CMS Price Transparency Data

Digestive disorders treatment (inpatient stay)

Facility: Good Samaritan Hospital

Billing Code: 392 (MS-DRG)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 392
  • Insurance Median: $8,946
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 1.58x Medicare
The contracted insurance negotiated median rate for a Digestive disorders treatment (inpatient stay) at Good Samaritan Hospital is $8,946. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $5,675.87, this hospital’s rate is 1.58x the Medicare baseline. Located in 2425 Samaritan Drive, San Jose, CA.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$8,946

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$5,675.87

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $5,675.87 (100%)
Insurance Median: $8,946 (158%)
Ins. Median: $8,946 (158% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $5,675.87 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
Clever Care Of Golden State $750 - $9,393 13%
Medcare Partners $750 - $9,393 13%
Hospice Of The Valley $918 16%
Healthsmart $1,915 34%
Multiplan $3,158 56%
First Health $3,183 - $5,426 56%
Health Net $4,316 76%
Cigna $6,670 - $7,165 118%
United $7,394 - $12,779 130%
Vitas Healthcare Hospice $8,051 142%
Aetna $8,499 - $11,487 150%
Vitality Health Plan $8,678 153%
Affinity Medical Group $8,946 158%
Alignment Health Plan $8,946 158%
Blue Cross Blue Shield $8,946 158%
Central Health Plan $8,946 158%
Easy Choice Health Plan $8,946 158%
Humana $8,946 158%
On Lok Senior Health $8,946 158%
Palo Alto Medical $8,946 - $11,630 158%
Santa Clara Family Health Plan $8,946 158%
Scan Health Plan $8,946 158%
Triwest Healthcare Alliance $8,946 158%
University Healthcare $8,946 158%
Blue Shield $9,125 161%
Care1St Health Plan $9,125 161%
Affinity Medical Group Comm $11,630 205%
Corvel Corporation $13,121 231%
Bright Health $14,712 - $15,328 259%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2425 Samaritan Drive, San Jose, CA 95124
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals