How many shoppable procedure prices are published for Good Samaritan Hospital?

Good Samaritan Hospital in San Jose, CA currently has 127 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Good Samaritan Hospital's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, Good Samaritan Hospital's median negotiated commercial rate is 1.3× the regionally adjusted fair BaseRate benchmark.

What is Good Samaritan Hospital's CMS Care Compare overall star rating?

CMS Care Compare assigns Good Samaritan Hospital an overall hospital quality rating of 2 out of 5 stars based on public federal clinical and patient-experience measures.

Hospital Profile Acute Care Hospital Proprietary 324 Beds · urban Updated: 2026-09-01

Good Samaritan Hospital

2425 Samaritan Drive, San Jose, CA 95124 · 127 Priced Procedures · 66% Patient Recommendation

CMS Overall Rating 2 / 5 Stars

Above Fair Market · Negotiate

1.30×vs. Fair Market Price

Typical commercial prices here are +30% above the fair benchmark (1.30×) even after accounting for local nurse/doctor wages and patient complexity.

66/100 · Caution

66/100Self-Pay Cash Beats Insurance 11% of the Time

File Completeness85

Price Logic87

Peer Alignment52

Clean Billing85

Real Cash Discount6

Regional Benchmark Tier

2-Star CMS clinical quality rating paired with 1.30× fair market pricing.

Behavioral Pricing FingerprintUpper-Quartile Spread · +43% Tail Jump

Wide Procedure Spread · Upper-Quartile Skew Pricer

Good Samaritan Hospital prices routine shoppable procedures at 2.0× Medicare (median 1.14× Fair BaseRate) while upper-quartile commercial rates jump +43% to 1.63× Fair BaseRate. Self-pay cash discounts and comparing specific CPT procedure codes before scheduling yield the strongest savings.

#163 of 240 in CA · 67th State Percentile#2,238 of 3,385 in U.S. · 66th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 1.03× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 11% of shoppable procedures (25/100 Cash Honesty)
2-Star CMS clinical rating with 66% patient recommendation (60/100 safety score)
Binding Good Faith Estimate rights under 45 CFR § 149.610 protect self-pay patients before scheduling

Watchout

Where You Can Get Burned (Markup Traps)

Outpatient surgery & OR suites carry a 1.1× markup over Medicare rates
Commercial insurance median sits at 1.14× Fair BaseRate (2.0× Medicare), so insured patients should always compare the self-pay cash price before paying.
Upper-quartile procedures (Q75 1.63×) jump +43% above the median procedure ratio (Q50 1.14×)
Unnegotiated chargemaster list prices average 18.4× Medicare (14¢ true HCRIS cost per $1 gross)

Front-Door ShoppableElective / Imaging

2.0× Medicare

Pre-scheduled outpatient procedures where patients can comparison-shop.

Back-Door Captive & ER0.55× Divergence

1.1× Medicare

Emergency, inpatient DRG, lab, and specialty drug lines billed after admission.

Quantile Tail Spread+43% Upper Tail

Q25 1.03× · Q50 1.14× · Q75 1.63×

Detects median-gaming when upper-quartile codes spike above the p50 median.

Select any lens to inspect department markups, federal cost accounting, or insurer discounts.

Department & Integrity Multiples (vs. CMS Medicare Cost Anchor) Green ≤1.3× · Teal 1.3–1.8× · Amber 1.8–2.5× · Rose >2.5×

Front-Door Shoppable CareFront-Door Shoppable

2.0× MedicareGood

Outpatient Surgery & ORBack-Door Captive

1.1× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

1.6× MedicareGood

Back-Door Captive ER VisitsBack-Door Captive

0.5× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

1.1× MedicareGood

Specialty & Infusion Drugs (J-Codes)Back-Door Captive

1.4× MedicareGood

Self-Pay Cash Honesty & 501(r)Integrity & Outcomes

11% Cash Edge · 25/100Watchout

CMS Clinical Safety & Star ValueIntegrity & Outcomes

2 CMS · 60/100Elevated

Procedure Prices at Good Samaritan Hospital

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 127 published procedures.

Sort:

Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Spinal fusion, single level (inpatient stay) MS-DRG Code: `451`	—	$36,489	$30,775	1.2×
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	—	$22,285	$19,432	1.1×
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	—	$22,114	$19,087	1.2×
Heart stent placement (inpatient stay) MS-DRG Code: `322`	—	$20,110	$17,936	1.1×
Total hip replacement CPT Code: `27130`	—	$11,861	$13,413	0.9×
Total knee replacement CPT Code: `27447`	—	$11,861	$13,523	0.9×
Gallbladder removal (laparoscopic) CPT Code: `47562`	—	$9,534	$6,109	1.6×
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	—	$9,134	$8,223	1.1×
Knee arthroscopy with meniscus repair CPT Code: `29881`	—	$7,019	$3,372	2.1×
Inguinal hernia repair CPT Code: `49505`	—	$6,939	$3,629	1.9×
Bunion correction surgery CPT Code: `28296`	—	$5,788	$3,446	1.7×
Breast lump removal CPT Code: `19120`	—	$5,788	$3,875	1.5×
Cataract surgery with lens implant CPT Code: `66984`	—	$5,606	$2,540	2.2×
Colonoscopy with biopsy CPT Code: `45380`	—	$5,002	$1,256	4.0×
Sleep study (overnight, in lab) CPT Code: `95810`	—	$4,927	$1,021	unverified
Colonoscopy (diagnostic) CPT Code: `45378`	—	$4,758	$981	4.9×
Upper endoscopy with biopsy CPT Code: `43239`	—	$4,730	$987	unverified
Blood transfusion CPT Code: `36430`	$4,305	$4,305	$498	unverified
Vaginal delivery (full package) CPT Code: `59400`	—	$3,967	$2,680	1.5×
C-section delivery (full package) CPT Code: `59510`	—	$3,967	$2,975	1.3×
Group therapy session CPT Code: `90853`	$1,448	$1,448	$100	unverified
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$44,564	$1,389	$448	unverified
MRI, brain (with and without contrast) CPT Code: `70553`	$32,724	$1,181	$511	2.3×
MRI, knee or other leg joint CPT Code: `73721`	$25,339	$790	$369	2.1×
CT scan, head (with and without contrast) CPT Code: `70470`	$26,605	$770	$258	unverified
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$31,817	$763	$303	unverified
MRI, brain (no contrast) CPT Code: `70551`	$20,680	$712	$343	2.1×
MRI, lower back (no contrast) CPT Code: `72148`	$22,183	$687	$338	2.0×
CT scan, head (with contrast) CPT Code: `70460`	$23,064	$654	$242	unverified
Hospital observation (per hour) HCPCS Code: `G0378`	$598	$598	$86	7.0×
CT scan, sinuses CPT Code: `70486`	—	$582	$166	unverified
CT scan, chest (no contrast) CPT Code: `71250`	$22,592	$577	$167	unverified
CT scan, neck (cervical spine) CPT Code: `72125`	$20,952	$575	$169	unverified
CT scan, lower back (lumbar spine) CPT Code: `72131`	$15,782	$571	$168	unverified
CT scan, pelvis CPT Code: `72192`	$13,187	$576	$163	unverified
CT scan, head (no contrast) CPT Code: `70450`	$19,448	$465	$160	unverified
Rabies immune globulin HCPCS Code: `90375`	$30,212	$381	$322	1.2×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$11,491	$354	$272	1.3×
Ultrasound, abdomen (limited) CPT Code: `76705`	$3,563	$245	$126	1.9×
Ultrasound, pelvis CPT Code: `76856`	$6,763	$245	$130	1.9×
Ultrasound, thyroid and neck CPT Code: `76536`	$5,358	$245	$132	1.9×
Ultrasound, abdomen (complete) CPT Code: `76700`	$5,345	$245	$134	1.8×
X-ray, lower back CPT Code: `72110`	—	$215	$112	1.9×
X-ray, hip CPT Code: `73502`	$2,768	$182	$93	2.0×
Hepatitis B immune globulin HCPCS Code: `90371`	$6,835	$191	$151	1.3×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$10,547	$195	$583	0.3×
X-ray, neck (cervical spine) CPT Code: `72040`	$2,899	$155	$93	1.7×
X-ray, hand CPT Code: `73130`	$3,279	$155	$93	1.7×
X-ray, ankle CPT Code: `73610`	$3,752	$152	$93	1.6×
X-ray, shoulder CPT Code: `73030`	$3,316	$141	$92	1.5×
X-ray, foot CPT Code: `73630`	$3,761	$138	$92	1.5×
X-ray, pelvis CPT Code: `72170`	$2,160	$154	$110	1.4×
Care planning with family CPT Code: `90887`	—	$149	$107	1.4×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$1,739	$162	$148	1.1×
X-ray, chest (two views) CPT Code: `71046`	$2,705	$129	$93	1.4×
X-ray, chest (single view) CPT Code: `71045`	$1,965	$123	$92	1.3×
Screening mammogram (both breasts) CPT Code: `77067`	$2,220	$134	$123	1.1×
Psychiatric evaluation (first visit) CPT Code: `90791`	$1,448	$141	$185	0.8×
Speech therapy (language evaluation) CPT Code: `92507`	$1,341	$95	$86	1.1×
New patient office visit (30-44 min) CPT Code: `99203`	$1,790	$90	$110	0.8×
Psychotherapy session (60 minutes) CPT Code: `90837`	$2,069	$108	$181	0.6×
Family therapy session CPT Code: `90847`	$1,736	$99	$173	0.6×
Typhoid vaccine HCPCS Code: `90675`	$6,479	$436	$347	1.3×
Flu vaccine injection HCPCS Code: `G0008`	$394	$394	$48	8.2×
Pneumonia vaccine injection HCPCS Code: `G0009`	$394	$394	$49	8.0×
Colorectal cancer screening HCPCS Code: `G0010`	$394	$394	$49	8.0×
Varicella (chickenpox) vaccine HCPCS Code: `90716`	$1,709	$287	$203	1.4×
Pneumococcal vaccine HCPCS Code: `90732`	$445	$184	$140	1.3×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$1,402	$147	$111	1.3×
Drug screening test HCPCS Code: `G0480`	$232	$117	$116	1.0×
Psychotherapy session (45 minutes) CPT Code: `90834`	$1,736	$74	$166	0.4×
Electrocardiogram (ECG/EKG) CPT Code: `93000`	—	$36	$25	1.4×
Hepatitis B vaccine HCPCS Code: `90744`	—	$46	$37	1.2×
Behavioral health living support HCPCS Code: `H2019`	—	$42	$34	1.2×
Orthotic fitting and training CPT Code: `97760`	$577	$61	$51	1.2×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$527	$46	$39	1.2×
Prosthetic fitting and training CPT Code: `97761`	$543	$53	$45	1.2×
Behavioral health outpatient services HCPCS Code: `H2015`	—	$21	$16	1.3×
Physical therapy (functional capacity test) CPT Code: `97750`	$589	$43	$38	1.1×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$593	$45	$40	1.1×
Electrical stimulation therapy HCPCS Code: `G0283`	$374	$16	$14	1.1×
Physical therapy (gait training) CPT Code: `97116`	$508	$37	$33	1.1×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$738	$41	$38	1.1×
