CMS Price Transparency Data

CT scan, chest (no contrast)

Facility: Good Samaritan Hospital of Suffern

Billing Code: 71250 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$148
about 1.4× the $107 Medicare rate · typically $121–$430
modeled estimate · not a bill or quote
What this hospital charges insurers
$432
Well above the fair price
about $284 over the fair price · 4.0× Medicare
Medicare pays $107 Fair price $148 This hospital $432 Cash price $2,089 Hospital's list price $2,089

How we calculate the fair BaseRate →

How this hospital compares to other NY hospitals

Highest price of the 9 NY hospitals we have prices for — worth calling around.

Cheapest $52 Priciest $432

Black dot = this hospital, among the 9 NY hospitals with a price for this procedure. Full list below.

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a CT scan, chest (no contrast) is about $148 (about 1.4× the $107 Medicare rate). Good Samaritan Hospital of Suffern charges insurers about $432, or about $2,089 in cash — well above the fair price. Located in Suffern, NY.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $148. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser 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
UnitedHealthcaremajor $2,532 - $2,979 2371%
Blue Cross Blue Shieldmajor $1,346 - $8,313 1260%
Aetnamajor $280 - $311 262%
Cignamajor $334 313%
CDPHP $1,044 977%
Geisinger $429 402%
MagnaCare $1,462 - $1,880 1369%
Molina $136 127%
MVP Health Care $130 - $21,438 122%
+ 8 smaller / regional plans $130 - $2,532
Government programs also on file: Medicare, Military & VA.
Excludes 5 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

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Facility Profile & Credentials

  • Address: 255 Lafayette Avenue, Suffern, NY 10901
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals