SelfPayRates — hospital cash prices, from the source
Cash prices at 1 facility for code 76805, as an outpatient — the setting a self-pay patient normally buys. Collected Sep 22, 2026; the hospital files themselves were last updated between — and —.
| Hospital | Cash price | List price | Off | File date | |
|---|---|---|---|---|---|
| Good Samaritan Hospital
LEBANON, PA Ultrasound Scan of Pregnant Uterus (14 Weeks or More), Single or 1st Fetus |
$1,080.00 | $1,350.00 | 20% | — file |
Outpatient: lowest $1,080.00, median $1,080.00, highest $1,080.00.