All published prices at Good Samaritan Medical Center
84 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 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
501 | $175,801 | $10,942 | +181% |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
451 | $49,777 | $2,401 | +156% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
205 | $182,045 | $13,347 | +179% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
165 | $28,335 | $1,337 | +181% |
|
Level 1 Laparoscopy and Related Services
APC 5361 · Hospital outpatient visit |
112 | $84,720 | $5,041 | +141% |
|
Level 4 Musculoskeletal Procedures
APC 5114 · Hospital outpatient visit |
109 | $159,162 | $5,580 | +299% |
|
Level 2 Breast/lymphatic Surgery and Related Procedures
APC 5092 · Hospital outpatient visit |
80 | $121,165 | $4,968 | +207% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
77 | $109,874 | $8,922 | +153% |
|
Level 1 Breast/lymphatic Surgery and Related Procedures
APC 5091 · Hospital outpatient visit |
68 | $73,741 | $3,089 | +209% |
|
Level 6 Musculoskeletal Procedures
APC 5116 · Hospital outpatient visit |
58 | $209,691 | $13,702 | +153% |
|
Level 3 Vascular Procedures
APC 5183 · Hospital outpatient visit |
56 | $47,113 | $2,764 | +147% |
|
Digestive Disorder (without major complications)
MS-DRG 392 · Inpatient stay |
55 | $88,040 | $6,252 | +173% |
|
Pneumonia (severe)
MS-DRG 193 · Inpatient stay |
54 | $140,343 | $9,340 | +201% |
|
Heart Attack (severe)
MS-DRG 280 · Inpatient stay |
54 | $125,066 | $10,337 | +104% |
|
Level 3 Endovascular Procedures
APC 5193 · Hospital outpatient visit |
41 | $134,627 | $9,348 | +99% |
|
Level 2 Laparoscopy and Related Services
APC 5362 · Hospital outpatient visit |
41 | $123,875 | $8,757 | +107% |
|
Respiratory Infection (severe)
MS-DRG 177 · Inpatient stay |
40 | $115,572 | $11,962 | +110% |
|
Urinary Tract Infection (without major complications)
MS-DRG 690 · Inpatient stay |
39 | $92,031 | $6,197 | +209% |
|
Infection Needing Surgery (severe)
MS-DRG 853 · Inpatient stay |
39 | $479,593 | $35,903 | +170% |
|
Level 3 Excision/ Biopsy/ Incision and Drainage
APC 5073 · Hospital outpatient visit |
37 | $63,385 | $2,518 | +258% |
|
Hip or Knee Replacement (without major complications)
MS-DRG 470 · Inpatient stay |
36 | $223,206 | $12,838 | +179% |
|
Major Small and Large Bowel Procedures with Complications
MS-DRG 330 · Inpatient stay |
35 | $286,247 | $18,596 | +185% |
|
Gastrointestinal Bleeding (with complications)
MS-DRG 378 · Inpatient stay |
32 | $121,019 | $7,863 | +193% |
|
Urinary Tract Infection (severe)
MS-DRG 689 · Inpatient stay |
32 | $117,562 | $8,111 | +188% |
|
Level 4 Gynecologic Procedures
APC 5414 · Hospital outpatient visit |
32 | $56,227 | $2,761 | +210% |
|
Level 3 Lower GI Procedures
APC 5313 · Hospital outpatient visit |
32 | $63,262 | $2,227 | +282% |
|
Level 3 Urology and Related Services
APC 5373 · Hospital outpatient visit |
31 | $24,599 | $1,845 | +90% |
|
Kidney or Urinary Disorder (severe)
MS-DRG 698 · Inpatient stay |
28 | $126,678 | $11,040 | +123% |
|
