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
Irregular Heartbeat (uncomplicated) MS-DRG 310 · Inpatient stay	24	$33,838	$5,500	+34%
Respiratory System Diagnosis with Ventilator Support >96 Hours MS-DRG 207 · Inpatient stay	24	$327,406	$60,873	+28%
Level 6 Musculoskeletal Procedures APC 5116 · Hospital outpatient visit	24	$95,726	$20,762	+15%
Coronary Bypass with Cardiac Catheterization or Open Ablation without Major Complications MS-DRG 234 · Inpatient stay	23	$280,641	$52,596	+28%
Hip or Thigh Bone Surgery (severe) MS-DRG 480 · Inpatient stay	23	$201,521	$26,785	+71%
Other Digestive System Diagnoses with Major Complications MS-DRG 393 · Inpatient stay	23	$103,968	$17,512	+62%
Peripheral Vascular Disorders with Major Complications MS-DRG 299 · Inpatient stay	23	$83,830	$16,849	+24%
Bronchitis and Asthma with Complications/mcc MS-DRG 202 · Inpatient stay	23	$53,754	$9,457	+37%
Other Circulatory System Operating Room Procedures MS-DRG 264 · Inpatient stay	23	$231,622	$29,698	+71%
Peripheral Vascular Disorders with Complications MS-DRG 300 · Inpatient stay	22	$50,455	$9,941	+18%
Major Small and Large Bowel Procedures with Major Complications MS-DRG 329 · Inpatient stay	22	$256,497	$44,592	+43%
Fracture, Sprain, Strain and Dislocation Except Femur, Hip, Pelvis and Thigh without MS-DRG 563 · Inpatient stay	22	$62,654	$8,539	+70%
Pathological Fractures and Musculoskeletal and Connective Tissue Malignancy with MS-DRG 543 · Inpatient stay	22	$55,809	$10,321	+35%
Dysequilibrium MS-DRG 149 · Inpatient stay	22	$55,420	$7,445	+41%
Craniotomy and Endovascular Intracranial Procedures with Major Complications MS-DRG 025 · Inpatient stay	21	$247,067	$44,606	+28%
Major Chest Procedures with Major Complications MS-DRG 163 · Inpatient stay	21	$307,037	$44,198	+74%
Skin Infection (severe) MS-DRG 602 · Inpatient stay	21	$82,528	$13,815	+61%
Laparoscopic Cholecystectomy without C.d.e. with Complications MS-DRG 418 · Inpatient stay	20	$72,689	$18,411	-12%
Carotid Artery Stent Procedures with Complications MS-DRG 035 · Inpatient stay	20	$130,836	$20,988	+38%
Other Vascular Procedures with Major Complications MS-DRG 252 · Inpatient stay	19	$157,904	$33,164	+9%
Hypertension without Major Complications MS-DRG 305 · Inpatient stay	19	$48,003	$9,646	+43%
Other Circulatory System Diagnoses with Major Complications MS-DRG 314 · Inpatient stay	19	$129,279	$17,488	+65%
Carotid Artery Stent Procedures without Complications/mcc MS-DRG 036 · Inpatient stay	19	$98,902	$18,187	+40%
Endovascular Cardiac Valve Replacement and Supplement Procedures with Major Complications MS-DRG 266 · Inpatient stay	19	$316,325	$52,894	+32%
Respiratory Neoplasms with Major Complications MS-DRG 180 · Inpatient stay	19	$111,693	$16,291	+50%
Tracheostomy with Mechanical Ventilation >96 Hours or Principal Diagnosis Except Face MS-DRG 004 · Inpatient stay	19	$452,002	$105,457	-16%
Lower Extremity and Humerus Procedures Except Hip, Foot and Femur without MS-DRG 494 · Inpatient stay	19	$67,905	$20,087	-23%
Tendonitis, Myositis and Bursitis without Major Complications MS-DRG 558 · Inpatient stay	19	$47,757	$8,425	+39%
Degenerative Nervous System Disorders without Major Complications MS-DRG 057 · Inpatient stay	18	$74,679	$12,202	+56%
Stroke (uncomplicated) MS-DRG 066 · Inpatient stay	18	$63,386	$8,119	+77%
Major Small and Large Bowel Procedures with Complications MS-DRG 330 · Inpatient stay	18	$143,862	$24,341	+43%
Other Kidney and Urinary Tract Procedures with Major Complications MS-DRG 673 · Inpatient stay	18	$181,969	$34,361	+18%
COPD (with complications) MS-DRG 191 · Inpatient stay	18	$45,625	$8,706	+37%
