All published prices at Chi Health Good Samaritan
52 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 |
263 | $61,725 | $15,165 | -5% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
168 | $50,215 | $11,901 | -20% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
147 | $9,821 | $1,452 | about average |
|
Level 4 Urology and Related Services
APC 5374 · Hospital outpatient visit |
100 | $23,083 | $3,132 | +12% |
|
Level 1 Endovascular Procedures
APC 5191 · Hospital outpatient visit |
96 | $28,433 | $2,955 | +13% |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
96 | $18,563 | $2,437 | -4% |
|
Level 1 Laparoscopy and Related Services
APC 5361 · Hospital outpatient visit |
66 | $27,139 | $5,162 | -23% |
|
Level 2 Upper GI Procedures
APC 5302 · Hospital outpatient visit |
65 | $10,612 | $1,723 | -10% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
60 | $47,952 | $10,158 | +10% |
|
Psychoses
MS-DRG 885 · Inpatient stay |
48 | $24,763 | $10,537 | -31% |
|
Level 3 Vascular Procedures
APC 5183 · Hospital outpatient visit |
45 | $18,447 | $2,835 | -3% |
|
Infection Needing Surgery (severe)
MS-DRG 853 · Inpatient stay |
40 | $162,938 | $41,083 | -8% |
|
Level 3 Endovascular Procedures
APC 5193 · Hospital outpatient visit |
40 | $48,369 | $9,954 | -29% |
|
Level 4 Endovascular Procedures
APC 5194 · Hospital outpatient visit |
40 | $61,359 | $15,094 | -36% |
|
Level 3 Urology and Related Services
APC 5373 · Hospital outpatient visit |
37 | $14,119 | $1,844 | +9% |
|
Kidney Failure (severe)
MS-DRG 682 · Inpatient stay |
36 | $37,327 | $11,228 | -30% |
|
Level 3 Pacemaker and Similar Procedures
APC 5223 · Hospital outpatient visit |
33 | $25,898 | $9,662 | -50% |
|
Hip or Thigh Bone Surgery (with complications)
MS-DRG 481 · Inpatient stay |
30 | $70,784 | $15,205 | -15% |
|
Level 6 Musculoskeletal Procedures
APC 5116 · Hospital outpatient visit |
30 | $50,483 | $16,839 | -39% |
|
Level 5 ENT Procedures
APC 5165 · Hospital outpatient visit |
29 | $34,012 | $5,303 | about average |
|
Sepsis (without major complications)
MS-DRG 872 · Inpatient stay |
28 | $43,657 | $7,954 | +11% |
|
Stroke (severe)
MS-DRG 064 · Inpatient stay |
27 | $65,639 | $14,637 | -14% |
|
Stroke (with complications)
MS-DRG 065 · Inpatient stay |
24 | $34,362 | $7,978 | -25% |
|
Pneumonia (severe)
MS-DRG 193 · Inpatient stay |
23 | $43,472 | $12,465 | -7% |
|
Heart Attack (severe)
MS-DRG 280 · Inpatient stay |
22 | $46,402 | $11,208 | -24% |
|
Level 5 Urology and Related Services
APC 5375 · Hospital outpatient visit |
21 | $25,385 | $4,685 | -8% |
|
Respiratory Infection (severe)
MS-DRG 177 · Inpatient stay |
20 | $41,183 | $11,981 | -25% |
|
Hip or Thigh Bone Surgery (severe)
MS-DRG 480 · Inpatient stay |
20 | $101,775 | $20,750 | -13% |
|
Level 2 Laparoscopy and Related Services
APC 5362 · Hospital outpatient visit |
20 | $44,252 | $9,316 | -26% |
|
Level 1 Breast/lymphatic Surgery and Related Procedures
APC 5091 · Hospital outpatient visit |
19 | $27,148 | $3,451 | +14% |
|
Level 4 Musculoskeletal Procedures
APC 5114 · Hospital outpatient visit |
19 | $36,060 | $6,217 | -10% |
|
Gastrointestinal Bleeding (severe)
MS-DRG 377 · Inpatient stay |
17 | $57,419 | $15,742 | -19% |
|
Kidney or Urinary Disorder (severe)
MS-DRG 698 · Inpatient stay |
17 | $65,496 | $14,235 | +15% |
|
Level 3 Excision/ Biopsy/ Incision and Drainage
APC 5073 · Hospital outpatient visit |
17 | $20,236 | $2,573 | +14% |
|
Gastrointestinal Bleeding (with complications)
MS-DRG 378 · Inpatient stay |
16 | $30,934 | $8,232 | -25% |
|
Digestive Disorder (without major complications)
MS-DRG 392 · Inpatient stay |
16 | $27,073 | $6,272 | -16% |
|
Hip Replacement with Principal Diagnosis of Hip Fracture without Major Complications
MS-DRG 522 · Inpatient stay |
16 | $55,753 | $15,553 | -35% |
|
Back Problems (without major complications)
MS-DRG 552 · Inpatient stay |
16 | $26,552 | $7,669 | -32% |
|
Kidney Failure (with complications)
MS-DRG 683 · Inpatient stay |
16 | $26,365 | $7,006 | -20% |
|
Other Musculoskeletal System and Connective Tissue Operating Room Procedures with
MS-DRG 516 · Inpatient stay |
15 | $75,768 | $14,032 | -14% |
|
Craniotomy and Endovascular Intracranial Procedures with Major Complications
MS-DRG 025 · Inpatient stay |
14 | $116,070 | $31,141 | -40% |
|
Level 1 Abdominal/peritoneal/biliary and Related Procedures
APC 5341 · Hospital outpatient visit |
14 | $22,508 | $3,133 | -3% |
|
Level 5 Airway Endoscopy
APC 5155 · Hospital outpatient visit |
14 | $27,643 | $6,197 | -28% |
|
Major Chest Procedures with Major Complications
MS-DRG 163 · Inpatient stay |
12 | $116,657 | $30,044 | -34% |
|
Pulmonary Embolism with Major Complications or Acute Cor Pulmonale
MS-DRG 175 · Inpatient stay |
12 | $55,121 | $12,116 | about average |
|
Level 2 Vascular Procedures
APC 5182 · Hospital outpatient visit |
12 | $5,816 | $1,354 | -32% |
|
Circulatory Disorders Except Heart Attack, with Cardiac Catheterization with Major
MS-DRG 286 · Inpatient stay |
11 | $75,344 | $14,206 | -14% |
|
Circulatory Disorders Except Heart Attack, with Cardiac Catheterization without Major
MS-DRG 287 · Inpatient stay |
11 | $53,970 | $9,845 | about average |
|
Fluid and Electrolyte Disorder (severe)
MS-DRG 640 · Inpatient stay |
11 | $50,410 | $11,343 | +4% |
|
Cirrhosis and Alcoholic Hepatitis with Major Complications
MS-DRG 432 · Inpatient stay |
11 | $59,062 | $16,893 | -26% |
|
Back and Neck Procedures Except Spinal Fusion with Complications
MS-DRG 519 · Inpatient stay |
11 | $79,264 | $14,723 | -7% |
|
Level 3 Upper GI Procedures
APC 5303 · Hospital outpatient visit |
11 | $18,472 | $3,468 | -16% |
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.