Level 4 Vascular Procedures
APC 5184 · Hospital outpatient visit |
28 | $107,500 | $4,978 | +197% |
|
Level 1 Endovascular Procedures
APC 5191 · Hospital outpatient visit |
27 | $44,682 | $2,878 | +77% |
|
Irregular Heartbeat (with complications)
MS-DRG 309 · Inpatient stay |
26 | $73,728 | $5,969 | +141% |
|
Skin Infection (without major complications)
MS-DRG 603 · Inpatient stay |
26 | $75,198 | $6,985 | +146% |
|
Red Blood Cell Disorders without Major Complications
MS-DRG 812 · Inpatient stay |
26 | $61,583 | $6,951 | +66% |
|
Sepsis (without major complications)
MS-DRG 872 · Inpatient stay |
26 | $118,958 | $7,905 | +203% |
|
Kidney Failure (with complications)
MS-DRG 683 · Inpatient stay |
25 | $89,853 | $7,053 | +173% |
|
Respiratory Failure
MS-DRG 189 · Inpatient stay |
24 | $139,067 | $9,505 | +187% |
|
Kidney Failure (severe)
MS-DRG 682 · Inpatient stay |
24 | $144,842 | $10,302 | +174% |
|
Revision of Hip or Knee Replacement with Complications
MS-DRG 467 · Inpatient stay |
23 | $417,797 | $23,571 | +221% |
|
Level 2 Endovascular Procedures
APC 5192 · Hospital outpatient visit |
23 | $65,158 | $4,819 | +88% |
|
Level 5 ENT Procedures
APC 5165 · Hospital outpatient visit |
23 | $108,978 | $5,129 | +217% |
|
Fluid and Electrolyte Disorder (without major complications)
MS-DRG 641 · Inpatient stay |
22 | $88,491 | $5,872 | +190% |
|
Major Small and Large Bowel Procedures with Major Complications
MS-DRG 329 · Inpatient stay |
21 | $481,248 | $34,255 | +168% |
|
Back Problems (without major complications)
MS-DRG 552 · Inpatient stay |
21 | $89,437 | $7,009 | +129% |
|
Pneumonia (with complications)
MS-DRG 194 · Inpatient stay |
20 | $88,544 | $6,517 | +179% |
|
Level 3 Musculoskeletal Procedures
APC 5113 · Hospital outpatient visit |
20 | $105,566 | $2,932 | +418% |
|
Level 2 Upper GI Procedures
APC 5302 · Hospital outpatient visit |
20 | $28,681 | $1,723 | +144% |
|
Level 4 Airway Endoscopy
APC 5154 · Hospital outpatient visit |
19 | $80,065 | $3,392 | +253% |
|
Gastrointestinal Obstruction with Complications
MS-DRG 389 · Inpatient stay |
18 | $97,208 | $6,249 | +211% |
|
Level 1 Abdominal/peritoneal/biliary and Related Procedures
APC 5341 · Hospital outpatient visit |
18 | $57,596 | $2,856 | +148% |
|
Fluid and Electrolyte Disorder (severe)
MS-DRG 640 · Inpatient stay |
17 | $107,886 | $8,922 | +122% |
|
Level 4 Endovascular Procedures
APC 5194 · Hospital outpatient visit |
17 | $174,464 | $11,285 | +83% |
|
Fainting
MS-DRG 312 · Inpatient stay |
16 | $70,842 | $6,365 | +93% |
|
Chest Pain
MS-DRG 313 · Inpatient stay |
16 | $72,732 | $5,540 | +116% |
|
Other Digestive System Diagnoses with Complications
MS-DRG 394 · Inpatient stay |
16 | $115,133 | $7,396 | +196% |
|
Hip or Thigh Bone Surgery (with complications)
MS-DRG 481 · Inpatient stay |
16 | $235,526 | $14,666 | +183% |
|
Level 4 Urology and Related Services
APC 5374 · Hospital outpatient visit |
16 | $65,458 | $3,001 | +217% |
|
Level 5 Urology and Related Services
APC 5375 · Hospital outpatient visit |
16 | $81,794 | $4,687 | +198% |
|
Level 2 Musculoskeletal Procedures
