliosis spine X-ray (1 view) $373 $466 $97 $44
Scoliosis spine X-ray (3 views) $502 $627 $113 $72
Screening mammogram $225 $427 $134 $126
Scrotal ultrasound $730 $912 $138 $99
Sedimentation rate (ESR) test $20 $25 $4 $3
Semen analysis $50 $62 $20 $12
Sex hormone binding globulin test $90 $113 $35 $22
Simple laceration repair (small, up to 2.5 cm) $590 $737 $258 $114
Simple wound stitches $889 $1,112 $258 $127
Skin biopsy $618 $772 $463 $121
Skin biopsy (punch) $618 $772 $426 $121
Skin graft $3,725 $898
Skin tag removal $691 $92
Sleep study (polysomnography) $4,050 $5,063 $1,368 $691
Soft tissue ultrasound $468 $585 $111 $64
Speech therapy $401 $501 $96 $76
Spinal tap (lumbar puncture) $1,392 $1,740 $891 $165
Spine fracture repair (kyphoplasty) $11,678 $14,597 $8,705 $5,803
Spirometry (lung function test) $324 $405 $167 $30
Spirometry with bronchodilator $842 $1,052 $332 $43
Stress echocardiogram $1,421 $1,776 $843 $209
Swallow study $434 $542 $108 $85
T3 thyroid test $59 $74 $21 $14
Testosterone test $107 $134 $39 $26
Thyroid test (TSH) $40 $119 $29 $17
Thyroid ultrasound $1,031 $1,289 $138 $109
Thyroid uptake scan $1,714 $2,142 $518 $145
Tilt table test $1,642 $2,052 $1,231 $168
Total IgE allergy test $68 $85 $25 $16
Total protein test $15 $19 $6 $4
Transesophageal echocardiogram (TEE) $3,646 $4,558 $827 $239
Transesophageal echocardiogram (TEE) with and without contrast $3,646 $4,558 $827 $239
Transvaginal ultrasound $709 $886 $163 $118
Trigger point injection $549 $686 $363 $56
Trigger point injection (1-2 muscles) $549 $686 $363 $52
Triglycerides test $24 $30 $9 $6
Troponin (heart) test $62 $78 $17 $12
Tubal ligation $6,080 $333
Upper GI series (barium) $811 $1,014 $205 $128
Uric acid (gout) test $15 $24 $8 $5
Urinalysis $10 $16 $4 $3
Urine microalbumin test $22 $29 $10 $5
Urine pregnancy test $36 $45 $11 $9
Vaccine administration $70 $87 $74 $19
Vaginal delivery $7,930 $5,487
Varicose vein ablation $3,156 $3,945 $3,272 $1,018
Vitamin B12 test $40 $78 $23 $15
Vitamin D test $100 $154 $51 $30
Wound debridement $1,078 $1,347 $691 $186
X-ray of the abdomen $321 $401 $111 $36
X-ray of the ankle $398 $498 $93 $37
X-ray of the collarbone $292 $365 $92 $33
X-ray of the elbow $398 $498 $94 $33
X-ray of the facial bones $363 $454 $111 $39
X-ray of the foot $348 $435 $93 $34
X-ray of the forearm $285 $356 $92 $29
X-ray of the hand $370 $462 $93 $38
X-ray of the hip $454 $567 $111 $49
X-ray of the hip (1 view) $398 $498 $93 $34
X-ray of the hip (3 views) $454 $567 $100 $49
X-ray of the hip (4 views) $478 $597 $113 $63
X-ray of the knee $483 $604 $110 $42
X-ray of the knee (2 views) $262 $328 $93 $34
X-ray of the knee (3 views) $483 $604 $94 $42
X-ray of the knee (4+ views) $530 $662 $112 $49
X-ray of the lower back (lumbar spine) $505 $632 $113 $47
X-ray of the lower back (lumbar spine) (2 views) $484 $605 $112 $40
X-ray of the lower back (lumbar spine) (4+ views) $526 $658 $113 $53
X-ray of the lower leg $430 $537 $92 $31
X-ray of the mid-back (thoracic spine) $555 $694 $111 $36
X-ray of the mid-back (thoracic spine) (2 views) $504 $630 $111 $33
X-ray of the mid-back (thoracic spine) (3 views) $606 $757 $112 $39
X-ray of the neck (cervical spine) $562 $703 $111 $47
X-ray of the neck (cervical spine) (3 views) $484 $605 $94 $40
X-ray of the pelvis $398 $498 $111 $36
X-ray of the pelvis (1 view) $316 $395 $111 $28
X-ray of the ribs $418 $522 $111 $42
X-ray of the ribs (2 views) $239 $299 $93 $36
X-ray of the ribs (3 views) $418 $522 $111 $42
X-ray of the shoulder $398 $498 $93 $36
X-ray of the skull $536 $671 $112 $40
X-ray of the upper arm $266 $333 $93 $32
X-ray of the wrist $369 $461 $94 $43
Zinc blood test $47 $59 $18 $11

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Before you go — your checklist at Wellspan Good Samaritan Hospital

View this hospital’s source price file ↗. Source: this hospital’s machine-readable file (45 CFR §180), retrieved Jun 2026; Medicare from CMS fee schedules; quality from CMS Care Compare. Estimates — confirm with the hospital. Report an incorrect price.