All published prices at Wellspan Good Samaritan Hospital
65 procedures, each showing what the hospital billed, what that care was actually paid for, and how the charge compares with the national middle for the same coded work.
| Procedure | Patients | Charged | Actually paid | vs national |
|---|---|---|---|---|
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
350 | $47,218 | $15,593 | -28% |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
334 | $18,650 | $2,589 | -4% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
141 | $32,160 | $10,071 | -26% |
|
Level 1 Nerve Procedures
APC 5431 · Hospital outpatient visit |
124 | $9,534 | $1,788 | -16% |
|
Level 1 Endovascular Procedures
APC 5191 · Hospital outpatient visit |
109 | $22,742 | $3,095 | -10% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
85 | $8,387 | $1,523 | -17% |
|
Level 5 Urology and Related Services
APC 5375 · Hospital outpatient visit |
76 | $28,063 | $4,907 | about average |
|
Sepsis (without major complications)
MS-DRG 872 · Inpatient stay |
71 | $27,637 | $8,838 | -30% |
|
Level 1 Laparoscopy and Related Services
APC 5361 · Hospital outpatient visit |
70 | $33,987 | $5,471 | -3% |
|
Level 3 Electrophysiologic Procedures
APC 5213 · Hospital outpatient visit |
67 | $142,269 | $22,462 | +7% |
|
Level 2 Upper GI Procedures
APC 5302 · Hospital outpatient visit |
64 | $8,995 | $1,804 | -23% |
|
Level 3 Vascular Procedures
APC 5183 · Hospital outpatient visit |
62 | $16,840 | $3,023 | -12% |
|
Level 3 Urology and Related Services
APC 5373 · Hospital outpatient visit |
62 | $17,655 | $1,931 | +37% |
|
Infection Needing Surgery (severe)
MS-DRG 853 · Inpatient stay |
52 | $115,151 | $37,670 | -35% |
|
Level 4 Urology and Related Services
APC 5374 · Hospital outpatient visit |
51 | $21,617 | $3,254 | +5% |
|
Level 1 Breast/lymphatic Surgery and Related Procedures
APC 5091 · Hospital outpatient visit |
43 | $17,752 | $3,614 | -26% |
|
Level 3 Endovascular Procedures
APC 5193 · Hospital outpatient visit |
40 | $75,468 | $10,422 | +12% |
|
Kidney or Urinary Disorder (severe)
MS-DRG 698 · Inpatient stay |
38 | $41,847 | $12,860 | -26% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
37 | $68,031 | $12,462 | +9% |
|
Level 3 Pacemaker and Similar Procedures
APC 5223 · Hospital outpatient visit |
37 | $63,248 | $10,117 | +23% |
|
Level 3 Excision/ Biopsy/ Incision and Drainage
APC 5073 · Hospital outpatient visit |
33 | $11,384 | $2,531 | -36% |
|
Stroke (severe)
MS-DRG 064 · Inpatient stay |
32 | $45,499 | $15,415 | -40% |
|
Heart Attack (severe)
MS-DRG 280 · Inpatient stay |
32 | $39,774 | $13,907 | -35% |
|
Level 1 Abdominal/peritoneal/biliary and Related Procedures
APC 5341 · Hospital outpatient visit |
32 | $20,657 | $3,199 | -11% |
|
Kidney Failure (severe)
MS-DRG 682 · Inpatient stay |
31 | $34,370 | $11,665 | -35% |
|
Level 2 Pacemaker and Similar Procedures
APC 5222 · Hospital outpatient visit |
29 | $47,246 | $8,056 | +25% |
|
Level 4 Musculoskeletal Procedures
APC 5114 · Hospital outpatient visit |
26 | $37,076 | $6,784 | -7% |
|
Irregular Heartbeat (with complications)
MS-DRG 309 · Inpatient stay |
25 | $24,048 | $6,810 | -21% |
|
Level 4 Gynecologic Procedures
APC 5414 · Hospital outpatient visit |
25 | $18,070 | $2,965 | about average |
|
Level 2 Musculoskeletal Procedures
APC 5112 · Hospital outpatient visit |
25 | $10,298 | $1,524 | -8% |
|
Respiratory Infection (severe)
MS-DRG 177 · Inpatient stay |
24 | $37,178 | $12,612 | -32% |
|
Pneumonia (severe)
MS-DRG 193 · Inpatient stay |
24 | $38,441 | $10,063 | -17% |
|
Kidney Failure (with complications)
MS-DRG 683 · Inpatient stay |
23 | $22,959 | $7,254 | -30% |
|
Stroke (with complications)
MS-DRG 065 · Inpatient stay |
22 | $31,356 | $8,036 | -31% |
|
Gastrointestinal Bleeding (severe)
MS-DRG 377 · Inpatient stay |
22 | $41,689 | $13,987 | -41% |
|
Level 2 Vascular Procedures
APC 5182 · Hospital outpatient visit |
22 | $4,274 | $1,519 | -50% |
|
Gastrointestinal Bleeding (with complications)
MS-DRG 378 · Inpatient stay |
21 | $30,726 | $8,011 | -26% |
|
Urinary Tract Infection (without major complications)
MS-DRG 690 · Inpatient stay |
21 | $22,937 | $6,562 | -23% |
|
Level 2 Laparoscopy and Related Services
APC 5362 · Hospital outpatient visit |
21 | $56,522 | $9,754 | -5% |
|
Respiratory Failure
MS-DRG 189 · Inpatient stay |
20 | $41,752 | $10,180 | -14% |
|
Heart Catheter Procedure (without major complications)
MS-DRG 322 · Inpatient stay |
20 | $96,769 | $20,369 | -5% |
|
Digestive Disorder (without major complications)
MS-DRG 392 · Inpatient stay |
19 | $23,657 | $6,979 | -27% |
|
Kidney and Ureter Procedures for Non-neoplasm with Complications
MS-DRG 660 · Inpatient stay |
19 | $54,050 | $10,907 | about average |
|
Level 2 Neurostimulator and Related Procedures
APC 5462 · Hospital outpatient visit |
19 | $21,753 | $6,485 | -17% |
|
Urinary Tract Infection (severe)
MS-DRG 689 · Inpatient stay |
17 | $28,608 | $9,028 | -30% |
|
Infection Needing Surgery (with complications)
MS-DRG 854 · Inpatient stay |
17 | $70,596 | $17,376 | -15% |
|
Coronary Bypass without Cardiac Catheterization without Major Complications
MS-DRG 236 · Inpatient stay |
16 | $152,465 | $38,230 | -17% |
|
Fluid and Electrolyte Disorder (without major complications)
MS-DRG 641 · Inpatient stay |
16 | $22,000 | $6,987 | -28% |
|
Heart Attack (with complications)
MS-DRG 281 · Inpatient stay |
15 | $31,710 | $8,168 | -28% |
|
Level 3 Musculoskeletal Procedures
APC 5113 · Hospital outpatient visit |
15 | $17,728 | $2,702 | -13% |
|
Level 2 Endovascular Procedures
APC 5192 · Hospital outpatient visit |
15 | $49,079 | $5,420 | +42% |
|
Level 2 Icd and Similar Procedures
APC 5232 · Hospital outpatient visit |
15 | $190,311 | $31,102 | +28% |
|
Irregular Heartbeat (severe)
MS-DRG 308 · Inpatient stay |
14 | $31,125 | $10,424 | -34% |
|
COPD (severe)
MS-DRG 190 · Inpatient stay |
13 | $28,755 | $9,665 | -31% |
|
Major Small and Large Bowel Procedures with Major Complications
MS-DRG 329 · Inpatient stay |
13 | $115,927 | $40,478 | -35% |
|
Skin Infection (without major complications)
MS-DRG 603 · Inpatient stay |
13 | $22,021 | $7,844 | -28% |
|
Diabetes with Major Complications
MS-DRG 637 · Inpatient stay |
13 | $34,923 | $12,613 | -38% |
|
Coagulation Disorders
MS-DRG 813 · Inpatient stay |
13 | $45,836 | $12,162 | -32% |
|
Circulatory Disorders Except Heart Attack, with Cardiac Catheterization with Major
MS-DRG 286 · Inpatient stay |
12 | $70,170 | $17,436 | -20% |
|
Major Small and Large Bowel Procedures with Complications
MS-DRG 330 · Inpatient stay |
12 | $73,215 | $20,714 | -27% |
|
Level 5 Gynecologic Procedures
APC 5415 · Hospital outpatient visit |
12 | $33,078 | $4,716 | +10% |
|
Digestive Disorder (severe)
MS-DRG 391 · Inpatient stay |
11 | $25,983 | $10,392 | -49% |
|
Hip or Thigh Bone Surgery (with complications)
MS-DRG 481 · Inpatient stay |
11 | $60,132 | $16,169 | -28% |
|
Red Blood Cell Disorders with Major Complications
MS-DRG 811 · Inpatient stay |
11 | $32,322 | $10,377 | -43% |
|
Level 2 Breast/lymphatic Surgery and Related Procedures
APC 5092 · Hospital outpatient visit |
11 | $38,305 | $6,184 | -3% |
These figures are averages across this hospital's Medicare patients in the most recent federal data year. They are not a quote and not your bill. For your own case, ask the hospital for a written good-faith estimate and check its published machine-readable price file.