All published prices at Good Samaritan Hospital Medical Center
203 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% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
556 | $105,793 | $18,963 | +62% |
|
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% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
234 | $70,154 | $12,457 | +62% |
|
Level 2 Pacemaker and Similar Procedures
APC 5222 · Hospital outpatient visit |
202 | $63,149 | $9,290 | +67% |
|
Percutaneous and Other Intracardiac Procedures without Major Complications
MS-DRG 274 · Inpatient stay |
164 | $186,489 | $30,215 | +50% |
|
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% |
|
Respiratory Infection (severe)
MS-DRG 177 · Inpatient stay |
146 | $92,448 | $16,069 | +68% |
|
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 |
|
Respiratory Failure
MS-DRG 189 · Inpatient stay |
127 | $75,687 | $12,206 | +56% |
|
Digestive Disorder (without major complications)
MS-DRG 392 · Inpatient stay |
124 | $44,807 | $8,637 | +39% |
|
Urinary Tract Infection (without major complications)
MS-DRG 690 · Inpatient stay |
116 | $43,149 | $7,894 | +45% |
|
Pneumonia (severe)
MS-DRG 193 · Inpatient stay |
115 | $73,598 | $12,699 | +58% |
|
Gastrointestinal Bleeding (severe)
MS-DRG 377 · Inpatient stay |
106 | $112,072 | $16,893 | +58% |
|
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% |
|
Urinary Tract Infection (severe)
MS-DRG 689 · Inpatient stay |
96 | $54,812 | $11,505 | +35% |
|
Gastrointestinal Bleeding (with complications)
MS-DRG 378 · Inpatient stay |
92 | $61,873 | $9,536 | +50% |
|
Sepsis (without major complications)
MS-DRG 872 · Inpatient stay |
92 | $63,625 | $10,154 | +62% |
|
Red Blood Cell Disorders with Major Complications
MS-DRG 811 · Inpatient stay |
90 | $72,817 | $13,780 | +29% |
|
Level 4 Urology and Related Services
APC 5374 · Hospital outpatient visit |
89 | $20,297 | $3,859 | about average |
|
Kidney Failure (with complications)
MS-DRG 683 · Inpatient stay |
88 | $55,080 | $8,578 | +67% |
|
Stroke (severe)
MS-DRG 064 · Inpatient stay |
86 | $130,523 | $19,366 | +71% |
|
Skin Infection (without major complications)
MS-DRG 603 · Inpatient stay |
86 | $44,956 | $9,420 | +47% |
|
Level 4 Gynecologic Procedures
APC 5414 · Hospital outpatient visit |
85 | $15,299 | $3,492 | -16% |
|
Infection Needing Surgery (severe)
MS-DRG 853 · Inpatient stay |
82 | $281,612 | $49,565 | +58% |
|
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% |
|
Kidney or Urinary Disorder (severe)
MS-DRG 698 · Inpatient stay |
78 | $88,604 | $14,953 | +56% |
|
Fluid and Electrolyte Disorder (without major complications)
MS-DRG 641 · Inpatient stay |
73 | $41,112 | $7,840 | +35% |
|
Level 4 Musculoskeletal Procedures
APC 5114 · Hospital outpatient visit |
73 | $33,418 | $7,816 | -16% |
|
Stroke (with complications)
MS-DRG 065 · Inpatient stay |
70 | $81,095 | $10,150 | +78% |
|
Back Problems (without major complications)
MS-DRG 552 · Inpatient stay |
69 | $48,998 | $10,291 | +25% |
|
Kidney Failure (severe)
MS-DRG 682 · Inpatient stay |
68 | $87,285 | $14,374 | +65% |
|
Hip or Thigh Bone Surgery (with complications)