APC 5112 · Hospital outpatient visit |
16 | $39,084 | $1,384 | +248% |
|
Heart Catheter Procedure (severe)
MS-DRG 321 · Inpatient stay |
15 | $291,977 | $21,406 | +103% |
|
Kidney or Urinary Disorder (with complications)
MS-DRG 699 · Inpatient stay |
15 | $98,083 | $7,707 | +160% |
|
Combined Anterior and Posterior Spinal Fusion without Complications/mcc
MS-DRG 455 · Inpatient stay |
15 | $471,708 | $33,582 | +167% |
|
Other Vascular Procedures with Major Complications
MS-DRG 252 · Inpatient stay |
14 | $328,007 | $24,850 | +126% |
|
Other Circulatory System Diagnoses with Major Complications
MS-DRG 314 · Inpatient stay |
14 | $231,058 | $14,359 | +195% |
|
Revision of Hip or Knee Replacement without Complications/mcc
MS-DRG 468 · Inpatient stay |
14 | $286,761 | $17,886 | +164% |
|
Major Chest Procedures with Major Complications
MS-DRG 163 · Inpatient stay |
13 | $426,846 | $31,282 | +142% |
|
Permanent Cardiac Pacemaker Implant with Complications
MS-DRG 243 · Inpatient stay |
13 | $207,122 | $15,248 | +121% |
|
Heart Catheter Procedure (without major complications)
MS-DRG 322 · Inpatient stay |
13 | $201,683 | $12,347 | +98% |
|
Hip Replacement with Principal Diagnosis of Hip Fracture without Major Complications
MS-DRG 522 · Inpatient stay |
13 | $242,823 | $14,669 | +183% |
|
Major Chest Procedures with Complications
MS-DRG 164 · Inpatient stay |
13 | $190,674 | $14,461 | +75% |
|
Stroke (severe)
MS-DRG 064 · Inpatient stay |
12 | $141,804 | $11,258 | +86% |
|
Respiratory Infection (with complications)
MS-DRG 178 · Inpatient stay |
12 | $115,953 | $6,985 | +212% |
|
Irregular Heartbeat (severe)
MS-DRG 308 · Inpatient stay |
12 | $117,576 | $9,185 | +148% |
|
Digestive Disorder (severe)
MS-DRG 391 · Inpatient stay |
12 | $83,449 | $9,612 | +63% |
|
Diabetes (with complications)
MS-DRG 638 · Inpatient stay |
12 | $76,140 | $7,381 | +120% |
|
Other Major Cardiovascular Procedures with Major Complications
MS-DRG 270 · Inpatient stay |
12 | $419,733 | $35,395 | +87% |
|
Level 2 Vascular Procedures
APC 5182 · Hospital outpatient visit |
12 | $18,252 | $1,354 | +113% |
|
COPD (severe)
MS-DRG 190 · Inpatient stay |
11 | $123,185 | $8,200 | +194% |
|
Heart Attack (with complications)
MS-DRG 281 · Inpatient stay |
11 | $87,665 | $7,733 | +100% |
|
Gastrointestinal Bleeding (severe)
MS-DRG 377 · Inpatient stay |
11 | $161,586 | $12,410 | +127% |
|
Fractures of Hip and Pelvis without Major Complications
MS-DRG 536 · Inpatient stay |
11 | $77,365 | $6,015 | +136% |
|
Diabetes with Major Complications
MS-DRG 637 · Inpatient stay |
11 | $120,521 | $10,244 | +114% |
|
Red Blood Cell Disorders with Major Complications
MS-DRG 811 · Inpatient stay |
11 | $135,869 | $10,589 | +141% |
|
Combined Anterior and Posterior Spinal Fusion with Complications
MS-DRG 454 · Inpatient stay |
11 | $492,671 | $38,839 | +122% |
|
Trauma to the Skin, Subcutaneous Tissue and Breast without Major Complications
MS-DRG 605 · Inpatient stay |
11 | $75,297 | $7,072 | +84% |
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.