GOOD SAMARITAN HOSPITAL

CCN 050257

45 CFR § 180 compliance
B · 85
This hospital published most of what § 180 requires.
Machine-readable file published
Gross / standard charges
Discounted cash price
Payer-specific negotiated rates
Min / max negotiated charges
Free, public, no login required
Procedures listed
2,392
Insurances with rates
19
CPT / HCPCS codes
1,480
Source MRF

Most expensive procedures (gross)

453
combined anterior and posterio
Gross
$758,398
459
spinal fusion except cervical
Gross
$610,192
284
$10,388
Acute Myocardial Infarction, E
Gross
$607,925
232
$85,644
Coronary Bypass with PTCA with
Gross
$603,125
325
$40,128
Coronary Intravascular Lithotr
Gross
$594,327
821
$31,297
Lymphoma and Leukemia with Maj
Gross
$568,815
3
$300,470
ecmo or tracheostomy with mv >96 hours or principal diagnosis except face, mouth and neck with major
Gross
$561,442
628
$55,331
Other Endocrine, Nutritional a
Gross
$544,513
4
$198,102
tracheostomy with mv >96 hours or principal diagnosis except face, mouth and neck without major o.r.
Gross
$533,443
275
$99,078
Cardiac Defibrillator Implant
Gross
$522,543
260
$47,766
Cardiac Pacemaker Revision Exc
Gross
$498,887
233
$109,584
Coronary Bypass with Cardiac C
Gross
$462,579
725
$17,710
Benign Prostatic Hypertrophy w
Gross
$453,428
217
$90,538
Cardiac Valve and Other Major
Gross
$450,875
515
$43,355
Other Musculoskeletal System a
Gross
$446,153
234
$74,590
Coronary Bypass with Cardiac C
Gross
$444,274
228
$69,865
Other Cardiothoracic Procedure
Gross
$435,907
915
$24,365
allergic reactions with mcc
Gross
$411,689
662
$43,737
Minor Bladder Procedures with
Gross
$407,358
856
$63,252
Postoperative or Post-Traumati
Gross
$371,378
221
$64,388
Cardiac Valve and Other Major
Gross
$358,955
616
$54,189
Amputation of Lower Limb for E
Gross
$352,789
814
$29,308
Reticuloendothelial and Immuni
Gross
$346,612
486
$29,734
Knee Procedures with Principal
Gross
$334,495
276
$86,845
Cardiac Defibrillator Implant
Gross
$319,807
329
$64,380
Major Small and Large Bowel Pr
Gross
$319,471
474
$62,875
Amputation for Musculoskeletal
Gross
$307,669
466
$71,426
Revision of Hip or Knee Replac
Gross
$304,222
317
$86,733
Concomitant Left Atrial Append
Gross
$303,394
492
$49,788
Lower Extremity and Humerus Pr
Gross
$298,445
250
$32,426
Percutaneous Cardiovascular Pr
Gross
$297,711
455
combined anterior and posterio
Gross
$295,829
236
$57,651
Coronary Bypass without Cardia
Gross
$293,835
477
$48,215
Biopsies of Musculoskeletal Sy
Gross
$285,974
344
$37,778
Minor Small and Large Bowel Pr
Gross
$283,904
464
$41,342
Wound Debridement and Skin Gra
Gross
$278,583
245
$68,513
aicd generator procedures
Gross
$273,650
666
$23,095
prostatectomy with cc
Gross
$273,577
273
$54,822
Percutaneous and Other Intraca
Gross
$271,237
215
$148,540
Other Heart Assist System Impl
Gross
$270,412
518
$50,248
Back and Neck Procedures Excep
Gross
$269,082
220
$74,259
Cardiac Valve and Other Major
Gross
$266,857
472
$40,618
cervical spinal fusion with cc
Gross
$260,078
357
$31,574
Other Digestive System O.R. Pr
Gross
$258,534
907
$55,852
Other O.R. Procedures for Inju
Gross
$258,206
163
$64,621
Major Chest Procedures with MC
Gross
$257,354
240
$40,829
Amputation for Circulatory Sys
Gross
$255,806
279
$44,926
Ultrasound Accelerated and Oth
Gross
$254,217
460
spinal fusion except cervical
Gross
$254,177
853
$70,125
Infectious and Parasitic Disea
Gross
$250,719
Showing top 50 of 2,392 priced procedures, sorted by gross charge.

Data straight from this hospital's federally-mandated machine-readable file (45 CFR § 180). The compliance grade reflects how completely the hospital published the six required data elements, not the quality of care.