All published prices at Good Samaritan Medical Center
104 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 |
417 | $10,763 | $2,906 | -45% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
296 | $31,788 | $16,041 | -51% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
225 | $21,722 | $11,000 | -50% |
|
Pneumonia (severe)
MS-DRG 193 · Inpatient stay |
155 | $15,744 | $10,773 | -66% |
|
Respiratory Infection (severe)
MS-DRG 177 · Inpatient stay |
147 | $21,921 | $13,464 | -60% |
|
Level 1 Laparoscopy and Related Services
APC 5361 · Hospital outpatient visit |
120 | $17,790 | $6,156 | -49% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
119 | $4,965 | $1,232 | -51% |
|
Heart Attack (severe)
MS-DRG 280 · Inpatient stay |
116 | $21,712 | $13,198 | -65% |
|
Level 1 Nerve Procedures
APC 5431 · Hospital outpatient visit |
102 | $5,411 | $1,923 | -52% |
|
Digestive Disorder (without major complications)
MS-DRG 392 · Inpatient stay |
101 | $13,110 | $6,750 | -59% |
|
Fainting
MS-DRG 312 · Inpatient stay |
89 | $14,443 | $7,465 | -61% |
|
Level 3 Musculoskeletal Procedures
APC 5113 · Hospital outpatient visit |
88 | $11,303 | $3,168 | -45% |
|
Urinary Tract Infection (without major complications)
MS-DRG 690 · Inpatient stay |
80 | $11,779 | $7,020 | -60% |
|
Urinary Tract Infection (severe)
MS-DRG 689 · Inpatient stay |
77 | $15,506 | $9,754 | -62% |
|
Level 4 Urology and Related Services
APC 5374 · Hospital outpatient visit |
74 | $10,930 | $3,744 | -47% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
70 | $41,983 | $13,693 | -33% |
|
Fluid and Electrolyte Disorder (without major complications)
MS-DRG 641 · Inpatient stay |
68 | $14,177 | $7,278 | -54% |
|
COPD (severe)
MS-DRG 190 · Inpatient stay |
67 | $14,169 | $9,348 | -66% |
|
Level 1 Endovascular Procedures
APC 5191 · Hospital outpatient visit |
65 | $10,539 | $3,466 | -58% |
|
Fluid and Electrolyte Disorder (severe)
MS-DRG 640 · Inpatient stay |
64 | $19,000 | $10,901 | -61% |
|
Irregular Heartbeat (with complications)
MS-DRG 309 · Inpatient stay |
61 | $12,649 | $6,623 | -59% |
|
Kidney Failure (severe)
MS-DRG 682 · Inpatient stay |
60 | $19,101 | $11,817 | -64% |
|
Back Problems (without major complications)
MS-DRG 552 · Inpatient stay |
59 | $14,598 | $8,086 | -63% |
|
Level 2 Musculoskeletal Procedures
APC 5112 · Hospital outpatient visit |
58 | $5,784 | $1,557 | -48% |
|
Level 4 Musculoskeletal Procedures
APC 5114 · Hospital outpatient visit |
56 | $18,962 | $6,366 | -52% |
|
Level 2 Upper GI Procedures
APC 5302 · Hospital outpatient visit |
52 | $4,875 | $2,012 | -59% |
|
Respiratory Failure
MS-DRG 189 · Inpatient stay |
50 | $17,254 | $10,463 | -64% |
|
Pneumonia (with complications)
MS-DRG 194 · Inpatient stay |
50 | $11,955 | $7,051 | -62% |
|
Level 3 Vascular Procedures
APC 5183 · Hospital outpatient visit |
49 | $16,296 | $3,312 | -15% |
|
Skin Infection (without major complications)
MS-DRG 603 · Inpatient stay |
48 | $10,220 | $7,414 | -67% |
|
Chest Pain
MS-DRG 313 · Inpatient stay |
47 | $13,056 | $6,163 | -61% |
|
Fracture, Sprain, Strain and Dislocation Except Femur, Hip, Pelvis and Thigh without
MS-DRG 563 · Inpatient stay |
47 | $11,513 | $7,613 | -69% |
|
Hip or Knee Replacement (without major complications)
MS-DRG 470 · Inpatient stay |
46 | $46,654 | $15,823 | -42% |
|
Kidney Failure (with complications)
MS-DRG 683 · Inpatient stay |
43 | $13,578 | $7,664 | -59% |
|
Level 5 Urology and Related Services
APC 5375 · Hospital outpatient visit |
41 | $11,356 | $5,557 | -59% |
|
Stroke (severe)
MS-DRG 064 · Inpatient stay |
40 | $22,562 | $15,451 | -70% |
|
