Pennsylvania / Wellspan Good Samaritan Hospital
CMS certification 390066 · Lebanon, PA
Wellspan Good Samaritan Hospital: charges and Medicare payments
Wellspan Good Samaritan Hospital reported 1,224 Medicare inpatient stays across 36 DRGs in 2024. Across them it charged 3.24 times what it was paid — among the lower ratios in Pennsylvania, number 96 of 117 hospitals with at least 100 stays (state median 4.27×, national 4.15×). Its most frequent stay was DRG 871, Septicemia or Severe Sepsis without MV >96 Hours with MCC: 350 stays at an average charge of $47,218, 48% below the national average. It also billed 1,561 outpatient services, charging 7.48 times what Medicare paid.
- 1Medicare inpatient stays 1,224
- 2Charge ÷ paid, inpatient 3.24×
- 3Rank in PA (highest ratio = 1) 96 of 117
- 4CMS price-transparency actions 0
Inpatient stays
For the 36 DRGs that can be compared with the national average, Wellspan Good Samaritan Hospital charged more than the national average in 0 (0%). Payments follow Medicare's rates, so they usually vary far less than charges.
| DRG | Stays | Avg charge | vs US | Avg paid |
|---|---|---|---|---|
| 871 Septicemia or Severe Sepsis without MV >96 Hours with MCC | 350 | $47,218 | -48% | $15,593 |
| 291 Heart Failure and Shock with MCC | 141 | $32,160 | -43% | $10,071 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 71 | $27,637 | -44% | $8,838 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 52 | $115,151 | -50% | $37,670 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 38 | $41,847 | -43% | $12,860 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 32 | $45,499 | -54% | $15,415 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 32 | $39,774 | -48% | $13,907 |
| 682 Renal Failure with MCC | 31 | $34,370 | -48% | $11,665 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 25 | $24,048 | -33% | $6,810 |
| 177 Respiratory Infections and Inflammations with MCC | 24 | $37,178 | -47% | $12,612 |
| 193 Simple Pneumonia and Pleurisy with MCC | 24 | $38,441 | -36% | $10,063 |
| 683 Renal Failure with CC | 23 | $22,959 | -44% | $7,254 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 22 | $31,356 | -44% | $8,036 |
| 377 Gastrointestinal Hemorrhage with MCC | 22 | $41,689 | -51% | $13,987 |
| 378 Gastrointestinal Hemorrhage with CC | 21 | $30,726 | -37% | $8,011 |
| 690 Kidney and Urinary Tract Infections without MCC | 21 | $22,937 | -39% | $6,562 |
| 189 Pulmonary Edema and Respiratory Failure | 20 | $41,752 | -27% | $10,180 |
| 322 Percutaneous Cardiovascular Procedures with Intraluminal... | 20 | $96,769 | -16% | $20,369 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 19 | $23,657 | -41% | $6,979 |
| 660 Kidney and Ureter Procedures for Non-Neoplasm with CC | 19 | $54,050 | -20% | $10,907 |
| 689 Kidney and Urinary Tract Infections with MCC | 17 | $28,608 | -44% | $9,028 |
| 854 Infectious and Parasitic Diseases with O.R. Procedures with... | 17 | $70,596 | -28% | $17,376 |
| 236 Coronary Bypass without Cardiac Catheterization without MCC | 16 | $152,465 | -28% | $38,230 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 16 | $22,000 | -41% | $6,987 |
| 281 Acute Myocardial Infarction, Discharged Alive with CC | 15 | $31,710 | -37% | $8,168 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 14 | $31,125 | -45% | $10,424 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 13 | $28,755 | -43% | $9,665 |
| 329 Major Small and Large Bowel Procedures with MCC | 13 | $115,927 | -46% | $40,478 |
| 603 Cellulitis without MCC | 13 | $22,021 | -41% | $7,844 |
| 637 Diabetes with MCC | 13 | $34,923 | -47% | $12,613 |
| 813 Coagulation Disorders | 13 | $45,836 | -43% | $12,162 |
| 286 Circulatory Disorders except AMI, with Cardiac... | 12 | $70,170 | -37% | $17,436 |
| 330 Major Small and Large Bowel Procedures with CC | 12 | $73,215 | -38% | $20,714 |
| 391 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 11 | $25,983 | -57% | $10,392 |
| 481 Hip and Femur Procedures except Major Joint with CC | 11 | $60,132 | -40% | $16,169 |
| 811 Red Blood Cell Disorders with MCC | 11 | $32,322 | -53% | $10,377 |
Outpatient services
Against the Pennsylvania average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Wellspan Good Samaritan Hospital charged $47,218 on average, 46% less than the Pennsylvania average of $88,167, and was paid $15,593 against a state average of $16,881. For Heart Failure and Shock with MCC (DRG 291), Wellspan Good Samaritan Hospital charged $32,160 on average, 44% less than the Pennsylvania average of $57,362, and was paid $10,071 against a state average of $11,112. For Septicemia or Severe Sepsis without MV >96 Hours without MCC (DRG 872), Wellspan Good Samaritan Hospital charged $27,637 on average, 44% less than the Pennsylvania average of $49,758, and was paid $8,838 against a state average of $9,077. For Infectious and Parasitic Diseases with O.R. Procedures with MCC (DRG 853), Wellspan Good Samaritan Hospital charged $115,151 on average, 50% less than the Pennsylvania average of $232,291, and was paid $37,670 against a state average of $44,314. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $18,650 was 14% below the state average of $21,732. For Level 1 Nerve Procedures (outpatient APC 5431), its average charge of $9,534 was 24% below the state average of $12,623. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $22,742 was 20% below the state average of $28,496. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $8,387 was 39% below the state average of $13,651.
Price-transparency record
No action in CMS's price-transparency enforcement list (July 2026) matches this hospital's exact name, city and state. That can mean CMS has not reviewed it, or that it is listed under a different name.
Charges are the hospital's list prices averaged over its 2024 Medicare cases; payments are what those cases actually brought in. Neither is what you will pay. For a planned procedure, ask the hospital for its price estimate or, if you are uninsured or self-paying, a good-faith estimate.
Sources: CMS Medicare Inpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Medicare Outpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Hospital Price Transparency Enforcement Activities and Outcomes, July 2026. Checked 2026-10-24. Methodology.