All published prices at Good Samaritan Regional Medical Center
76 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 2 Urology and Related Services
APC 5372 · Hospital outpatient visit |
279 | $830 | $708 | -74% |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
246 | $13,642 | $2,823 | -30% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
237 | $5,954 | $1,673 | -41% |
|
Level 4 Musculoskeletal Procedures
APC 5114 · Hospital outpatient visit |
139 | $24,745 | $7,343 | -38% |
|
Level 3 Urology and Related Services
APC 5373 · Hospital outpatient visit |
131 | $3,700 | $2,102 | -71% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
127 | $37,322 | $13,452 | -40% |
|
Level 3 Vascular Procedures
APC 5183 · Hospital outpatient visit |
123 | $11,827 | $3,197 | -38% |
|
Level 1 Endovascular Procedures
APC 5191 · Hospital outpatient visit |
115 | $11,591 | $3,367 | -54% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
113 | $50,762 | $21,554 | -22% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
85 | $44,191 | $13,868 | about average |
|
Level 5 Urology and Related Services
APC 5375 · Hospital outpatient visit |
81 | $16,718 | $5,266 | -39% |
|
Level 3 Electrophysiologic Procedures
APC 5213 · Hospital outpatient visit |
80 | $73,082 | $23,732 | -45% |
|
Level 6 Musculoskeletal Procedures
APC 5116 · Hospital outpatient visit |
62 | $54,595 | $19,302 | -34% |
|
Level 1 Laparoscopy and Related Services
APC 5361 · Hospital outpatient visit |
62 | $24,941 | $5,913 | -29% |
|
Level 4 Airway Endoscopy
APC 5154 · Hospital outpatient visit |
61 | $16,051 | $3,888 | -29% |
|
Level 2 Musculoskeletal Procedures
APC 5112 · Hospital outpatient visit |
55 | $6,085 | $1,644 | -46% |
|
Heart Attack (severe)
MS-DRG 280 · Inpatient stay |
52 | $46,017 | $17,687 | -25% |
|
Level 2 Vascular Procedures
APC 5182 · Hospital outpatient visit |
52 | $3,505 | $1,599 | -59% |
|
Level 3 Musculoskeletal Procedures
APC 5113 · Hospital outpatient visit |
51 | $12,773 | $3,203 | -37% |
|
Level 4 Urology and Related Services
APC 5374 · Hospital outpatient visit |
47 | $12,869 | $3,558 | -38% |
|
Level 2 Endovascular Procedures
APC 5192 · Hospital outpatient visit |
43 | $21,826 | $5,934 | -37% |
|
Level 3 Pacemaker and Similar Procedures
APC 5223 · Hospital outpatient visit |
42 | $33,105 | $11,074 | -36% |
|
Level 3 Excision/ Biopsy/ Incision and Drainage
APC 5073 · Hospital outpatient visit |
41 | $12,608 | $2,878 | -29% |
|
Level 1 Breast/lymphatic Surgery and Related Procedures
APC 5091 · Hospital outpatient visit |
40 | $16,113 | $3,957 | -32% |
|
Level 3 Endovascular Procedures
APC 5193 · Hospital outpatient visit |
39 | $38,771 | $11,163 | -43% |
|
Level 2 Upper GI Procedures
APC 5302 · Hospital outpatient visit |
34 | $9,607 | $1,929 | -18% |
|
Level 2 Laparoscopy and Related Services
APC 5362 · Hospital outpatient visit |
33 | $36,056 | $10,676 | -40% |
|
Level 1 Nerve Procedures
APC 5431 · Hospital outpatient visit |
33 | $6,359 | $2,005 | -44% |
|
Level 2 Breast/lymphatic Surgery and Related Procedures
APC 5092 · Hospital outpatient visit |
32 | $28,875 | $6,770 | -27% |
|
Hip or Thigh Bone Surgery (with complications)
MS-DRG 481 · Inpatient stay |
29 | $62,511 | $21,971 | -25% |
|
Hip Replacement with Principal Diagnosis of Hip Fracture without Major Complications
MS-DRG 522 · Inpatient stay |
28 | $67,374 | $22,502 | -21% |
|
Kidney Failure (severe)
MS-DRG 682 · Inpatient stay |
28 | $54,139 | $18,551 | about average |
|
Heart Catheter Procedure (without major complications)
MS-DRG 322 · Inpatient stay |
27 | $60,840 | $19,480 | -40% |
|
Heart Catheter Procedure (severe)
MS-DRG 321 · Inpatient stay |
26 | $73,890 | $29,341 | -49% |
|
Fluid and Electrolyte Disorder (severe)
MS-DRG 640 · Inpatient stay |
26 | $30,761 | $14,232 | -37% |
|
Infection Needing Surgery (severe)
MS-DRG 853 · Inpatient stay |
26 | $117,735 | $49,642 | -34% |
|
Respiratory Infection (severe)
MS-DRG 177 · Inpatient stay |
25 | $45,390 | $17,315 | -18% |
|
Endovascular Cardiac Valve Replacement and Supplement Procedures without Major
MS-DRG 267 · Inpatient stay |
24 | $112,284 | $47,962 | -41% |
|
Gastrointestinal Bleeding (with complications)
MS-DRG 378 · Inpatient stay |