Gastrointestinal Bleeding (severe)
MS-DRG 377 · Inpatient stay |
40 | $27,189 | $13,904 | -62% |
|
Gastrointestinal Bleeding (with complications)
MS-DRG 378 · Inpatient stay |
39 | $16,970 | $8,402 | -59% |
|
Stroke (with complications)
MS-DRG 065 · Inpatient stay |
38 | $17,436 | $8,394 | -62% |
|
Diabetes (with complications)
MS-DRG 638 · Inpatient stay |
36 | $11,698 | $7,474 | -66% |
|
Transient Ischemia without Thrombolytic
MS-DRG 069 · Inpatient stay |
35 | $14,255 | $6,850 | -65% |
|
Respiratory Infection (with complications)
MS-DRG 178 · Inpatient stay |
35 | $14,126 | $8,267 | -62% |
|
Digestive Disorder (severe)
MS-DRG 391 · Inpatient stay |
35 | $19,238 | $10,902 | -63% |
|
Diabetes with Major Complications
MS-DRG 637 · Inpatient stay |
35 | $17,571 | $11,014 | -69% |
|
Irregular Heartbeat (severe)
MS-DRG 308 · Inpatient stay |
33 | $17,780 | $10,231 | -62% |
|
Red Blood Cell Disorders without Major Complications
MS-DRG 812 · Inpatient stay |
33 | $16,375 | $7,734 | -56% |
|
Seizures without Major Complications
MS-DRG 101 · Inpatient stay |
31 | $13,467 | $7,578 | -67% |
|
Heart Catheter Procedure (severe)
MS-DRG 321 · Inpatient stay |
31 | $94,042 | $24,449 | -35% |
|
Kidney or Urinary Disorder (severe)
MS-DRG 698 · Inpatient stay |
30 | $16,116 | $13,170 | -72% |
|
Organic Disturbances and Intellectual Disability
MS-DRG 884 · Inpatient stay |
29 | $35,678 | $12,990 | -29% |
|
Level 3 Endovascular Procedures
APC 5193 · Hospital outpatient visit |
29 | $64,028 | $11,799 | -5% |
|
Heart Attack (with complications)
MS-DRG 281 · Inpatient stay |
28 | $17,426 | $7,817 | -60% |
|
Dysequilibrium
MS-DRG 149 · Inpatient stay |
27 | $13,189 | $6,458 | -66% |
|
Heart Catheter Procedure (without major complications)
MS-DRG 322 · Inpatient stay |
26 | $79,543 | $15,527 | -22% |
|
Level 1 Abdominal/peritoneal/biliary and Related Procedures
APC 5341 · Hospital outpatient visit |
26 | $17,905 | $3,605 | -23% |
|
Red Blood Cell Disorders with Major Complications
MS-DRG 811 · Inpatient stay |
25 | $25,375 | $11,849 | -55% |
|
Degenerative Nervous System Disorders without Major Complications
MS-DRG 057 · Inpatient stay |
23 | $15,234 | $9,772 | -68% |
|
Kidney or Urinary Disorder (with complications)
MS-DRG 699 · Inpatient stay |
23 | $14,671 | $8,387 | -61% |
|
Bronchitis and Asthma with Complications/mcc
MS-DRG 202 · Inpatient stay |
23 | $10,634 | $8,406 | -73% |
|
COPD (with complications)
MS-DRG 191 · Inpatient stay |
22 | $11,991 | $7,112 | -64% |
|
Heart Attack (uncomplicated)
MS-DRG 282 · Inpatient stay |
21 | $16,039 | $6,204 | -58% |
|
Hypertension without Major Complications
MS-DRG 305 · Inpatient stay |
21 | $12,198 | $6,530 | -64% |
|
Skin Infection (severe)
MS-DRG 602 · Inpatient stay |
21 | $21,904 | $12,301 | -57% |
|
Infection Needing Surgery (severe)
MS-DRG 853 · Inpatient stay |
20 | $99,735 | $42,332 | -44% |
|
Signs and Symptoms without Major Complications
MS-DRG 948 · Inpatient stay |
20 | $12,120 | $6,968 | -63% |
|
Level 3 Urology and Related Services
APC 5373 · Hospital outpatient visit |
20 | $6,626 | $2,100 | -49% |
|
Gastrointestinal Obstruction with Complications
MS-DRG 389 · Inpatient stay |
19 | $12,392 | $6,596 | -60% |
|
Hip or Thigh Bone Surgery (with complications)
MS-DRG 481 · Inpatient stay |
19 | $39,803 | $17,012 | -52% |
|
Circulatory Disorders Except Heart Attack, with Cardiac Catheterization without Major
MS-DRG 287 · Inpatient stay |
18 | $28,398 | $9,033 | -48% |
|
Hip Replacement with Principal Diagnosis of Hip Fracture without Major Complications
MS-DRG 522 · Inpatient stay |
18 | $42,320 | $17,621 | -51% |
|
Sepsis
MS-DRG 870 · Inpatient stay |
18 | $112,176 | $55,167 | -58% |
|
Sepsis (without major complications)
MS-DRG 872 · Inpatient stay |
18 | $16,791 | $8,991 | -57% |
|
Poisoning and Toxic Effects of Drugs with Major Complications
MS-DRG 917 · Inpatient stay |
18 | $19,585 | $13,063 | -71% |
|
Uterine and Adnexa Procedures for Non-malignancy without Complications/mcc
MS-DRG 743 · Inpatient stay |
18 | $15,040 | $11,077 | -77% |
|
Level 3 Excision/ Biopsy/ Incision and Drainage
APC 5073 · Hospital outpatient visit |
18 | $7,723 | $2,747 | -56% |
|
Level 2 Endovascular Procedures
APC 5192 · Hospital outpatient visit |
18 | $18,257 | $6,138 | -47% |
|
Circulatory Disorders Except Heart Attack, with Cardiac Catheterization with Major
MS-DRG 286 · Inpatient stay |
16 | $39,071 | $16,560 | -56% |
|
Other Circulatory System Diagnoses with Major Complications
MS-DRG 314 · Inpatient stay |
16 | $31,280 | $14,798 | -60% |
|
Level 3 Lower GI Procedures
APC 5313 · Hospital outpatient visit |
16 | $8,771 | $3,015 | -47% |
|
Respiratory System Diagnosis with Ventilator Support <=96 Hours
MS-DRG 208 · Inpatient stay |
15 | $48,655 | $22,517 | -57% |
|
Major Small and Large Bowel Procedures with Complications
MS-DRG 330 · Inpatient stay |
15 | $38,837 | $18,387 | -61% |
|
Gastrointestinal Obstruction with Major Complications
MS-DRG 388 · Inpatient stay |
15 | $17,295 | $11,602 | -70% |
|
Other Digestive System Diagnoses with Complications
MS-DRG 394 · Inpatient stay |
15 | $12,546 | $7,969 | -68% |
|
Other Disorders of Nervous System with Complications
MS-DRG 092 · Inpatient stay |
15 | $16,056 | $8,455 | -64% |
|
Back Problems (severe)
MS-DRG 551 · Inpatient stay |
15 | $22,645 | $13,311 | -67% |
|
Alcohol, Drug Abuse or Dependence without Rehabilitation Therapy with Major Complications
MS-DRG 896 · Inpatient stay |
15 | $26,979 | $14,820 | -59% |
|
Peripheral Vascular Disorders with Complications
MS-DRG 300 · Inpatient stay |
14 | $13,423 | $9,154 | -69% |
|
Irregular Heartbeat (uncomplicated)
MS-DRG 310 · Inpatient stay |
14 | $10,365 | $4,809 | -59% |
|
Alcohol, Drug Abuse or Dependence without Rehabilitation Therapy without Major
MS-DRG 897 · Inpatient stay |
14 | $13,647 | $7,173 | -58% |
|
Trauma to the Skin, Subcutaneous Tissue and Breast without Major Complications
MS-DRG 605 · Inpatient stay |
14 | $15,577 | $7,793 | -62% |
|
Other Vascular Procedures with Major Complications
MS-DRG 252 · Inpatient stay |
13 | $68,070 | $28,792 | -53% |
|
Major Small and Large Bowel Procedures without Complications/mcc
MS-DRG 331 · Inpatient stay |
13 | $32,189 | $14,000 | -57% |
|
Bone Diseases and Arthropathies without Major Complications
MS-DRG 554 · Inpatient stay |
13 | $12,947 | $7,087 | -60% |
|
Other Disorders of Nervous System with Major Complications
MS-DRG 091 · Inpatient stay |
12 | $22,265 | $14,011 | -69% |
|
Cirrhosis and Alcoholic Hepatitis with Complications
MS-DRG 433 · Inpatient stay |
12 | $13,002 | $8,804 | -72% |
|
Level 1 Breast/lymphatic Surgery and Related Procedures
APC 5091 · Hospital outpatient visit |
12 | $12,522 | $4,094 | -48% |
|
Level 2 Vascular Procedures
APC 5182 · Hospital outpatient visit |
12 | $8,184 | $1,720 | -5% |
|
Pulmonary Embolism with Major Complications or Acute Cor Pulmonale
MS-DRG 175 · Inpatient stay |
11 | $25,184 | $10,187 | -54% |
|
Fractures of Hip and Pelvis without Major Complications
MS-DRG 536 · Inpatient stay |
11 | $12,365 | $6,801 | -62% |
|
Other Digestive System Diagnoses with Major Complications
MS-DRG 393 · Inpatient stay |
11 | $37,080 | $13,982 | -42% |
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.