MS-DRG 481 · Inpatient stay |
67 | $125,811 | $19,561 | +51% |
|
Endovascular Cardiac Valve Replacement and Supplement Procedures without Major
MS-DRG 267 · Inpatient stay |
63 | $295,608 | $43,479 | +56% |
|
Heart Attack (severe)
MS-DRG 280 · Inpatient stay |
62 | $93,152 | $15,330 | +52% |
|
Level 3 Excision/ Biopsy/ Incision and Drainage
APC 5073 · Hospital outpatient visit |
59 | $18,624 | $3,174 | +5% |
|
Transient Ischemia without Thrombolytic
MS-DRG 069 · Inpatient stay |
57 | $61,546 | $8,507 | +49% |
|
Pneumonia (with complications)
MS-DRG 194 · Inpatient stay |
56 | $47,101 | $8,592 | +48% |
|
Heart Catheter Procedure (without major complications)
MS-DRG 322 · Inpatient stay |
56 | $136,940 | $20,302 | +35% |
|
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% |
|
COPD (severe)
MS-DRG 190 · Inpatient stay |
50 | $68,213 | $10,942 | +63% |
|
Irregular Heartbeat (with complications)
MS-DRG 309 · Inpatient stay |
49 | $47,253 | $8,312 | +54% |
|
Sepsis
MS-DRG 870 · Inpatient stay |
49 | $298,557 | $69,517 | +11% |
|
Seizures without Major Complications
MS-DRG 101 · Inpatient stay |
48 | $51,299 | $9,595 | +26% |
|
Fluid and Electrolyte Disorder (severe)
MS-DRG 640 · Inpatient stay |
47 | $75,720 | $13,288 | +56% |
|
Level 2 Endovascular Procedures
APC 5192 · Hospital outpatient visit |
47 | $49,962 | $6,276 | +44% |
|
Red Blood Cell Disorders without Major Complications
MS-DRG 812 · Inpatient stay |
45 | $53,820 | $9,081 | +45% |
|
Circulatory Disorders Except Heart Attack, with Cardiac Catheterization with Major
MS-DRG 286 · Inpatient stay |
42 | $116,964 | $21,517 | +33% |
|
Kidney or Urinary Disorder (with complications)
MS-DRG 699 · Inpatient stay |
42 | $42,950 | $9,601 | +14% |
|
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% |
|
Other Digestive System Diagnoses with Complications
MS-DRG 394 · Inpatient stay |
41 | $53,491 | $9,024 | +38% |
|
Level 5 Airway Endoscopy
APC 5155 · Hospital outpatient visit |
41 | $42,737 | $7,644 | +11% |
|
Circulatory Disorders Except Heart Attack, with Cardiac Catheterization without Major
MS-DRG 287 · Inpatient stay |
40 | $72,925 | $11,010 | +34% |
|
Level 2 Laparoscopy and Related Services
APC 5362 · Hospital outpatient visit |
40 | $55,639 | $11,483 | -7% |
|
Heart Catheter Procedure (severe)
MS-DRG 321 · Inpatient stay |
37 | $204,519 | $32,526 | +42% |
|
Digestive Disorder (severe)
MS-DRG 391 · Inpatient stay |
37 | $86,088 | $12,602 | +68% |
|
Level 2 Musculoskeletal Procedures
APC 5112 · Hospital outpatient visit |
37 | $15,803 | $1,756 | +41% |
|
Fainting
MS-DRG 312 · Inpatient stay |
36 | $56,916 | $8,737 | +55% |
|
Hip Replacement with Principal Diagnosis of Hip Fracture without Major Complications
MS-DRG 522 · Inpatient stay |
35 | $129,742 | $19,311 | +51% |
|
Level 3 Urology and Related Services
APC 5373 · Hospital outpatient visit |
35 | $19,385 | $2,275 | +50% |
|
Respiratory Infection (with complications)
MS-DRG 178 · Inpatient stay |
34 | $80,065 | $9,789 | +115% |
|
Respiratory System Diagnosis with Ventilator Support <=96 Hours
MS-DRG 208 · Inpatient stay |
