All published prices at Legacy Good Samaritan Medical Center
71 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 1 Intraocular Procedures
APC 5491 · Hospital outpatient visit |
427 | $13,090 | $2,391 | +11% |
|
Level 2 Intraocular Procedures
APC 5492 · Hospital outpatient visit |
211 | $19,879 | $4,234 | -4% |
|
Level 1 Endovascular Procedures
APC 5191 · Hospital outpatient visit |
136 | $22,167 | $3,388 | -12% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
132 | $6,488 | $1,650 | -36% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
125 | $37,826 | $13,494 | -39% |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
107 | $14,727 | $2,829 | -24% |
|
Level 1 Laparoscopy and Related Services
APC 5361 · Hospital outpatient visit |
98 | $27,444 | $6,005 | -22% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
95 | $57,772 | $21,753 | -11% |
|
Level 3 Vascular Procedures
APC 5183 · Hospital outpatient visit |
79 | $15,677 | $3,277 | -18% |
|
Level 5 Urology and Related Services
APC 5375 · Hospital outpatient visit |
77 | $28,261 | $5,317 | about average |
|
Level 2 Upper GI Procedures
APC 5302 · Hospital outpatient visit |
76 | $9,681 | $1,913 | -18% |
|
Level 2 Laparoscopy and Related Services
APC 5362 · Hospital outpatient visit |
58 | $47,643 | $10,316 | -20% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
54 | $40,912 | $14,986 | -6% |
|
Level 4 Musculoskeletal Procedures
APC 5114 · Hospital outpatient visit |
53 | $29,470 | $7,139 | -26% |
|
Level 6 Musculoskeletal Procedures
APC 5116 · Hospital outpatient visit |
49 | $52,400 | $19,507 | -37% |
|
Level 1 Breast/lymphatic Surgery and Related Procedures
APC 5091 · Hospital outpatient visit |
42 | $17,003 | $4,000 | -29% |
|
Level 2 Breast/lymphatic Surgery and Related Procedures
APC 5092 · Hospital outpatient visit |
42 | $31,929 | $6,713 | -19% |
|
Level 4 Urology and Related Services
APC 5374 · Hospital outpatient visit |
42 | $19,147 | $3,589 | -7% |
|
Level 3 Musculoskeletal Procedures
APC 5113 · Hospital outpatient visit |
41 | $16,240 | $3,313 | -20% |
|
Level 3 Endovascular Procedures
APC 5193 · Hospital outpatient visit |
40 | $51,596 | $11,529 | -24% |
|
Level 4 Gynecologic Procedures
APC 5414 · Hospital outpatient visit |
37 | $17,266 | $3,210 | -5% |
|
Level 5 Airway Endoscopy
APC 5155 · Hospital outpatient visit |
37 | $19,923 | $7,181 | -48% |
|
Level 3 Urology and Related Services
APC 5373 · Hospital outpatient visit |
36 | $16,481 | $2,090 | +28% |
|
Level 3 Pacemaker and Similar Procedures
APC 5223 · Hospital outpatient visit |
35 | $35,448 | $10,918 | -31% |
|
Kidney Transplant
MS-DRG 652 · Inpatient stay |
32 | $226,247 | $59,746 | -24% |
|
Level 2 Musculoskeletal Procedures
APC 5112 · Hospital outpatient visit |
32 | $10,975 | $1,645 | about average |
|
Heart Attack (severe)
MS-DRG 280 · Inpatient stay |
30 | $58,098 | $18,726 | -5% |
|
Level 3 Excision/ Biopsy/ Incision and Drainage
APC 5073 · Hospital outpatient visit |
29 | $11,735 | $2,879 | -34% |
|
Level 7 Radiation Therapy
APC 5627 · Hospital outpatient visit |
27 | $70,419 | $8,170 | +19% |
|
Respiratory Infection (severe)
MS-DRG 177 · Inpatient stay |
26 | $60,249 | $20,566 | +10% |
|
Stomach, Esophageal and Duodenal Procedures without Complications/mcc
MS-DRG 328 · Inpatient stay |
24 | $52,195 | $17,194 | -31% |
|
Infection Needing Surgery (severe)
MS-DRG 853 · Inpatient stay |
23 | $143,553 | $54,040 | -19% |
|
Hip or Knee Replacement (without major complications)
MS-DRG 470 · Inpatient stay |
23 | $48,502 | $19,625 | -39% |
|
Level 4 ENT Procedures
APC 5164 · Hospital outpatient visit |
23 | $16,372 | $3,378 | -14% |
|
Level 1 Nerve Procedures
APC 5431 · Hospital outpatient visit |
22 | $9,463 | $1,953 | -17% |
|
Major Small and Large Bowel Procedures with Complications
MS-DRG 330 · Inpatient stay |
21 | $69,820 | $25,779 | -31% |
|