Cranial and Peripheral Nerve Disorders without Major Complications MS-DRG 074 · Inpatient stay	18	$58,554	$10,694	+23%
Lower Extremity and Humerus Procedures Except Hip, Foot and Femur with Complications MS-DRG 493 · Inpatient stay	18	$108,365	$21,848	+7%
Fractures of Hip and Pelvis without Major Complications MS-DRG 536 · Inpatient stay	17	$55,848	$7,721	+70%
Diabetes with Major Complications MS-DRG 637 · Inpatient stay	17	$92,604	$13,495	+64%
Infection Needing Surgery (with complications) MS-DRG 854 · Inpatient stay	17	$85,675	$17,713	+3%
Complications of Treatment with Major Complications MS-DRG 919 · Inpatient stay	17	$89,508	$16,904	+20%
Laparoscopic Cholecystectomy without C.d.e. with Major Complications MS-DRG 417 · Inpatient stay	17	$105,960	$21,788	about average
Peripheral, Cranial Nerve and Other Nervous System Procedures with Major Complications MS-DRG 040 · Inpatient stay	17	$211,782	$34,071	+13%
Major Chest Trauma with Major Complications MS-DRG 183 · Inpatient stay	17	$80,990	$14,803	+16%
Level 2 Electrophysiologic Procedures APC 5212 · Hospital outpatient visit	17	$63,663	$8,340	+43%
ECMO or Tracheostomy with Mechanical Ventilation >96 Hours or Principal Diagnosis Except MS-DRG 003 · Inpatient stay	16	$1,156,818	$216,658	+32%
Permanent Cardiac Pacemaker Implant with Complications MS-DRG 243 · Inpatient stay	16	$112,311	$20,810	+20%
Gastrointestinal Obstruction with Major Complications MS-DRG 388 · Inpatient stay	16	$84,451	$14,846	+47%
Kidney and Ureter Procedures for Non-neoplasm with Complications MS-DRG 660 · Inpatient stay	16	$75,598	$12,725	+36%
Craniotomy and Endovascular Intracranial Procedures with Complications MS-DRG 026 · Inpatient stay	16	$181,559	$26,366	+35%
Kidney and Ureter Procedures for Non-neoplasm without Complications/mcc MS-DRG 661 · Inpatient stay	16	$53,632	$11,172	+14%
Trauma to the Skin, Subcutaneous Tissue and Breast without Major Complications MS-DRG 605 · Inpatient stay	16	$47,195	$8,711	+15%
Signs and Symptoms of Musculoskeletal System and Connective Tissue without Major MS-DRG 556 · Inpatient stay	15	$49,887	$7,988	+32%
Coagulation Disorders MS-DRG 813 · Inpatient stay	15	$91,969	$14,594	+37%
Other Disorders of Nervous System without Complications/mcc MS-DRG 093 · Inpatient stay	15	$52,055	$8,551	+8%
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%
Implantation Wireless Pa Pressure Monitor APC 5200 · Hospital outpatient visit	15	$182,991	$32,362	+34%
Other Disorders of Nervous System with Major Complications MS-DRG 091 · Inpatient stay	14	$82,228	$16,094	+16%
Major Small and Large Bowel Procedures without Complications/mcc MS-DRG 331 · Inpatient stay	14	$91,473	$17,543	+23%
Craniotomy and Endovascular Intracranial Procedures without Complications/mcc MS-DRG 027 · Inpatient stay	14	$177,360	$22,266	+46%
Traumatic Stupor and Coma >1 Hour with Major Complications MS-DRG 082 · Inpatient stay	14	$129,125	$22,548	+33%
Major Chest Procedures with Complications MS-DRG 164 · Inpatient stay	14	$169,722	$27,083	+56%
Disorders of the Biliary Tract with Complications MS-DRG 445 · Inpatient stay	14	$69,136	$10,379	+35%
Extensive Operating Room Procedures Unrelated to Principal Diagnosis with Complications MS-DRG 982 · Inpatient stay	14	$141,408	$20,521	+35%
Major Gastrointestinal Disorders and Peritoneal Infections with Complications MS-DRG 372 · Inpatient stay	14	$77,630	$10,047	+96%
Combined Anterior and Posterior Spinal Fusion without Complications/mcc MS-DRG 455 · Inpatient stay	14	$292,164	$82,483	+65%
Bone Diseases and Arthropathies without Major Complications MS-DRG 554 · Inpatient stay	14	$50,934	$9,151	+58%
