All published prices at Good Samaritan Hospital
97 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 |
|---|---|---|---|---|
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
217 | $6,430 | $1,389 | -36% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
192 | $50,243 | $17,950 | -23% |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
166 | $13,386 | $2,369 | -31% |
|
Level 2 Upper GI Procedures
APC 5302 · Hospital outpatient visit |
156 | $5,740 | $1,620 | -51% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
137 | $40,893 | $11,326 | -35% |
|
Level 1 Nerve Procedures
APC 5431 · Hospital outpatient visit |
134 | $6,012 | $1,659 | -47% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
115 | $39,305 | $12,396 | -9% |
|
Level 1 Intraocular Procedures
APC 5491 · Hospital outpatient visit |
89 | $8,067 | $2,019 | -31% |
|
Level 1 Abdominal/peritoneal/biliary and Related Procedures
APC 5341 · Hospital outpatient visit |
80 | $13,076 | $2,979 | -44% |
|
Level 3 Vascular Procedures
APC 5183 · Hospital outpatient visit |
78 | $11,330 | $2,715 | -41% |
|
Level 3 Excision/ Biopsy/ Incision and Drainage
APC 5073 · Hospital outpatient visit |
77 | $10,767 | $2,471 | -39% |
|
Level 1 Endovascular Procedures
APC 5191 · Hospital outpatient visit |
75 | $20,083 | $2,785 | -20% |
|
Level 1 Laparoscopy and Related Services
APC 5361 · Hospital outpatient visit |
75 | $21,381 | $4,911 | -39% |
|
Level 2 Musculoskeletal Procedures
APC 5112 · Hospital outpatient visit |
71 | $4,074 | $1,398 | -64% |
|
Level 3 Musculoskeletal Procedures
APC 5113 · Hospital outpatient visit |
64 | $11,790 | $2,815 | -42% |
|
Level 4 Musculoskeletal Procedures
APC 5114 · Hospital outpatient visit |
64 | $24,142 | $6,144 | -39% |
|
Level 6 Musculoskeletal Procedures
APC 5116 · Hospital outpatient visit |
63 | $55,295 | $16,174 | -33% |
|
Respiratory Infection (severe)
MS-DRG 177 · Inpatient stay |
61 | $43,544 | $15,078 | -21% |
|
Level 4 Vascular Procedures
APC 5184 · Hospital outpatient visit |
61 | $19,828 | $3,212 | -45% |
|
Level 4 Urology and Related Services
APC 5374 · Hospital outpatient visit |
53 | $14,895 | $2,986 | -28% |
|
Stroke (severe)
MS-DRG 064 · Inpatient stay |
50 | $62,011 | $18,748 | -19% |
|
Respiratory Failure
MS-DRG 189 · Inpatient stay |
49 | $36,082 | $12,258 | -25% |
|
Level 2 Laparoscopy and Related Services
APC 5362 · Hospital outpatient visit |
48 | $31,876 | $8,948 | -47% |
|
Level 3 Lower GI Procedures
APC 5313 · Hospital outpatient visit |
45 | $8,647 | $2,387 | -48% |
|
Pneumonia (severe)
MS-DRG 193 · Inpatient stay |
40 | $30,477 | $12,986 | -35% |
|
Gastrointestinal Bleeding (with complications)
MS-DRG 378 · Inpatient stay |
39 | $29,332 | $9,992 | -29% |
|
Kidney Failure (severe)
MS-DRG 682 · Inpatient stay |
38 | $26,782 | $13,425 | -49% |
|
Urinary Tract Infection (severe)
MS-DRG 689 · Inpatient stay |
38 | $27,808 | $11,246 | -32% |
|
Level 5 Urology and Related Services
APC 5375 · Hospital outpatient visit |
37 | $22,042 | $4,306 | -20% |
|
Fluid and Electrolyte Disorder (severe)
MS-DRG 640 · Inpatient stay |
36 | $33,232 | $12,050 | -31% |
|
Level 3 Endovascular Procedures
APC 5193 · Hospital outpatient visit |
36 | $40,110 | $9,561 | -41% |
|
Level 3 Pacemaker and Similar Procedures
APC 5223 · Hospital outpatient visit |
34 | $31,683 | $9,056 | -38% |
|
Digestive Disorder (without major complications)
MS-DRG 392 · Inpatient stay |
33 | $15,011 | $8,085 | -53% |
|
Sepsis (without major complications)
MS-DRG 872 · Inpatient stay |
33 | $28,208 | $10,188 | -28% |
