All published prices at Pih Health Good Samaritan Hospital
80 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 |
363 | $106,001 | $20,148 | +62% |
|
Level 2 Intraocular Procedures
APC 5492 · Hospital outpatient visit |
345 | $36,174 | $4,987 | +75% |
|
Level 1 Intraocular Procedures
APC 5491 · Hospital outpatient visit |
192 | $27,485 | $2,866 | +134% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
159 | $63,995 | $13,457 | +47% |
|
Percutaneous and Other Intracardiac Procedures without Major Complications
MS-DRG 274 · Inpatient stay |
87 | $108,225 | $33,530 | -13% |
|
Level 3 Vascular Procedures
APC 5183 · Hospital outpatient visit |
79 | $34,161 | $3,879 | +79% |
|
Level 5 ENT Procedures
APC 5165 · Hospital outpatient visit |
74 | $48,741 | $7,122 | +42% |
|
Endovascular Cardiac Valve Replacement and Supplement Procedures without Major
MS-DRG 267 · Inpatient stay |
73 | $239,816 | $50,830 | +27% |
|
Level 3 Electrophysiologic Procedures
APC 5213 · Hospital outpatient visit |
67 | $93,182 | $29,114 | -30% |
|
Fluid and Electrolyte Disorder (severe)
MS-DRG 640 · Inpatient stay |
64 | $63,013 | $13,955 | +30% |
|
Level 2 Endovascular Procedures
APC 5192 · Hospital outpatient visit |
64 | $40,452 | $6,917 | +17% |
|
Level 3 Endovascular Procedures
APC 5193 · Hospital outpatient visit |
56 | $67,458 | $13,503 | about average |
|
Level 1 Endovascular Procedures
APC 5191 · Hospital outpatient visit |
49 | $38,592 | $4,013 | +53% |
|
Pneumonia (severe)
MS-DRG 193 · Inpatient stay |
47 | $74,857 | $14,641 | +61% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
47 | $13,587 | $1,951 | +35% |
|
Other Vascular Procedures with Major Complications
MS-DRG 252 · Inpatient stay |
43 | $140,376 | $35,172 | -3% |
|
Kidney Failure (severe)
MS-DRG 682 · Inpatient stay |
41 | $66,266 | $14,727 | +25% |
|
Respiratory Infection (severe)
MS-DRG 177 · Inpatient stay |
40 | $64,972 | $15,791 | +18% |
|
Kidney or Urinary Disorder (severe)
MS-DRG 698 · Inpatient stay |
39 | $73,739 | $16,652 | +30% |
|
Endovascular Cardiac Valve Replacement and Supplement Procedures with Major Complications
MS-DRG 266 · Inpatient stay |
37 | $293,354 | $64,599 | +22% |
|
Respiratory Failure
MS-DRG 189 · Inpatient stay |
35 | $60,408 | $13,484 | +25% |
|
Heart Attack (severe)
MS-DRG 280 · Inpatient stay |
35 | $66,146 | $16,438 | +8% |
|
Cochlear Implant Procedure
APC 5166 · Hospital outpatient visit |
33 | $168,953 | $41,094 | +38% |
|
Level 4 Vascular Procedures
APC 5184 · Hospital outpatient visit |
32 | $74,949 | $6,756 | +107% |
|
Kidney Failure (with complications)
MS-DRG 683 · Inpatient stay |
31 | $49,186 | $9,855 | +49% |
|
Sepsis (without major complications)
MS-DRG 872 · Inpatient stay |
30 | $53,667 | $10,899 | +37% |
|
Fluid and Electrolyte Disorder (without major complications)
MS-DRG 641 · Inpatient stay |
29 | $38,112 | $8,171 | +25% |
|
Irregular Heartbeat (with complications)
MS-DRG 309 · Inpatient stay |
28 | $44,792 | $8,354 | +46% |
|
Fainting
MS-DRG 312 · Inpatient stay |
28 | $54,128 | $9,697 | +48% |
|
Chest Pain
MS-DRG 313 · Inpatient stay |
28 | $36,948 | $8,353 | +9% |
|
Stroke (severe)
MS-DRG 064 · Inpatient stay |
27 | $88,128 | $19,638 | +16% |
|
Level 2 Vascular Procedures
APC 5182 · Hospital outpatient visit |
27 | $11,110 | $1,969 | +30% |
|
Urinary Tract Infection (severe)
MS-DRG 689 · Inpatient stay |
26 | $58,202 | $12,540 | +43% |
|
Hip or Knee Replacement (without major complications)
MS-DRG 470 · Inpatient stay |
26 | $133,895 | $21,180 | +67% |
|
Level 4 Musculoskeletal Procedures
APC 5114 · Hospital outpatient visit |
26 | $55,724 | $8,517 | +40% |
|
Other Disorders of Nervous System with Major Complications
MS-DRG 091 · Inpatient stay |
25 | $84,645 | $18,277 | +19% |
|
Other Circulatory System Diagnoses with Major Complications
MS-DRG 314 · Inpatient stay |
25 | $72,641 | $21,012 | -7% |
|
Gastrointestinal Bleeding (severe)
MS-DRG 377 · Inpatient stay |
25 | $85,876 | $18,628 | +21% |
|
Urinary Tract Infection (without major complications)
MS-DRG 690 · Inpatient stay |
25 | $42,197 | $8,632 | +42% |
|
Digestive Disorder (without major complications)
MS-DRG 392 · Inpatient stay |
24 | $42,638 | $8,778 | +32% |
|
Diabetes with Major Complications
MS-DRG 637 · Inpatient stay |
23 | $89,333 | $14,689 | +58% |
|