34 | $144,439 | $26,515 | +27% |
|
Gastrointestinal Obstruction with Complications
MS-DRG 389 · Inpatient stay |
34 | $48,526 | $7,957 | +55% |
|
Irregular Heartbeat (severe)
MS-DRG 308 · Inpatient stay |
33 | $71,072 | $11,276 | +50% |
|
Diabetes (with complications)
MS-DRG 638 · Inpatient stay |
33 | $48,618 | $9,130 | +41% |
|
Seizures with Major Complications
MS-DRG 100 · Inpatient stay |
32 | $105,569 | $19,314 | +31% |
|
Pulmonary Embolism with Major Complications or Acute Cor Pulmonale
MS-DRG 175 · Inpatient stay |
32 | $96,830 | $13,284 | +78% |
|
Level 5 ENT Procedures
APC 5165 · Hospital outpatient visit |
32 | $29,104 | $6,541 | -15% |
|
Coronary Bypass without Cardiac Catheterization without Major Complications
MS-DRG 236 · Inpatient stay |
31 | $255,911 | $44,731 | +40% |
|
Peripheral, Cranial Nerve and Other Nervous System Procedures with Complications or
MS-DRG 041 · Inpatient stay |
31 | $153,939 | $24,187 | +49% |
|
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% |
|
Craniotomy with Major Device Implant or Acute Complex Central Nervous System Principal
MS-DRG 023 · Inpatient stay |
28 | $321,067 | $58,570 | +40% |
|
Extracranial Procedures without Complications/mcc
MS-DRG 039 · Inpatient stay |
28 | $72,001 | $10,682 | +35% |
|
Other Vascular Procedures with Complications
MS-DRG 253 · Inpatient stay |
28 | $139,852 | $27,281 | +25% |
|
Major Chest Trauma with Complications
MS-DRG 184 · Inpatient stay |
28 | $60,404 | $11,358 | +24% |
|
Precerebral Occlusion without Infarction without Major Complications
MS-DRG 068 · Inpatient stay |
27 | $67,887 | $10,874 | +23% |
|
Organic Disturbances and Intellectual Disability
MS-DRG 884 · Inpatient stay |
27 | $57,916 | $15,094 | +16% |
|
Level 2 Vascular Procedures
APC 5182 · Hospital outpatient visit |
27 | $13,421 | $1,683 | +57% |
|
Signs and Symptoms without Major Complications
MS-DRG 948 · Inpatient stay |
26 | $60,947 | $10,365 | +88% |
|
Extensive Operating Room Procedures Unrelated to Principal Diagnosis with Major
MS-DRG 981 · Inpatient stay |
26 | $206,753 | $40,812 | +13% |
|
Other Disorders of Nervous System with Complications
MS-DRG 092 · Inpatient stay |
26 | $65,638 | $9,726 | +46% |
|
Hip or Knee Replacement (without major complications)
MS-DRG 470 · Inpatient stay |
26 | $107,542 | $19,034 | +35% |
|
Alcohol, Drug Abuse or Dependence without Rehabilitation Therapy without Major
MS-DRG 897 · Inpatient stay |
26 | $48,492 | $9,580 | +49% |
|
Other Major Cardiovascular Procedures with Major Complications
MS-DRG 270 · Inpatient stay |
25 | $277,103 | $46,513 | +23% |
|
Traumatic Stupor and Coma >1 Hour with Complications
MS-DRG 083 · Inpatient stay |
25 | $85,145 | $12,851 | +42% |
|
Pulmonary Embolism without Major Complications
MS-DRG 176 · Inpatient stay |
25 | $56,165 | $9,251 | +60% |
|
Cardiac Valve and Other Major Cardiothoracic Procedures without Cardiac Catheterization
MS-DRG 219 · Inpatient stay |
25 | $456,487 | $70,447 | +36% |
|
Heart Attack (with complications)
MS-DRG 281 · Inpatient stay |
24 | $53,323 | $8,675 | +22% |
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.