CMS Price Transparency Data

Behavioral health assessment

Facility: Good Samaritan Medical Center

Billing Code: H0001 (HCPCS)

The BaseRate · fair price low confidence
A fair price for this
$120
modeled fair price · typically $30–$250
modeled estimate · not a bill or quote
What this hospital charges insurers
$33
Below the fair price — a good deal
about $87 under the fair price
Fair price $120 This hospital $33 Cash price $45 Hospital's list price $100

How we calculate the fair BaseRate →

How this hospital compares to other MA hospitals

One of the lower prices — 4 of 7 other MA hospitals charge more for the same procedure.

Cheapest $28 Priciest $196

Black dot = this hospital, among the 8 MA hospitals with a price for this procedure. Full list below.

A fair price for a Behavioral health assessment is about $120. Good Samaritan Medical Center charges insurers about $33, or about $45 in cash — below the fair price — a good deal. Located in Brockton, MA.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

3 of 6 major insurers have a published price at this hospital

✓ Blue Cross Blue Shield✓ Aetna✓ Cigna UnitedHealthcareHumanaKaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
Blue Cross Blue Shieldmajor $75 - $86 —
Aetnamajor $65 —
Cignamajor $33 - $60 —
Harvard Pilgrim $52 —
Tufts Health Plan $33 —
UniCare $75 —
+ 6 smaller / regional plans $58 - $395

Self-Pay How to get the cash price

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Facility Profile & Credentials

  • Address: 235 North Pearl Street, Brockton, MA 02301
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals