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Hospital facility prices. What the hospital charges for the facility side of care — the surgeon’s and anesthesiologist’s fees are billed separately and are not included. How we scope prices →

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WELLSPAN GOOD SAMARITAN HOSPITAL

Lebanon, PA · CCN 390066 · Rates published

You selected 93306 (CPT)

Ultrasound of Heart W Blood Flow, Rate, Direction and Valve Function

This hospital’s price: $894 across 30 payers · range $176-$4,374

Source: https://edge.sitecorecloud.io/269a6006063e-wellspanxmcef9f-production4406-c241/media/Project/Wellspan-Site-Tenant/wellspan-site/data/media/files/Patient-Resources/Cost/230794160_good-samaritan-hospital_standard-charges.csv · observed 2026-01-01

This is the facility’s filed rate for this code. The comparison board’s estimate also adds the surgeon and anesthesia fees, so it is usually higher.

3,032 distinct procedures filed
30 distinct payers
123,332 rate rows
2026-01-01 last MRF observed

121,582 of 123,332 rate rows are consumer-grade (98.6%)

1,750 rows are marked excluded from the consumer medians — these stay visible in the raw drill-down with the same reason shown here, so nothing is silently hidden.

Excluded — reasonRows
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 1,150
per-diem day rate — not a per-procedure price 477
exceeds 10× this hospital's gross charge — excluded from medians 90
placeholder amount (≤ $0.02) — excluded from medians 21
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 12
↓ Download audit trail (JSON)
Source MRF file https://edge.sitecorecloud.io/269a6006063e-wellspanxmcef9f-production4406-c241/media/Project/Wellspan-Site-Tenant/wellspan-site/data/media/files/Patient-Resources/Cost/230794160_good-samaritan-hospital_standard-charges.csv
Found on page https://www.wellspan.org/Patient-Resources/Billing-and-Insurance/Cost-Estimates
Discovered viaCMS hospital list
Last fetch not_modified · 2026-10-03
Content fingerprint acc8eef3bacf8767… · 30,215,432 bytes · first seen 2026-05-15

Top 50 most expensive offerings

Outliers are flagged where this hospital's filed rate is ≥2× or ≤0.5× the national median for the same code.

Code Description Payers Min $ Max $ Avg median vs national
APR009 SOI 4
OTHER
Extracorporeal Membrane Oxygenation (ecmo) 7 $185,685.45 $424,423.89 $185,685.45 nat. median
$213,980

0.9× median
3
MS_DRG
Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 19 $141,232.44 $456,110.13 $171,975.46 nat. median
$190,557

0.9× median
APR004 SOI 4
OTHER
Tracheostomy With Mv >96 Hours With Extensive Procedure 7 $142,701.06 $326,173.86 $142,701.06 nat. median
$161,198

0.9× median
APR009 SOI 3
OTHER
Extracorporeal Membrane Oxygenation (ecmo) 7 $124,792.34 $285,239.64 $124,792.34 nat. median
$143,808

0.9× median
4
MS_DRG
Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 19 $92,167.19 $303,442.01 $112,229.84 nat. median
$126,722

0.9× median
APR005 SOI 4
OTHER
Tracheostomy With Mv >96 Hours Without Extensive Procedure 7 $99,411.10 $227,225.38 $99,411.10 nat. median
$108,202

0.9× median
216
MS_DRG
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 20 $65,094.74 $309,241.00 $82,250.95 nat. median
$90,581

0.9× median
231
MS_DRG
Coronary Bypass With Ptca With McC 19 $56,092.54 $252,862.00 $68,302.58 nat. median
$77,043

0.9× median
232
MS_DRG
Coronary Bypass With Ptca Without McC 19 $52,823.43 $252,862.00 $68,302.58 nat. median
$57,804

1.2× median
APR009 SOI 2
OTHER
Extracorporeal Membrane Oxygenation (ecmo) 7 $62,633.08 $143,161.32 $62,633.08 nat. median
$72,177

0.9× median
219
MS_DRG
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 19 $51,091.40 $241,424.00 $62,212.81 nat. median
$72,473

0.9× median
233
MS_DRG
Coronary Bypass With Cardiac Catheterization Or Open Ablation With McC 19 $50,871.15 $239,231.00 $61,944.62 nat. median
$71,758

0.9× median
870
MS_DRG
Septicemia Or Severe Sepsis With Mv >96 Hours 20 $45,991.10 $158,870.16 $58,112.40 nat. median
$62,721

0.9× median
275
MS_DRG
Cardiac Defibrillator Implant With Cardiac Catheterization And McC 19 $47,445.67 $239,970.00 $57,773.49 nat. median
$66,649

0.9× median
33225
CPT
Insertion Of Left Lower Heart Electrode For Pacemaker Or Defibrillator 10 $6,420.00 $84,485.66 $54,042.00 nat. median
$8,068

outlier · 6.7×
APR166 SOI 4
OTHER
Coronary Bypass Without Ami Or Complex Principal Diagnosis 7 $51,211.85 $117,055.65 $51,211.85 nat. median
$59,015

0.9× median
276
MS_DRG
Cardiac Defibrillator Implant With McC Or Carotid Sinus Neurostimulator 19 $39,967.90 $205,938.00 $48,667.99 nat. median
$56,686

0.9× median
235
MS_DRG
Coronary Bypass Without Cardiac Catheterization With McC 19 $39,049.66 $181,208.00 $47,549.86 nat. median
$55,491

0.9× median
820
MS_DRG
Lymphoma And Leukemia With Major O.r. Procedures With McC 19 $39,024.36 $145,427.30 $47,519.06 nat. median
$53,879

0.9× median
463
MS_DRG
Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective… 19 $37,924.46 $111,484.08 $46,179.74 nat. median
$49,960

0.9× median
270
MS_DRG
Other Major Cardiovascular Procedures With McC 20 $35,108.49 $109,968.64 $44,361.60 nat. median
$49,396

0.9× median
234
MS_DRG
Coronary Bypass With Cardiac Catheterization Or Open Ablation Without McC 19 $36,348.80 $160,321.00 $44,261.09 nat. median
$51,613

0.9× median
APR220 SOI 4
OTHER
Major Stomach, Esophageal And Duodenal Procedures 7 $43,775.28 $100,057.79 $43,775.28 nat. median
$46,528

0.9× median
220
MS_DRG
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 19 $35,484.44 $163,387.00 $43,208.58 nat. median
$50,679

0.9× median
APR165 SOI 3
OTHER
Coronary Bypass With Ami Or Complex Principal Diagnosis 7 $42,688.16 $97,572.94 $42,688.16 nat. median
$49,193

0.9× median
653
MS_DRG
Major Bladder Procedures With McC 19 $34,576.84 $167,363.61 $42,103.41 nat. median
$49,999

0.8× median
326
MS_DRG
Stomach, Esophageal And Duodenal Procedures With McC 20 $33,186.15 $111,667.39 $41,932.61 nat. median
$46,224

0.9× median
228
MS_DRG
Other Cardiothoracic Procedures With McC 20 $32,919.99 $193,578.00 $41,596.31 nat. median
$47,451

0.9× median
853
MS_DRG
Infectious And Parasitic Diseases With O.r. Procedures With McC 20 $32,861.44 $103,632.23 $41,522.32 nat. median
$45,474

0.9× median
239
MS_DRG
Amputation For Circulatory System Disorders Except Upper Limb And Toe With McC 20 $32,748.98 $102,578.07 $41,380.22 nat. median
$45,264

0.9× median
981
MS_DRG
Extensive O.r. Procedures Unrelated To Principal Diagnosis With McC 20 $31,219.22 $119,763.66 $39,447.29 nat. median
$43,741

0.9× median
329
MS_DRG
Major Small And Large Bowel Procedures With McC 20 $30,585.10 $95,704.38 $38,646.04 nat. median
$42,662

0.9× median
823
MS_DRG
Lymphoma And Non-acute Leukemia With Other Procedures With McC 20 $30,507.26 $109,498.21 $38,547.67 nat. median
$42,894

0.9× median
APR179 SOI 3
OTHER
Defibrillator Implants 7 $38,491.39 $87,980.32 $38,491.39 nat. median
$43,002

0.9× median
856
MS_DRG
Postoperative Or Post-traumatic Infections With O.r. Procedures With McC 20 $30,267.04 $94,804.01 $38,244.15 nat. median
$41,690

0.9× median
799
MS_DRG
Splenic Procedures With McC 20 $30,135.29 $94,391.33 $38,077.68 nat. median
$43,294

0.9× median
APR181 SOI 4
OTHER
Lower Extremity Vascular Procedures 7 $37,576.83 $85,889.89 $37,576.83 nat. median
$39,940

0.9× median
APR166 SOI 3
OTHER
Coronary Bypass Without Ami Or Complex Principal Diagnosis 7 $37,571.79 $85,878.39 $37,571.79 nat. median
$43,297

0.9× median
APR230 SOI 4
OTHER
Major Small Bowel Procedures 7 $37,028.95 $84,637.61 $37,028.95 nat. median
$38,988

0.9× median
APR710 SOI 4
OTHER
Infectious And Parasitic Diseases Including HIV With O.r. Procedure 7 $36,410.62 $83,224.27 $36,410.62 nat. median
$38,337

0.9× median
323
MS_DRG
Coronary Intravascular Lithotripsy With Intraluminal Device With McC 20 $28,794.52 $119,274.83 $36,383.53 nat. median
$39,076

0.9× median
33270
CPT
Insertion Or Replacement Of Defibrillator With Electrode 25 $6,420.00 $115,418.88 $36,134.88 nat. median
$32,113

1.1× median
33264
CPT
Removal And Replacement Of Multiple Lead Defibrillator 25 $6,420.00 $115,418.88 $36,134.88 nat. median
$31,564

1.1× median
33249
CPT
Insertion Of Implantable Defibrillator System 25 $6,420.00 $115,418.88 $36,134.88 nat. median
$31,584

1.1× median
474
MS_DRG
Amputation For Musculoskeletal System And Connective Tissue Disorders With McC 20 $28,564.95 $89,472.62 $36,093.46 nat. median
$40,003

0.9× median
269
MS_DRG
Aortic And Heart Assist Procedures Except Pulsation Balloon Without McC 20 $28,101.17 $89,395.02 $35,507.44 nat. median
$40,092

0.9× median
APR711 SOI 4
OTHER
Post-operative, Post-trauma, Other Device Infections With O.r. Procedure 7 $35,498.21 $81,138.77 $35,498.21 nat. median
$37,730

0.9× median
673
MS_DRG
Other Kidney And Urinary Tract Procedures With McC 20 $27,957.44 $87,569.75 $35,325.83 nat. median
$38,049

0.9× median
901
MS_DRG
Wound Debridements For Injuries With McC 20 $27,924.17 $97,980.12 $35,283.79 nat. median
$39,679

0.9× median
236
MS_DRG
Coronary Bypass Without Cardiac Catheterization Without McC 20 $27,872.27 $124,070.00 $35,218.21 nat. median
$40,341

0.9× median

Other procedures at this hospital

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Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
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