Good Samaritan Hospital
375 Dixmyth Avenue, Cincinnati, OH 45220 · 141 Priced Procedures · 73% Patient Recommendation
Typical commercial prices here are +47% above the fair benchmark (1.47×) even after accounting for local nurse/doctor wages and patient complexity.
4-Star CMS clinical quality rating paired with 1.47× fair market pricing.
Aligned Regional Benchmark Peer
Good Samaritan Hospital prices shoppable and inpatient services (1.9× to 1.4× Medicare, divergence 0.74×) in alignment with regional hospital peers (1.47× Fair BaseRate). Reviewing plan-specific negotiated rates and cash discounts helps lock in the lowest out-of-pocket tier.
Where They're Good (Patient & Payer Edge)
- Bottom-quartile procedures (Q25) price at 1.37× the peer BaseRate benchmark
- Self-pay cash beats commercial insurance on 16% of shoppable procedures (99/100 Cash Honesty)
- 4-Star CMS clinical rating with 73% patient recommendation (72/100 safety score)
- IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (36.6% AGB cap)
Where You Can Get Burned (Markup Traps)
- Outpatient surgery & OR suites carry a 1.4× markup over Medicare rates
- Commercial insurance median sits at 1.53× Fair BaseRate (1.9× Medicare), so insured patients should always compare the self-pay cash price before paying.
- Upper-quartile procedures (Q75 1.93×) jump +26% above the median procedure ratio (Q50 1.53×)
- Unnegotiated chargemaster list prices average 4.3× Medicare (25¢ true HCRIS cost per $1 gross)
Pre-scheduled outpatient procedures where patients can comparison-shop.
Emergency, inpatient DRG, lab, and specialty drug lines billed after admission.
Detects median-gaming when upper-quartile codes spike above the p50 median.
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 141 published procedures.
| Procedure & Billing Code | This Hospital | vs. Fair |
|---|---|---|
| Spinal fusion, single level (inpatient stay) MS-DRG Code: 451 | $39,145 | 1.3× |
| Hip or knee replacement (inpatient stay) MS-DRG Code: 470 | $24,293 | 1.3× |
| Sepsis treatment (inpatient stay) MS-DRG Code: 871 | $23,670 | 1.2× |
| Total knee replacement CPT Code: 27447 | $23,493 | unverified |
| Heart stent placement (inpatient stay) MS-DRG Code: 322 | $21,588 | 1.2× |
| Total hip replacement CPT Code: 27130 | $18,973 | 1.4× |
| Gallbladder removal (laparoscopic) CPT Code: 47562 | $11,104 | 1.8× |
| Digestive disorders treatment (inpatient stay) MS-DRG Code: 392 | $9,681 | 1.2× |
| Inguinal hernia repair CPT Code: 49505 | $7,373 | 2.0× |
| Breast lump removal CPT Code: 19120 | $7,226 | 1.9× |
| Knee arthroscopy with meniscus repair CPT Code: 29881 | $7,130 | 2.1× |
| Bunion correction surgery CPT Code: 28296 | $7,032 | 2.0× |
| C-section delivery (full package) CPT Code: 59510 | $5,998 | 2.0× |
| Vaginal delivery (full package) CPT Code: 59400 | $5,385 | 2.0× |
| Cataract surgery with lens implant CPT Code: 66984 | $5,249 | 2.1× |
| Trauma team activation HCPCS Code: G0390 | $3,155 | 2.2× |
| Upper endoscopy with biopsy CPT Code: 43239 | $2,006 | 2.0× |
| Colonoscopy with biopsy CPT Code: 45380 | $1,791 | 1.4× |
| Sleep study (overnight, in lab) CPT Code: 95810 | $1,716 | 1.7× |
| Injection procedure for pain management HCPCS Code: G0260 | $1,605 | 1.9× |
| Colonoscopy (diagnostic) CPT Code: 45378 | $1,359 | 1.4× |
| Behavioral health residential care HCPCS Code: H0011 | $995 | 2.7× |
| Echocardiogram (heart ultrasound) CPT Code: 93306 | $1,004 | 1.7× |
| Blood transfusion CPT Code: 36430 | $909 | 1.8× |
| Behavioral health day treatment HCPCS Code: H0010 | $864 | 2.5× |
Audit a Bill or Quote at Good Samaritan Hospital (Zero PHI Required)
Statutory 501(r) AGB Cap Limits Bill to $34,376
At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (36.6% of gross = $34,376).
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.
Negotiate Toward $30,775 Fair BaseRate ($23,504 Medicare)
Your bill ($93,948) is $63,173 above the denoised Fair BaseRate ($30,775) and 4.0× the $23,504 Medicare rate.
Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)
Hospital-Specific CMS HCRIS Benchmark (36.6% of gross charges)
Under 26 U.S.C. § 501(r)(5), a tax-exempt hospital organization may not bill FAP-eligible patients more than Amounts Generally Billed (AGB) to individuals with insurance covering emergency or medically necessary care. Derived from this facility’s reported CMS HCRIS cost-to-charge & insurer allowance filings. Verify your exact Financial Assistance Policy (FAP) determination directly with the billing office.
Clinical Quality, Patient Experience & Infection Benchmarks
Healthcare-Associated Infections (CDC NHSN / CMS HAI)
1.00 SIR = National Predicted Baseline (Lower Is Safer)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.
- 2025-07-17·administrative_or_closure
Closure Notice
Recorded - 2025-05-16·warning_notice
Warning Notice
Recorded - 2025-03-18·administrative_or_closure
Met Requirements
Recorded - 2024-07-08·administrative_or_closure
Closure Notice
Recorded - 2024-05-09·cap_corrective_action
CAP Request
Recorded - 2024-02-06·warning_notice
Warning Notice
Recorded
Source: CMS Hospital Care Compare (1,174 completed HCAHPS patient surveys). Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.
How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings
2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Good Samaritan Hospital.
Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings
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.