Outpatient visit prices at Good Samaritan Hospital Medical Center
43 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 |
|---|---|---|---|---|
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
1,153 | $28,477 | $3,027 | +47% |
|
Level 1 Endovascular Procedures
APC 5191 · Hospital outpatient visit |
407 | $28,351 | $3,613 | +12% |
|
Level 3 Endovascular Procedures
APC 5193 · Hospital outpatient visit |
258 | $91,194 | $12,196 | +35% |
|
Level 2 Pacemaker and Similar Procedures
APC 5222 · Hospital outpatient visit |
202 | $63,149 | $9,290 | +67% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
162 | $12,456 | $1,794 | +24% |
|
Level 1 Laparoscopy and Related Services
APC 5361 · Hospital outpatient visit |
153 | $24,689 | $6,344 | -30% |
|
Level 4 Vascular Procedures
APC 5184 · Hospital outpatient visit |
148 | $17,112 | $6,050 | -53% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
139 | $83,220 | $14,579 | +33% |
|
Level 1 Nerve Procedures
APC 5431 · Hospital outpatient visit |
131 | $14,901 | $2,157 | +31% |
|
Level 3 Electrophysiologic Procedures
APC 5213 · Hospital outpatient visit |
129 | $193,574 | $26,451 | +46% |
|
Level 5 Urology and Related Services
APC 5375 · Hospital outpatient visit |
128 | $27,407 | $5,732 | about average |
|
Level 3 Pacemaker and Similar Procedures
APC 5223 · Hospital outpatient visit |
106 | $71,588 | $11,814 | +39% |
|
Level 2 Upper GI Procedures
APC 5302 · Hospital outpatient visit |
97 | $10,609 | $2,087 | -10% |
|
Level 4 Urology and Related Services
APC 5374 · Hospital outpatient visit |
89 | $20,297 | $3,859 | about average |
|
Level 4 Gynecologic Procedures
APC 5414 · Hospital outpatient visit |
85 | $15,299 | $3,492 | -16% |
|
Level 3 Vascular Procedures
APC 5183 · Hospital outpatient visit |
80 | $26,999 | $3,525 | +41% |
|
Level 4 Endovascular Procedures
APC 5194 · Hospital outpatient visit |
80 | $129,618 | $19,314 | +36% |
|
Level 1 Abdominal/peritoneal/biliary and Related Procedures
APC 5341 · Hospital outpatient visit |
80 | $19,860 | $3,792 | -15% |
|
Level 4 Musculoskeletal Procedures
APC 5114 · Hospital outpatient visit |
73 | $33,418 | $7,816 | -16% |
|
Level 3 Excision/ Biopsy/ Incision and Drainage
APC 5073 · Hospital outpatient visit |
59 | $18,624 | $3,174 | +5% |
|
Level 4 Airway Endoscopy
APC 5154 · Hospital outpatient visit |
54 | $38,630 | $4,121 | +70% |
|
Level 3 Musculoskeletal Procedures
APC 5113 · Hospital outpatient visit |
53 | $19,302 | $3,615 | -5% |
|
Level 2 Endovascular Procedures
APC 5192 · Hospital outpatient visit |
47 | $49,962 | $6,276 | +44% |
|
Level 1 Breast/lymphatic Surgery and Related Procedures
APC 5091 · Hospital outpatient visit |
42 | $25,930 | $4,257 | +9% |
|
Level 2 Icd and Similar Procedures
APC 5232 · Hospital outpatient visit |
42 | $233,257 | $36,628 | +57% |
|
Level 5 Airway Endoscopy
APC 5155 · Hospital outpatient visit |
41 | $42,737 | $7,644 | +11% |
|
Level 2 Laparoscopy and Related Services
APC 5362 · Hospital outpatient visit |
40 | $55,639 | $11,483 | -7% |
|
Level 2 Musculoskeletal Procedures
APC 5112 · Hospital outpatient visit |
37 | $15,803 | $1,756 | +41% |
|
Level 3 Urology and Related Services
APC 5373 · Hospital outpatient visit |
35 | $19,385 | $2,275 | +50% |
|
Level 5 ENT Procedures
APC 5165 · Hospital outpatient visit |
32 | $29,104 | $6,541 | -15% |
|
Level 2 Breast/lymphatic Surgery and Related Procedures
APC 5092 · Hospital outpatient visit |
31 | $40,723 | $7,283 | +3% |
|
Level 4 Pacemaker and Similar Procedures
APC 5224 · Hospital outpatient visit |
29 | $139,000 | $21,015 | +46% |
|
Level 2 Vascular Procedures
APC 5182 · Hospital outpatient visit |
27 | $13,421 | $1,683 | +57% |
|
Level 6 Musculoskeletal Procedures
APC 5116 · Hospital outpatient visit |
24 | $95,726 | $20,762 | +15% |
|
Level 2 Electrophysiologic Procedures
APC 5212 · Hospital outpatient visit |
17 | $63,663 | $8,340 | +43% |
|
Implantation Wireless Pa Pressure Monitor
APC 5200 · Hospital outpatient visit |
15 | $182,991 | $32,362 | +34% |
|
Complex GI Procedures
APC 5331 · Hospital outpatient visit |
15 | $26,315 | $5,941 | -12% |
|
Level 5 Gynecologic Procedures
APC 5415 · Hospital outpatient visit |
15 | $26,762 | $5,555 | -11% |
|
Level 3 Upper GI Procedures
APC 5303 · Hospital outpatient visit |
14 | $16,015 | $4,277 | -27% |
|
Level 3 Lower GI Procedures
APC 5313 · Hospital outpatient visit |
13 | $13,944 | $3,135 | -16% |
|
Level 7 Radiation Therapy
APC 5627 · Hospital outpatient visit |
13 | $68,210 | $8,695 | +15% |
|
Level 1 Icd and Similar Procedures
APC 5231 · Hospital outpatient visit |
12 | $157,049 | $24,200 | +67% |
|
Level 2 Intraocular Procedures
APC 5492 · Hospital outpatient visit |
12 | $20,778 | $4,541 | about average |
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.