Other Digestive System Diagnoses without Complications/mcc MS-DRG 395 · Inpatient stay	14	$35,961	$6,342	about average
Kidney and Urinary Tract Signs and Symptoms without Major Complications MS-DRG 696 · Inpatient stay	14	$49,452	$7,404	+102%
Level 3 Upper GI Procedures APC 5303 · Hospital outpatient visit	14	$16,015	$4,277	-27%
Craniotomy with Major Device Implant or Acute Complex Central Nervous System Principal MS-DRG 024 · Inpatient stay	13	$209,215	$31,810	+36%
Degenerative Nervous System Disorders with Major Complications MS-DRG 056 · Inpatient stay	13	$60,625	$20,083	-30%
Permanent Cardiac Pacemaker Implant with Major Complications MS-DRG 242 · Inpatient stay	13	$193,507	$31,359	+40%
Percutaneous and Other Intracardiac Procedures with Major Complications MS-DRG 273 · Inpatient stay	13	$259,984	$54,664	+40%
Hip Replacement with Principal Diagnosis of Hip Fracture with Major Complications MS-DRG 521 · Inpatient stay	13	$253,779	$34,662	+126%
Gastrointestinal Bleeding (uncomplicated) MS-DRG 379 · Inpatient stay	13	$38,003	$6,261	+22%
Nervous System Neoplasms with Major Complications MS-DRG 054 · Inpatient stay	13	$148,414	$22,537	+125%
Traumatic Stupor and Coma <1 Hour with Major Complications MS-DRG 085 · Inpatient stay	13	$157,335	$22,144	+61%
Other Major Cardiovascular Procedures with Complications MS-DRG 271 · Inpatient stay	13	$159,363	$36,035	+6%
Back Problems (severe) MS-DRG 551 · Inpatient stay	13	$86,021	$14,935	+24%
Gastrointestinal Obstruction without Complications/mcc MS-DRG 390 · Inpatient stay	13	$40,131	$6,141	+67%
Alcohol, Drug Abuse or Dependence without Rehabilitation Therapy with Major Complications MS-DRG 896 · Inpatient stay	13	$84,965	$16,604	+30%
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%
Permanent Cardiac Pacemaker Implant without Complications/mcc MS-DRG 244 · Inpatient stay	12	$101,560	$18,019	+33%
Other Circulatory System Diagnoses with Complications MS-DRG 315 · Inpatient stay	12	$58,958	$9,236	+42%
Cirrhosis and Alcoholic Hepatitis with Major Complications MS-DRG 432 · Inpatient stay	12	$135,512	$20,094	+69%
Amputation of Lower Limb for Endocrine, Nutritional and Metabolic Disorders with MS-DRG 617 · Inpatient stay	12	$110,588	$18,202	+50%
Pneumonia (uncomplicated) MS-DRG 195 · Inpatient stay	12	$36,695	$6,164	+39%
Level 2 Intraocular Procedures APC 5492 · Hospital outpatient visit	12	$20,778	$4,541	about average
Level 1 Icd and Similar Procedures APC 5231 · Hospital outpatient visit	12	$157,049	$24,200	+67%
Other Cerebrovascular Disorders with Major Complications MS-DRG 070 · Inpatient stay	11	$101,926	$15,856	+54%
Other Respiratory System Diagnoses with Major Complications MS-DRG 205 · Inpatient stay	11	$82,897	$16,055	+9%
Aortic and Heart Assist Procedures Except Pulsation Balloon without Major Complications MS-DRG 269 · Inpatient stay	11	$211,195	$47,687	+28%
Other Cerebrovascular Disorders with Complications MS-DRG 071 · Inpatient stay	11	$60,736	$12,241	+37%
Other Vascular Procedures without Complications/mcc MS-DRG 254 · Inpatient stay	11	$104,289	$22,396	+37%
Peritoneal Adhesiolysis with Complications MS-DRG 336 · Inpatient stay	11	$82,624	$19,445	-17%
Disorders of the Biliary Tract with Major Complications MS-DRG 444 · Inpatient stay	11	$65,275	$15,472	-9%
Combined Anterior and Posterior Spinal Fusion with Complications MS-DRG 454 · Inpatient stay	11	$288,790	$82,840	+30%
Cervical Spinal Fusion with Complications MS-DRG 472 · Inpatient stay	11	$137,140	$31,846	+15%
Other Musculoskeletal System and Connective Tissue Operating Room Procedures with MS-DRG 516 · Inpatient stay	11	$105,600	$18,680	+19%

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.