24 | $36,629 | $10,958 | -11% |
|
Skin Infection (without major complications)
MS-DRG 603 · Inpatient stay |
24 | $16,101 | $9,706 | -47% |
|
Level 5 Airway Endoscopy
APC 5155 · Hospital outpatient visit |
24 | $22,792 | $7,106 | -41% |
|
Stroke (with complications)
MS-DRG 065 · Inpatient stay |
22 | $45,321 | $10,120 | about average |
|
Level 1 Abdominal/peritoneal/biliary and Related Procedures
APC 5341 · Hospital outpatient visit |
22 | $12,062 | $3,592 | -48% |
|
Urinary Tract Infection (without major complications)
MS-DRG 690 · Inpatient stay |
21 | $16,669 | $8,896 | -44% |
|
Stroke (severe)
MS-DRG 064 · Inpatient stay |
20 | $58,837 | $19,476 | -23% |
|
Digestive Disorder (without major complications)
MS-DRG 392 · Inpatient stay |
20 | $19,304 | $8,852 | -40% |
|
Heart Attack (with complications)
MS-DRG 281 · Inpatient stay |
19 | $30,573 | $10,122 | -30% |
|
Kidney Failure (with complications)
MS-DRG 683 · Inpatient stay |
19 | $23,687 | $9,945 | -28% |
|
Respiratory Failure
MS-DRG 189 · Inpatient stay |
18 | $39,283 | $12,838 | -19% |
|
Gastrointestinal Bleeding (severe)
MS-DRG 377 · Inpatient stay |
18 | $58,822 | $21,318 | -17% |
|
Endovascular Cardiac Valve Replacement and Supplement Procedures with Major Complications
MS-DRG 266 · Inpatient stay |
18 | $140,629 | $62,176 | -42% |
|
Fluid and Electrolyte Disorder (without major complications)
MS-DRG 641 · Inpatient stay |
16 | $27,181 | $9,019 | -11% |
|
Urinary Tract Infection (severe)
MS-DRG 689 · Inpatient stay |
16 | $30,481 | $12,714 | -25% |
|
Level 4 Endovascular Procedures
APC 5194 · Hospital outpatient visit |
16 | $54,945 | $18,163 | -42% |
|
Major Small and Large Bowel Procedures with Major Complications
MS-DRG 329 · Inpatient stay |
15 | $177,044 | $56,816 | about average |
|
Major Small and Large Bowel Procedures with Complications
MS-DRG 330 · Inpatient stay |
15 | $69,074 | $24,607 | -31% |
|
Hip or Thigh Bone Surgery (severe)
MS-DRG 480 · Inpatient stay |
15 | $82,245 | $29,057 | -30% |
|
Cardiac Valve and Other Major Cardiothoracic Procedures without Cardiac Catheterization
MS-DRG 220 · Inpatient stay |
15 | $164,202 | $56,896 | -30% |
|
Level 3 Airway Endoscopy
APC 5153 · Hospital outpatient visit |
15 | $9,504 | $1,762 | -17% |
|
Level 2 Pacemaker and Similar Procedures
APC 5222 · Hospital outpatient visit |
15 | $27,055 | $8,817 | -29% |
|
Sepsis (without major complications)
MS-DRG 872 · Inpatient stay |
14 | $31,348 | $11,659 | -20% |
|
Combined Anterior and Posterior Spinal Fusion without Complications/mcc
MS-DRG 455 · Inpatient stay |
14 | $102,160 | $55,082 | -42% |
|
Irregular Heartbeat (severe)
MS-DRG 308 · Inpatient stay |
13 | $38,514 | $13,362 | -19% |
|
Fainting
MS-DRG 312 · Inpatient stay |
13 | $21,442 | $9,640 | -41% |
|
Hip or Thigh Bone Surgery (uncomplicated)
MS-DRG 482 · Inpatient stay |
13 | $50,666 | $16,129 | -26% |
|
Respiratory System Diagnosis with Ventilator Support <=96 Hours
MS-DRG 208 · Inpatient stay |
12 | $59,091 | $23,354 | -48% |
|
Circulatory Disorders Except Heart Attack, with Cardiac Catheterization with Major
MS-DRG 286 · Inpatient stay |
12 | $42,293 | $21,777 | -52% |
|
Major Small and Large Bowel Procedures without Complications/mcc
MS-DRG 331 · Inpatient stay |
12 | $74,625 | $24,482 | about average |
|
Level 2 Icd and Similar Procedures
APC 5232 · Hospital outpatient visit |
12 | $104,552 | $34,049 | -30% |
|
Craniotomy and Endovascular Intracranial Procedures with Major Complications
MS-DRG 025 · Inpatient stay |
11 | $93,967 | $46,849 | -51% |
|
Pneumonia (with complications)
MS-DRG 194 · Inpatient stay |
11 | $25,926 | $9,237 | -18% |
|
Other Vascular Procedures with Major Complications
MS-DRG 252 · Inpatient stay |
11 | $92,599 | $35,237 | -36% |
|
Digestive Disorder (severe)
MS-DRG 391 · Inpatient stay |
11 | $26,103 | $11,902 | -49% |
|
Kidney or Urinary Disorder (severe)
MS-DRG 698 · Inpatient stay |
11 | $36,651 | $16,965 | -35% |
|
Level 4 Gynecologic Procedures
APC 5414 · Hospital outpatient visit |
11 | $10,393 | $3,246 | -43% |
|
Level 6 Urology and Related Services
APC 5376 · Hospital outpatient visit |
11 | $22,735 | $9,558 | -49% |
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.