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Hospital Profile Acute Care Hospitals Proprietary

Good Samaritan Hospital

2425 SAMARITAN DR, San Jose, CA 95124

CMS Overall Rating ★★☆☆☆
Factual Overview

Good Samaritan Hospital is a Acute Care Hospitals (Proprietary) operating in San Jose, CA. Mapped commercial insurance prices across 106 procedures average 6.61x the Medicare baseline. The facility holds a CMS quality rating of 2/5 stars with a patient recommendation score of 66%.

Facility Overview

Setting: urban Bed Count: 324 Beds Teaching Status: Non-Teaching Annual Discharges: 14,583

Patient Experience

Recommendation Rate: 66% High Patient Rating: 62% ER Wait Time (Med): 135 min Readmission Rate: same

Pricing & Transparency

Procedures Mapped: 106 codes Avg Markup vs Medicare: 6.61x Price File In Index: Yes MRF Version: 3.0.0
Procedure & Code Cash Price Actions
Breast lump removal
CPT Code: 19120
 Contact Desk Calc
Total hip replacement
CPT Code: 27130
 Contact Desk Calc
Total knee replacement
CPT Code: 27447
 Contact Desk Calc
Bunion correction surgery
CPT Code: 28296
 Contact Desk Calc
Knee arthroscopy with meniscus repair
CPT Code: 29881
 Contact Desk Calc
Heart stent placement (inpatient stay)
MS-DRG Code: 322
 Contact Desk Calc
Blood transfusion
CPT Code: 36430
 $4,305 Calc
Digestive disorders treatment (inpatient stay)
MS-DRG Code: 392
 Contact Desk Calc
Upper endoscopy with biopsy
CPT Code: 43239
 Contact Desk Calc
Spinal fusion, single level (inpatient stay)
MS-DRG Code: 451
 Contact Desk Calc
Colonoscopy (diagnostic)
CPT Code: 45378
 Contact Desk Calc
Colonoscopy with biopsy
CPT Code: 45380
 Contact Desk Calc
Hip or knee replacement (inpatient stay)
MS-DRG Code: 470
 Contact Desk Calc
Gallbladder removal (laparoscopic)
CPT Code: 47562
 Contact Desk Calc
Inguinal hernia repair
CPT Code: 49505
 Contact Desk Calc
Vaginal delivery (full package)
CPT Code: 59400
 Contact Desk Calc
C-section delivery (full package)
CPT Code: 59510
 Contact Desk Calc
Cataract surgery with lens implant
CPT Code: 66984
 Contact Desk Calc
CT scan, head (no contrast)
CPT Code: 70450
 $19,448 Calc
CT scan, head (with contrast)
CPT Code: 70460
 $23,064 Calc
CT scan, head (with and without contrast)
CPT Code: 70470
 $26,605 Calc
CT scan, sinuses
CPT Code: 70486
 $22,030 Calc
MRI, brain (no contrast)
CPT Code: 70551
 $20,680 Calc
MRI, brain (with and without contrast)
CPT Code: 70553
 $32,724 Calc
X-ray, chest (single view)
CPT Code: 71045
 $1,965 Calc
X-ray, chest (two views)
CPT Code: 71046
 $2,705 Calc
CT scan, chest (no contrast)
CPT Code: 71250
 $22,592 Calc
X-ray, neck (cervical spine)
CPT Code: 72040
 $2,899 Calc
X-ray, lower back
CPT Code: 72110
 Contact Desk Calc
CT scan, neck (cervical spine)
CPT Code: 72125
 $20,952 Calc
CT scan, lower back (lumbar spine)
CPT Code: 72131
 $15,782 Calc
MRI, lower back (no contrast)
CPT Code: 72148
 $22,183 Calc
X-ray, pelvis
CPT Code: 72170
 $2,160 Calc
CT scan, pelvis
CPT Code: 72192
 $13,187 Calc
X-ray, shoulder
CPT Code: 73030
 $3,316 Calc
X-ray, hand
CPT Code: 73130
 $3,279 Calc
X-ray, hip
CPT Code: 73502
 $2,768 Calc
X-ray, ankle
CPT Code: 73610
 $3,752 Calc
X-ray, foot
CPT Code: 73630
 $3,761 Calc
MRI, knee or other leg joint
CPT Code: 73721
 $25,339 Calc
CT scan, abdomen and pelvis (no contrast)
CPT Code: 74176
 $31,817 Calc
CT scan, abdomen and pelvis (with contrast)
CPT Code: 74177
 $44,564 Calc
Ultrasound, thyroid and neck
CPT Code: 76536
 $5,358 Calc
Ultrasound, abdomen (complete)
CPT Code: 76700
 $5,345 Calc
Ultrasound, abdomen (limited)
CPT Code: 76705
 $3,563 Calc
Ultrasound, pelvis
CPT Code: 76856
 $6,763 Calc
Diagnostic mammogram (both breasts)