|
Combined Anterior and Posterior Spinal Fusion with Complications
MS-DRG 454 · Inpatient stay |
33 | $168,477 | $52,504 | -24% |
|
Level 5 ENT Procedures
APC 5165 · Hospital outpatient visit |
32 | $21,424 | $4,966 | -38% |
|
Stroke (with complications)
MS-DRG 065 · Inpatient stay |
31 | $38,418 | $10,427 | -16% |
|
Heart Attack (severe)
MS-DRG 280 · Inpatient stay |
31 | $50,717 | $14,581 | -17% |
|
Urinary Tract Infection (without major complications)
MS-DRG 690 · Inpatient stay |
31 | $16,250 | $7,730 | -45% |
|
Level 2 Breast/lymphatic Surgery and Related Procedures
APC 5092 · Hospital outpatient visit |
31 | $26,328 | $5,525 | -33% |
|
Level 4 Gynecologic Procedures
APC 5414 · Hospital outpatient visit |
31 | $13,830 | $2,719 | -24% |
|
Level 4 Airway Endoscopy
APC 5154 · Hospital outpatient visit |
30 | $15,324 | $3,170 | -32% |
|
Level 2 Endovascular Procedures
APC 5192 · Hospital outpatient visit |
30 | $25,367 | $4,971 | -27% |
|
Level 3 Urology and Related Services
APC 5373 · Hospital outpatient visit |
30 | $9,349 | $1,677 | -28% |
|
Level 5 Gynecologic Procedures
APC 5415 · Hospital outpatient visit |
30 | $25,637 | $4,211 | -15% |
|
Level 5 Airway Endoscopy
APC 5155 · Hospital outpatient visit |
29 | $20,876 | $5,952 | -46% |
|
Irregular Heartbeat (with complications)
MS-DRG 309 · Inpatient stay |
28 | $22,407 | $7,229 | -27% |
|
Level 2 Vascular Procedures
APC 5182 · Hospital outpatient visit |
28 | $4,326 | $1,393 | -50% |
|
Combined Anterior and Posterior Spinal Fusion without Complications/mcc
MS-DRG 455 · Inpatient stay |
27 | $111,916 | $39,302 | -37% |
|
Level 1 Breast/lymphatic Surgery and Related Procedures
APC 5091 · Hospital outpatient visit |
27 | $17,373 | $3,315 | -27% |
|
Major Small and Large Bowel Procedures with Complications
MS-DRG 330 · Inpatient stay |
26 | $59,012 | $21,485 | -41% |
|
Kidney or Urinary Disorder (severe)
MS-DRG 698 · Inpatient stay |
26 | $31,167 | $15,114 | -45% |
|
Fainting
MS-DRG 312 · Inpatient stay |
25 | $32,240 | $8,711 | -12% |
|
Kidney Failure (with complications)
MS-DRG 683 · Inpatient stay |
25 | $21,490 | $8,964 | -35% |
|
Infection Needing Surgery (severe)
MS-DRG 853 · Inpatient stay |
25 | $86,880 | $37,971 | -51% |
|
Seizures with Major Complications
MS-DRG 100 · Inpatient stay |
23 | $68,935 | $18,047 | -15% |
|
Circulatory Disorders Except Heart Attack, with Cardiac Catheterization with Major
MS-DRG 286 · Inpatient stay |
23 | $60,587 | $20,042 | -31% |
|
Irregular Heartbeat (severe)
MS-DRG 308 · Inpatient stay |
23 | $35,653 | $10,713 | -25% |
|
Gastrointestinal Bleeding (severe)
MS-DRG 377 · Inpatient stay |
23 | $59,424 | $18,054 | -16% |
|
Level 3 Airway Endoscopy
APC 5153 · Hospital outpatient visit |
23 | $8,318 | $1,476 | -27% |
|
Hip or Knee Replacement (without major complications)
MS-DRG 470 · Inpatient stay |
22 | $52,104 | $15,607 | -35% |
|
Level 2 Intraocular Procedures
APC 5492 · Hospital outpatient visit |
22 | $12,037 | $3,417 | -42% |
|
Level 4 Neurostimulator and Related Procedures
APC 5464 · Hospital outpatient visit |
22 | $54,973 | $18,841 | -32% |
|
Level 3 Electrophysiologic Procedures
APC 5213 · Hospital outpatient visit |
20 | $91,948 | $20,603 | -31% |
|
Other Cerebrovascular Disorders with Major Complications
MS-DRG 070 · Inpatient stay |
19 | $47,784 | $16,076 | -28% |
|
Heart Catheter Procedure (without major complications)
MS-DRG 322 · Inpatient stay |
19 | $66,010 | $16,084 | -35% |
|
Back Problems (without major complications)
MS-DRG 552 · Inpatient stay |
19 | $19,605 | $9,347 | -50% |