Red Blood Cell Disorders without Major Complications
MS-DRG 812 · Inpatient stay |
23 | $47,034 | $10,051 | +26% |
|
Gastrointestinal Bleeding (with complications)
MS-DRG 378 · Inpatient stay |
22 | $56,776 | $10,853 | +37% |
|
Infection Needing Surgery (severe)
MS-DRG 853 · Inpatient stay |
21 | $203,156 | $43,919 | +14% |
|
Level 3 Pacemaker and Similar Procedures
APC 5223 · Hospital outpatient visit |
21 | $59,150 | $13,108 | +15% |
|
Level 1 Abdominal/peritoneal/biliary and Related Procedures
APC 5341 · Hospital outpatient visit |
21 | $35,252 | $4,254 | +52% |
|
Sepsis
MS-DRG 870 · Inpatient stay |
20 | $330,040 | $67,836 | +23% |
|
Level 4 Endovascular Procedures
APC 5194 · Hospital outpatient visit |
20 | $95,142 | $21,504 | about average |
|
Transient Ischemia without Thrombolytic
MS-DRG 069 · Inpatient stay |
19 | $59,280 | $8,938 | +44% |
|
Level 3 Musculoskeletal Procedures
APC 5113 · Hospital outpatient visit |
19 | $39,286 | $3,980 | +93% |
|
COPD (severe)
MS-DRG 190 · Inpatient stay |
18 | $42,103 | $11,889 | about average |
|
Irregular Heartbeat (severe)
MS-DRG 308 · Inpatient stay |
18 | $53,663 | $13,144 | +13% |
|
Level 4 Urology and Related Services
APC 5374 · Hospital outpatient visit |
18 | $34,081 | $4,097 | +65% |
|
Seizures with Major Complications
MS-DRG 100 · Inpatient stay |
16 | $131,758 | $25,708 | +63% |
|
Hip or Thigh Bone Surgery (with complications)
MS-DRG 481 · Inpatient stay |
16 | $135,540 | $21,766 | +63% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
16 | $109,523 | $16,148 | +75% |
|
Digestive Disorder (severe)
MS-DRG 391 · Inpatient stay |
15 | $57,926 | $13,955 | +13% |
|
Diabetes (with complications)
MS-DRG 638 · Inpatient stay |
15 | $51,160 | $9,854 | +48% |
|
Red Blood Cell Disorders with Major Complications
MS-DRG 811 · Inpatient stay |
15 | $57,996 | $15,064 | +3% |
|
Peripheral Vascular Disorders with Complications
MS-DRG 300 · Inpatient stay |
14 | $62,016 | $11,180 | +45% |
|
Level 5 Urology and Related Services
APC 5375 · Hospital outpatient visit |
14 | $49,573 | $6,362 | +81% |
|
Other Cerebrovascular Disorders with Major Complications
MS-DRG 070 · Inpatient stay |
13 | $77,859 | $17,375 | +18% |
|
Skin Infection (without major complications)
MS-DRG 603 · Inpatient stay |
13 | $42,379 | $9,674 | +39% |
|
Bronchitis and Asthma with Complications/mcc
MS-DRG 202 · Inpatient stay |
13 | $46,756 | $10,620 | +19% |
|
Level 3 Urology and Related Services
APC 5373 · Hospital outpatient visit |
13 | $17,682 | $2,408 | +37% |
|
Level 3 Intraocular Procedures
APC 5493 · Hospital outpatient visit |
13 | $36,768 | $6,426 | +52% |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
13 | $21,452 | $3,365 | +10% |
|
Circulatory Disorders Except Heart Attack, with Cardiac Catheterization without Major
MS-DRG 287 · Inpatient stay |
12 | $79,279 | $11,907 | +45% |
|
Other Digestive System Diagnoses with Major Complications
MS-DRG 393 · Inpatient stay |
12 | $68,452 | $17,524 | +7% |
|
Digestive Malignancy with Major Complications
MS-DRG 374 · Inpatient stay |
12 | $85,648 | $20,996 | about average |
|
Level 2 Musculoskeletal Procedures
APC 5112 · Hospital outpatient visit |
12 | $18,514 | $1,976 | +65% |
|
Seizures without Major Complications
MS-DRG 101 · Inpatient stay |
11 | $48,308 | $9,895 | +19% |
|
Respiratory System Diagnosis with Ventilator Support <=96 Hours
MS-DRG 208 · Inpatient stay |
11 | $130,917 | $28,798 | +15% |
|
Other Digestive System Diagnoses with Complications
MS-DRG 394 · Inpatient stay |
11 | $36,075 | $10,332 | -7% |
|
Fractures of Hip and Pelvis without Major Complications
MS-DRG 536 · Inpatient stay |
11 | $37,129 | $8,685 | +13% |
|
Back Problems (without major complications)
MS-DRG 552 · Inpatient stay |
11 | $46,493 | $10,411 | +19% |
|
Other Kidney and Urinary Tract Procedures with Major Complications
MS-DRG 673 · Inpatient stay |
11 | $139,614 | $38,560 | -9% |
|
Percutaneous and Other Intracardiac Procedures with Major Complications
MS-DRG 273 · Inpatient stay |
11 | $120,171 | $41,155 | -35% |
|
Other Major Cardiovascular Procedures with Major Complications
MS-DRG 270 · Inpatient stay |
11 | $228,223 | $53,350 | about average |
|
Level 2 Icd and Similar Procedures
APC 5232 · Hospital outpatient visit |
11 | $112,394 | $40,316 | -24% |
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.