CPT Code: 77066
 $1,739 Calc
Screening mammogram (both breasts)
CPT Code: 77067
 $2,220 Calc
Blood test, basic metabolic panel
CPT Code: 80048
 $2,184 Calc
Blood test, comprehensive metabolic panel
CPT Code: 80053
 $3,215 Calc
Blood test, cholesterol (lipid panel)
CPT Code: 80061
 $714 Calc
Blood test, liver function panel
CPT Code: 80076
 $2,030 Calc
Urinalysis (automated, with microscopy)
CPT Code: 81001
 $1,073 Calc
Blood test, amylase
CPT Code: 82150
 $711 Calc
Blood test, vitamin D
CPT Code: 82306
 $230 Calc
Blood test, calcium
CPT Code: 82310
 $892 Calc
Blood test, creatinine (kidney)
CPT Code: 82565
 $896 Calc
Blood test, vitamin B12
CPT Code: 82607
 $176 Calc
Blood test, ferritin (iron stores)
CPT Code: 82728
 $206 Calc
Blood test, glucose (blood sugar)
CPT Code: 82947
 $1,174 Calc
Blood test, average blood sugar (A1c)
CPT Code: 83036
 $709 Calc
Blood test, lipase
CPT Code: 83690
 $577 Calc
Blood test, magnesium
CPT Code: 83735
 $77 Calc
Blood test, potassium
CPT Code: 84132
 $945 Calc
Blood test, PSA (prostate screen)
CPT Code: 84153
 $15 Calc
Blood test, sodium
CPT Code: 84295
 $971 Calc
Blood test, thyroid (TSH)
CPT Code: 84443
 $28 Calc
Blood test, urea nitrogen (BUN, kidney)
CPT Code: 84520
 $466 Calc
Blood test, hemoglobin
CPT Code: 85018
 $186 Calc
Blood test, complete blood count (CBC)
CPT Code: 85025
 Contact Desk Calc
Blood test, clotting time (PT/INR)
CPT Code: 85610
 $38 Calc
Blood test, clotting time (PTT)
CPT Code: 85730
 $27 Calc
Hepatitis C antibody test
CPT Code: 86803
 $7 Calc
Blood antibody screen
CPT Code: 86850
 $539 Calc
Culture, blood
CPT Code: 87040
 $50 Calc
Culture, bacterial
CPT Code: 87070
 $23 Calc
Sepsis treatment (inpatient stay)
MS-DRG Code: 871
 Contact Desk Calc
Psychiatric evaluation (first visit)
CPT Code: 90791
 $1,448 Calc
Psychotherapy session (45 minutes)
CPT Code: 90834
 $1,736 Calc
Psychotherapy session (60 minutes)
CPT Code: 90837
 $2,069 Calc
Family therapy session
CPT Code: 90847
 $1,736 Calc
Group therapy session
CPT Code: 90853
 $1,448 Calc
Care planning with family
CPT Code: 90887
 Contact Desk Calc
Speech therapy (language evaluation)
CPT Code: 92507
 $1,341 Calc
Speech therapy (group session)
CPT Code: 92508
 $844 Calc
Electrocardiogram (ECG/EKG)
CPT Code: 93000
 Contact Desk Calc
Electrocardiogram (EKG, tracing only)
CPT Code: 93005
 $1,278 Calc
Echocardiogram (heart ultrasound)
CPT Code: 93306
 $10,547 Calc
Ultrasound, leg veins (duplex)
CPT Code: 93970
 $11,491 Calc
Breathing treatment (nebulizer)
CPT Code: 94640
 $701 Calc
Sleep study (overnight, in lab)
CPT Code: 95810
 Contact Desk Calc
Neurobehavioral status check
CPT Code: 96116
 Contact Desk Calc
Psychological testing evaluation
CPT Code: 96136
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Psychological testing by technician
CPT Code: 96138
 Contact Desk Calc
Physical therapy (therapeutic exercise)
CPT Code: 97110
 $738 Calc
Physical therapy (neuromuscular re-education)
CPT Code: 97112
 $738 Calc
Physical therapy (gait training)
CPT Code: 97116
 $508 Calc
Physical therapy (manual therapy)
CPT Code: 97140
 $627 Calc
Occupational therapy (therapeutic activities)
CPT Code: 97530
 $593 Calc
Occupational therapy (self-care training)
CPT Code: 97535
 $577 Calc
Physical therapy (functional capacity test)
CPT Code: 97750
 $589 Calc
Orthotic fitting and training
CPT Code: 97760
 $577 Calc
Prosthetic fitting and training
CPT Code: 97761
 $542 Calc
New patient office visit (30-44 min)
CPT Code: 99203
 $1,790 Calc
Office visit, established patient (20-29 min)
CPT Code: 99213
 $1,643 Calc
Office visit, established patient (30-39 min)
CPT Code: 99214
 $2,142 Calc