|
Fluid and Electrolyte Disorder (without major complications)
MS-DRG 641 · Inpatient stay |
19 | $23,943 | $8,005 | -22% |
|
Craniotomy and Endovascular Intracranial Procedures with Major Complications
MS-DRG 025 · Inpatient stay |
18 | $118,753 | $46,068 | -38% |
|
Major Small and Large Bowel Procedures with Major Complications
MS-DRG 329 · Inpatient stay |
18 | $110,749 | $48,274 | -38% |
|
Digestive Disorder (severe)
MS-DRG 391 · Inpatient stay |
18 | $35,720 | $11,802 | -30% |
|
Level 2 Icd and Similar Procedures
APC 5232 · Hospital outpatient visit |
18 | $73,499 | $28,527 | -51% |
|
Level 4 ENT Procedures
APC 5164 · Hospital outpatient visit |
18 | $16,023 | $2,722 | -15% |
|
Hip or Thigh Bone Surgery (with complications)
MS-DRG 481 · Inpatient stay |
17 | $52,865 | $20,841 | -37% |
|
Red Blood Cell Disorders with Major Complications
MS-DRG 811 · Inpatient stay |
17 | $49,490 | $17,248 | -12% |
|
Red Blood Cell Disorders without Major Complications
MS-DRG 812 · Inpatient stay |
16 | $30,037 | $9,031 | -19% |
|
Level 3 Upper GI Procedures
APC 5303 · Hospital outpatient visit |
16 | $14,278 | $3,331 | -35% |
|
Complex GI Procedures
APC 5331 · Hospital outpatient visit |
16 | $19,620 | $4,956 | -35% |
|
Signs and Symptoms without Major Complications
MS-DRG 948 · Inpatient stay |
15 | $20,909 | $7,646 | -36% |
|
Chemotherapy without Acute Leukemia as Secondary Diagnosis with Complications
MS-DRG 847 · Inpatient stay |
15 | $17,603 | $11,794 | -67% |
|
Combined Anterior and Posterior Spinal Fusion with Major Complications
MS-DRG 453 · Inpatient stay |
15 | $188,587 | $71,165 | -57% |
|
Level 4 Endovascular Procedures
APC 5194 · Hospital outpatient visit |
15 | $56,475 | $15,220 | -41% |
|
Other Cerebrovascular Disorders with Complications
MS-DRG 071 · Inpatient stay |
14 | $24,297 | $10,191 | -45% |
|
Level 5 Neurostimulator and Related Procedures
APC 5465 · Hospital outpatient visit |
14 | $68,122 | $25,121 | -40% |
|
Spinal Fusion Except Cervical without Major Complications
MS-DRG 460 · Inpatient stay |
13 | $100,507 | $33,250 | -31% |
|
Pulmonary Embolism with Major Complications or Acute Cor Pulmonale
MS-DRG 175 · Inpatient stay |
12 | $34,062 | $13,496 | -38% |
|
Circulatory Disorders Except Heart Attack, with Cardiac Catheterization without Major
MS-DRG 287 · Inpatient stay |
12 | $37,960 | $10,457 | -30% |
|
Other Digestive System Diagnoses with Complications
MS-DRG 394 · Inpatient stay |
12 | $28,789 | $10,335 | -26% |
|
Diabetes with Major Complications
MS-DRG 637 · Inpatient stay |
12 | $36,311 | $14,403 | -36% |
|
Single Level Combined Anterior and Posterior Spinal Fusion Except Cervical
MS-DRG 402 · Inpatient stay |
12 | $89,585 | $43,145 | -37% |
|
Degenerative Nervous System Disorders without Major Complications
MS-DRG 057 · Inpatient stay |
11 | $36,935 | $12,989 | -23% |
|
Stroke (uncomplicated)
MS-DRG 066 · Inpatient stay |
11 | $22,805 | $7,711 | -36% |
|
Gastrointestinal Obstruction with Major Complications
MS-DRG 388 · Inpatient stay |
11 | $18,291 | $12,424 | -68% |
|
Gastrointestinal Obstruction with Complications
MS-DRG 389 · Inpatient stay |
11 | $12,159 | $8,729 | -61% |
|
Other Disorders of Nervous System with Complications
MS-DRG 092 · Inpatient stay |
11 | $31,358 | $9,594 | -30% |
|
COPD (with complications)
MS-DRG 191 · Inpatient stay |
11 | $28,636 | $9,038 | -14% |
|
Major Joint or Limb Reattachment Procedures of Upper Extremities
MS-DRG 483 · Inpatient stay |
11 | $61,646 | $20,333 | -40% |
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.