Occupational therapy (self-care training) CPT Code: `97535`	$577	$41	$38	1.1×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$738	$37	$35	1.1×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$814	$54	$56	1.0×
Office visit, established patient (30-39 min) CPT Code: `99214`	$2,142	$59	$123	0.5×
Office visit, established patient (20-29 min) CPT Code: `99213`	$1,643	$38	$87	0.4×
Psychological testing evaluation CPT Code: `96136`	—	$46	$128	0.4×
Neurobehavioral status check CPT Code: `96116`	—	$61	$231	0.3×
Psychological testing by technician CPT Code: `96138`	—	$39	$395	0.1×
Blood test, clotting time (PTT) CPT Code: `85730`	$27	$7	$6	1.2×
Speech therapy (group session) CPT Code: `92508`	$844	$31	$27	1.1×
Blood test, lipase CPT Code: `83690`	$577	$8	$7	1.1×
Blood test, complete blood count (CBC) CPT Code: `85025`	—	$9	$8	1.1×
Flu vaccine (high dose) HCPCS Code: `90656`	$28	$28	$25	1.1×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$709	$11	$10	1.1×
Blood test, comprehensive metabolic panel CPT Code: `80053`	—	$12	$11	1.1×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$714	$15	$14	1.1×
Blood test, ferritin (iron stores) CPT Code: `82728`	$206	$15	$14	1.1×
Blood test, vitamin B12 CPT Code: `82607`	$176	$17	$16	1.1×
Colorectal cancer screening (alternative) HCPCS Code: `G0145`	—	$28	$27	1.0×
Physical therapy (manual therapy) CPT Code: `97140`	$627	$35	$34	1.0×
Blood test, basic metabolic panel CPT Code: `80048`	—	$9	$9	1.0×
Blood test, liver function panel CPT Code: `80076`	—	$9	$9	1.0×
Urinalysis (automated, with microscopy) CPT Code: `81001`	—	$3	$3	1.0×
Blood test, amylase CPT Code: `82150`	$711	$7	$7	1.0×
Blood test, potassium CPT Code: `84132`	—	$5	$5	1.0×
Blood test, sodium CPT Code: `84295`	—	$5	$5	1.0×
Blood test, thyroid (TSH) CPT Code: `84443`	$28	$18	$18	1.0×
Blood test, vitamin D CPT Code: `82306`	$230	$30	$31	1.0×
Blood test, glucose (blood sugar) CPT Code: `82947`	—	$4	$4	1.0×
Blood test, magnesium CPT Code: `83735`	$77	$7	$7	1.0×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$466	$4	$4	1.0×
Blood test, hemoglobin CPT Code: `85018`	$186	$3	$3	1.0×
Culture, blood CPT Code: `87040`	$50	$11	$11	1.0×
Culture, bacterial CPT Code: `87070`	$23	$9	$9	1.0×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	—	$20	$20	1.0×
Blood test, PSA (prostate screen) CPT Code: `84153`	$15	$15	$19	0.8×
Diagnostic procedure preparation HCPCS Code: `G0279`	—	$20	$35	0.6×
Hepatitis C antibody test CPT Code: `86803`	$7	$7	$15	0.5×
Blood antibody screen CPT Code: `86850`	$539	$10	$46	0.2×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$1,278	$9	$64	0.1×
Breathing treatment (nebulizer) CPT Code: `94640`	$687	$23	$201	0.1×
Blood test, calcium CPT Code: `82310`	—	$6	$5	unverified
Blood test, creatinine (kidney) CPT Code: `82565`	—	$6	$5	unverified
Blood test, clotting time (PT/INR) CPT Code: `85610`	$38	$5	$5	unverified

Showing top 25 high-impact procedures of 127 total

Inline Bill X-Ray & 501(r) Calculator For-Profit Facility · Cash & Fair BaseRate Audit

Audit a Bill or Quote at Good Samaritan Hospital (Zero PHI Required)

CMS CCN: 050380

CPT 451

Select Procedure to Audit:

Fair BaseRate™ $30,775

Medicare Rate $23,504

Self-Pay Cash Request Quote

Insurer Median $36,489

1. Amount on Your Bill or Quote ($) Pre-filled with Good Samaritan Hospital’s charged/list benchmark

2. Household Annual Income ($) Screened against 2026 HHS Federal Poverty Guidelines

3. Household Size (1–8) 2026 FPL: $15,650 + $5,500 per additional person

Step 1 · 501(r) Charity Care Check 274% of 2026 FPL

Above Standard 400% FPL Financial-Assistance Ceiling

At 274% FPL, you exceed the standard 400% FPL tier, though medical-hardship caps (when bills exceed 10% of annual income) may still apply.

Step 2 · Cash vs. Insurance Arbitrage Request Prompt-Pay Quote

Compare Prompt-Pay Cash Rate Against Remaining Deductible

Ask Good Samaritan Hospital's billing desk for their written 45 CFR § 180 discounted self-pay cash price and Good Faith Estimate under the No Surprises Act.

Step 3 · Fair BaseRate Target +$56,799 Above Fair BaseRate

Negotiate Toward $30,775 Fair BaseRate ($23,504 Medicare)

Your bill ($87,574) is $56,799 above the denoised Fair BaseRate ($30,775) and 3.7× the $23,504 Medicare rate.

1-Click Factual Dispute Summary: Copy a citation-backed benchmark memo (with CMS CCN, CPT code, Medicare reference, Fair BaseRate, and 26 U.S.C. § 501(r) calculations) to paste into patient-portal messages or billing appeals.

IRS Form 990 Schedule H & 26 U.S.C. § 501(r) For-Profit / Non-501(c)(3)

Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)

EIN: 621763090

Public IRS & CMS ownership records classify Good Samaritan Hospital as a non-501(c)(3) facility. Federal 26 U.S.C. § 501(r) statutory charity-care caps apply specifically to tax-exempt nonprofit hospitals, though state hospital fair-pricing statutes and prompt-pay self-pay discounts may still apply.

Screen your household size, income, and itemized CPT codes against 2026 HHS Federal Poverty Guidelines: Calculate Your 501(r) Cap Above ↑

CMS Care Compare Public Quality Record

Clinical Quality, Patient Experience & Infection Benchmarks

CMS Overall2/5 Stars (2/5)

Safety Composite60/100

Would Recommend66%

Rated 9 or 10 (HCAHPS)62%

Median ER Wait135 min

Left ER Before Seen0%

30-Day Mortality vs U.S.same

Unplanned Readmissionsame

Hip/Knee Complication Rate3.5%

Healthcare-Associated Infections (CDC NHSN / CMS HAI)

1.00 SIR = National Predicted Baseline (Lower Is Safer)

Central-Line Bloodstream Infectionsame

C. diff Hospital-Onset Infectionbetter

CMS Price Transparency Administrative Enforcement Log

Factual public administrative actions published by the Centers for Medicare & Medicaid Services regarding 45 CFR § 180 compliance at Good Samaritan Hospital. Prior administrative notices do not necessarily reflect current compliance status.

2025-05-05·administrative_or_closure
Met Requirements
Recorded
2025-03-27·administrative_or_closure
Met Requirements
Recorded
2023-07-31·administrative_or_closure
Closure Notice
Recorded
2021-10-27·cap_corrective_action
CAP Request
Recorded
2021-05-18·warning_notice
Warning Notice
Recorded

Source: CMS Hospital Care Compare (650 completed HCAHPS patient surveys). Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.

Care-Setting Arbitrage, Bilateral SVD Insurer Leverage & Regional Alternatives

How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings

Regional Quality & Price Benchmark

2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Good Samaritan Hospital.

Price Index: 1.34× regional baseline

Quality: 50/100 CMS composite

Notable Payer Contract Outliers (SVD Matrix Anomalies)

Central Health Plan

-60.8%

Canopy

-51.2%

Humana

+80.7%

Median Household Income$159,674U.S. Census ACS

Local Uninsured Share4.0%Regional ACS estimate

200% FPL (1 Person)$31,920Common free-care ceiling

400% FPL (Family of 4)$128,600Common AGB cap ceiling

45 CFR § 180 Primary-Source Lineage & Federal Verification VeriRate 66/100 · Caution CMS CCN 050380 EIN 621763090

Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings

Download Official Hospital MRF ↗ Verify on CMS Medicare.gov (CCN 050380) ↗ Verify IRS Form 990 (EIN 621763090) ↗ CMS HCRIS Cost Reports ↗

Published MRF File62-1763090_GOOD-SAMARITAN-HOSPITAL_standardcharges.json

Publication / Vintage2026-09-01 · 650.90 MB

Validated Rate Rows8,150 (CMS v3.0.0)

File Integrity Digesta8a8978d4694a9a00041…

Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.

Submit MRF Update Correction Policy