Fluid and Electrolyte Disorder (severe)
MS-DRG 640 · Inpatient stay |
21 | $53,962 | $15,093 | +11% |
|
Level 6 Urology and Related Services
APC 5376 · Hospital outpatient visit |
21 | $44,084 | $9,660 | about average |
|
Respiratory Failure
MS-DRG 189 · Inpatient stay |
20 | $41,783 | $14,603 | -14% |
|
Pneumonia (severe)
MS-DRG 193 · Inpatient stay |
20 | $30,437 | $14,071 | -35% |
|
Heart Attack (with complications)
MS-DRG 281 · Inpatient stay |
20 | $36,367 | $10,529 | -17% |
|
Level 2 Pacemaker and Similar Procedures
APC 5222 · Hospital outpatient visit |
20 | $20,698 | $8,911 | -45% |
|
Level 3 Lower GI Procedures
APC 5313 · Hospital outpatient visit |
20 | $15,003 | $2,829 | -10% |
|
O.r. Procedures for Obesity without Complications/mcc
MS-DRG 621 · Inpatient stay |
19 | $43,733 | $17,092 | -33% |
|
Level 3 Extraocular, Repair, and Plastic Eye Procedures
APC 5503 · Hospital outpatient visit |
18 | $12,649 | $2,452 | -13% |
|
Heart Catheter Procedure (severe)
MS-DRG 321 · Inpatient stay |
17 | $113,376 | $32,376 | -21% |
|
Sepsis (without major complications)
MS-DRG 872 · Inpatient stay |
17 | $34,454 | $12,108 | -12% |
|
Level 4 Airway Endoscopy
APC 5154 · Hospital outpatient visit |
17 | $18,642 | $3,929 | -18% |
|
Heart Catheter Procedure (without major complications)
MS-DRG 322 · Inpatient stay |
16 | $69,288 | $18,888 | -32% |
|
Gastrointestinal Bleeding (with complications)
MS-DRG 378 · Inpatient stay |
16 | $31,189 | $10,995 | -24% |
|
Major Small and Large Bowel Procedures with Major Complications
MS-DRG 329 · Inpatient stay |
15 | $135,471 | $51,180 | -25% |
|
Gastrointestinal Bleeding (severe)
MS-DRG 377 · Inpatient stay |
15 | $64,136 | $21,721 | -10% |
|
Kidney Failure (severe)
MS-DRG 682 · Inpatient stay |
15 | $51,795 | $18,390 | about average |
|
Other Digestive System Diagnoses with Major Complications
MS-DRG 393 · Inpatient stay |
15 | $44,800 | $18,360 | -30% |
|
Digestive Disorder (without major complications)
MS-DRG 392 · Inpatient stay |
14 | $20,835 | $9,538 | -35% |
|
Level 3 Intraocular Procedures
APC 5493 · Hospital outpatient visit |
14 | $25,940 | $5,484 | +7% |
|
Kidney or Urinary Disorder (with complications)
MS-DRG 699 · Inpatient stay |
13 | $39,996 | $12,135 | +6% |
|
Malignancy of Hepatobiliary System or Pancreas with Major Complications
MS-DRG 435 · Inpatient stay |
13 | $30,948 | $18,608 | -62% |
|
Other Circulatory System Diagnoses with Major Complications
MS-DRG 314 · Inpatient stay |
12 | $53,230 | $23,051 | -32% |
|
Hip Replacement with Principal Diagnosis of Hip Fracture without Major Complications
MS-DRG 522 · Inpatient stay |
12 | $60,091 | $21,615 | -30% |
|
Urinary Tract Infection (severe)
MS-DRG 689 · Inpatient stay |
12 | $42,190 | $14,502 | +4% |
|
Kidney or Urinary Disorder (severe)
MS-DRG 698 · Inpatient stay |
12 | $71,057 | $25,143 | +25% |
|
Revision of Hip or Knee Replacement with Complications
MS-DRG 467 · Inpatient stay |
12 | $53,728 | $32,938 | -59% |
|
Complications of Treatment with Major Complications
MS-DRG 919 · Inpatient stay |
12 | $41,179 | $19,697 | -45% |
|
Level 3 Airway Endoscopy
APC 5153 · Hospital outpatient visit |
12 | $7,004 | $1,663 | -39% |
|
Level 4 Endovascular Procedures
APC 5194 · Hospital outpatient visit |
12 | $71,397 | $18,357 | -25% |
|
Complex GI Procedures
APC 5331 · Hospital outpatient visit |
12 | $18,346 | $5,482 | -39% |
|
Level 4 Neurostimulator and Related Procedures
APC 5464 · Hospital outpatient visit |
12 | $35,187 | $21,121 | -56% |
|
Irregular Heartbeat (severe)
MS-DRG 308 · Inpatient stay |
11 | $38,794 | $13,824 | -18% |
|
Irregular Heartbeat (with complications)
MS-DRG 309 · Inpatient stay |
11 | $23,863 | $8,769 | -22% |
|
Level 4 Vascular Procedures
APC 5184 · Hospital outpatient visit |
11 | $36,400 | $5,766 | about average |
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.