All published prices at Good Samaritan Regional Hlth Center
77 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 |
|---|---|---|---|---|
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
218 | $51,965 | $13,768 | -20% |
|
Level 1 Endovascular Procedures
APC 5191 · Hospital outpatient visit |
134 | $30,593 | $3,016 | +21% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
128 | $36,144 | $9,626 | -17% |
|
Hip or Knee Replacement (without major complications)
MS-DRG 470 · Inpatient stay |
122 | $79,268 | $15,104 | about average |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
117 | $17,195 | $2,495 | -12% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
114 | $8,240 | $1,475 | -18% |
|
Pneumonia (severe)
MS-DRG 193 · Inpatient stay |
87 | $39,216 | $9,925 | -16% |
|
Respiratory Failure
MS-DRG 189 · Inpatient stay |
61 | $35,422 | $9,003 | -27% |
|
Level 2 Upper GI Procedures
APC 5302 · Hospital outpatient visit |
59 | $14,866 | $1,758 | +26% |
|
Level 3 Endovascular Procedures
APC 5193 · Hospital outpatient visit |
57 | $64,982 | $10,009 | -4% |
|
Respiratory Infection (severe)
MS-DRG 177 · Inpatient stay |
56 | $50,551 | $11,776 | -8% |
|
Level 3 Vascular Procedures
APC 5183 · Hospital outpatient visit |
56 | $16,050 | $2,946 | -16% |
|
Level 2 Endovascular Procedures
APC 5192 · Hospital outpatient visit |
53 | $41,860 | $5,282 | +21% |
|
Fluid and Electrolyte Disorder (severe)
MS-DRG 640 · Inpatient stay |
50 | $35,400 | $9,793 | -27% |
|
Kidney Failure (with complications)
MS-DRG 683 · Inpatient stay |
46 | $24,117 | $6,709 | -27% |
|
Level 3 Urology and Related Services
APC 5373 · Hospital outpatient visit |
46 | $18,336 | $1,768 | +42% |
|
Kidney Failure (severe)
MS-DRG 682 · Inpatient stay |
44 | $28,089 | $10,666 | -47% |
|
Level 4 Vascular Procedures
APC 5184 · Hospital outpatient visit |
44 | $37,905 | $5,079 | +5% |
|
Sepsis (without major complications)
MS-DRG 872 · Inpatient stay |
43 | $32,428 | $9,009 | -17% |
|
Infection Needing Surgery (severe)
MS-DRG 853 · Inpatient stay |
40 | $118,284 | $37,452 | -34% |
|
Level 3 Excision/ Biopsy/ Incision and Drainage
APC 5073 · Hospital outpatient visit |
40 | $16,944 | $2,574 | -4% |
|
Level 5 Urology and Related Services
APC 5375 · Hospital outpatient visit |
39 | $31,825 | $4,782 | +16% |
|
Irregular Heartbeat (with complications)
MS-DRG 309 · Inpatient stay |
37 | $21,552 | $5,587 | -30% |
|
Level 1 Laparoscopy and Related Services
APC 5361 · Hospital outpatient visit |
37 | $48,164 | $5,332 | +37% |
|
Heart Catheter Procedure (without major complications)
MS-DRG 322 · Inpatient stay |
34 | $97,262 | $14,739 | -4% |
|
Digestive Disorder (without major complications)
MS-DRG 392 · Inpatient stay |
33 | $25,227 | $7,043 | -22% |
|
Level 2 Vascular Procedures
APC 5182 · Hospital outpatient visit |
33 | $5,518 | $1,399 | -36% |
|
Stroke (with complications)
MS-DRG 065 · Inpatient stay |
32 | $32,609 | $7,614 | -28% |
|
Heart Attack (severe)
MS-DRG 280 · Inpatient stay |
32 | $45,255 | $12,584 | -26% |
|
Urinary Tract Infection (severe)
MS-DRG 689 · Inpatient stay |
32 | $35,131 | $8,585 | -14% |
|
Fluid and Electrolyte Disorder (without major complications)
MS-DRG 641 · Inpatient stay |
31 | $22,814 | $5,783 | -25% |
|
Fainting
MS-DRG 312 · Inpatient stay |
30 | $30,936 | $6,453 | -16% |
|
Skin Infection (without major complications)
MS-DRG 603 · Inpatient stay |
29 | $21,252 | $7,289 | -30% |
|
Urinary Tract Infection (without major complications)
MS-DRG 690 · Inpatient stay |
28 | $24,702 | $6,033 | -17% |
|
Level 4 Musculoskeletal Procedures
APC 5114 · Hospital outpatient visit |
27 | $40,889 | $6,611 | about average |
|
Pneumonia (with complications)
MS-DRG 194 · Inpatient stay |
26 | $29,442 | $6,165 | -7% |
|
Irregular Heartbeat (severe)
MS-DRG 308 · Inpatient stay |
26 | $30,586 | $8,781 | -35% |
|
Hip or Thigh Bone Surgery (with complications)
MS-DRG 481 · Inpatient stay |
26 | $70,139 | $14,633 | -16% |
|
Kidney or Urinary Disorder (severe)
MS-DRG 698 · Inpatient stay |
26 | $57,316 | $11,826 | about average |
|
Seizures without Major Complications
MS-DRG 101 · Inpatient stay |
25 | $14,886 | $6,588 | -63% |
|
Transient Ischemia without Thrombolytic
MS-DRG 069 · Inpatient stay |
24 | $30,490 | $6,452 | -26% |
|
Respiratory System Diagnosis with Ventilator Support <=96 Hours
MS-DRG 208 · Inpatient stay |
24 | $56,623 | $18,046 | -50% |
|
Hip Replacement with Principal Diagnosis of Hip Fracture without Major Complications
MS-DRG 522 · Inpatient stay |
24 | $77,833 | $17,237 | -9% |
|
Level 3 Musculoskeletal Procedures
APC 5113 · Hospital outpatient visit |
24 | $24,889 | $2,991 | +22% |
|
Level 4 Endovascular Procedures
APC 5194 · Hospital outpatient visit |
24 | $85,254 | $16,172 | -11% |
|
Heart Attack (with complications)
MS-DRG 281 · Inpatient stay |
23 | $38,839 | $8,411 | -11% |
|
Level 3 Pacemaker and Similar Procedures
APC 5223 · Hospital outpatient visit |
23 | $44,541 | $9,861 | -14% |
|
Heart Catheter Procedure (severe)
MS-DRG 321 · Inpatient stay |
21 | $122,010 | $24,859 | -15% |
|
Level 4 Urology and Related Services
APC 5374 · Hospital outpatient visit |
21 | $28,279 | $3,100 | +37% |
|
Irregular Heartbeat (uncomplicated)
MS-DRG 310 · Inpatient stay |
20 | $14,999 | $4,239 | -40% |
|
Sepsis
MS-DRG 870 · Inpatient stay |
18 | $184,815 | $49,008 | -31% |
|
Circulatory Disorders Except Heart Attack, with Cardiac Catheterization without Major
MS-DRG 287 · Inpatient stay |
17 | $41,803 | $11,355 | -23% |
|
Signs and Symptoms without Major Complications
MS-DRG 948 · Inpatient stay |
17 | $27,331 | $5,933 | -16% |
|
Chest Pain
MS-DRG 313 · Inpatient stay |
16 | $28,969 | $5,369 | -14% |
|
Gastrointestinal Obstruction with Complications
MS-DRG 389 · Inpatient stay |
16 | $18,139 | $6,513 | -42% |
|
Level 4 Airway Endoscopy
APC 5154 · Hospital outpatient visit |
16 | $28,193 | $3,288 | +24% |
|
Degenerative Nervous System Disorders without Major Complications
MS-DRG 057 · Inpatient stay |
15 | $27,181 | $8,827 | -43% |
|
Level 2 Laparoscopy and Related Services
APC 5362 · Hospital outpatient visit |
15 | $81,841 | $8,982 | +37% |
|
Stroke (severe)
MS-DRG 064 · Inpatient stay |
14 | $55,348 | $15,046 | -27% |
|
Seizures with Major Complications
MS-DRG 100 · Inpatient stay |
14 | $28,343 | $14,271 | -65% |
|
Respiratory Infection (with complications)
MS-DRG 178 · Inpatient stay |
14 | $24,502 | $7,208 | -34% |
|
Hypertension without Major Complications
MS-DRG 305 · Inpatient stay |
14 | $28,596 | $5,569 | -15% |
|
Other Circulatory System Diagnoses with Major Complications
MS-DRG 314 · Inpatient stay |
14 | $57,337 | $15,726 | -27% |
|
Pleural Effusion with Major Complications
MS-DRG 186 · Inpatient stay |
14 | $36,051 | $10,461 | -49% |
|
Gastrointestinal Bleeding (severe)
MS-DRG 377 · Inpatient stay |
13 | $44,024 | $11,168 | -38% |
|
Gastrointestinal Bleeding (with complications)
MS-DRG 378 · Inpatient stay |
12 | $32,995 | $6,814 | -20% |
|
Diabetes with Major Complications
MS-DRG 637 · Inpatient stay |
12 | $36,752 | $13,216 | -35% |
|
Diabetes (with complications)
MS-DRG 638 · Inpatient stay |
12 | $28,617 | $6,672 | -17% |
|
Signs and Symptoms of Musculoskeletal System and Connective Tissue without Major
MS-DRG 556 · Inpatient stay |
12 | $27,415 | $6,169 | -28% |
|
Level 3 Airway Endoscopy
APC 5153 · Hospital outpatient visit |
12 | $23,541 | $1,569 | +106% |
|
Level 1 Abdominal/peritoneal/biliary and Related Procedures
APC 5341 · Hospital outpatient visit |
12 | $34,533 | $3,197 | +49% |
|
Pulmonary Embolism with Major Complications or Acute Cor Pulmonale
MS-DRG 175 · Inpatient stay |
11 | $41,079 | $9,663 | -25% |
|
Digestive Disorder (severe)
MS-DRG 391 · Inpatient stay |
11 | $31,597 | $9,385 | -38% |
|
Other Kidney and Urinary Tract Procedures with Major Complications
MS-DRG 673 · Inpatient stay |
11 | $77,844 | $27,281 | -49% |
|
Other Circulatory System Diagnoses with Complications
MS-DRG 315 · Inpatient stay |
11 | $24,593 | $7,169 | -41% |
|
Level 2 Pacemaker and Similar Procedures
APC 5222 · Hospital outpatient visit |
11 | $29,412 | $7,851 | -22% |
|
Level 3 Upper GI Procedures
APC 5303 · Hospital outpatient visit |
11 | $22,762 | $3,218 | +4% |
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.