Does St Marys Good Samaritan Hospital have an emergency room?

Yes. Medicare (CMS) data lists emergency services at St Marys Good Samaritan Hospital. In a medical emergency, call 911.

Where is St Marys Good Samaritan Hospital?

5401 Lake Oconee Parkway, Greensboro, GA 30642, in Greene County, Georgia.

What is the phone number of St Marys Good Samaritan Hospital?

(706) 453-7331, as listed by Medicare (CMS).

What is the Medicare star rating of St Marys Good Samaritan Hospital?

4 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-07-22).

St Marys Good Samaritan Hospital

Quick answers

Does St Marys Good Samaritan Hospital have an emergency room?: Yes. Medicare (CMS) data lists emergency services at St Marys Good Samaritan Hospital. In a medical emergency, call 911.
Where is St Marys Good Samaritan Hospital?: 5401 Lake Oconee Parkway, Greensboro, GA 30642, in Greene County, Georgia.
What is the phone number of St Marys Good Samaritan Hospital?: (706) 453-7331, as listed by Medicare (CMS).
What is the Medicare star rating of St Marys Good Samaritan Hospital?: 4 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-07-22).

Specialties and care areas^[4]

Radiology
Rehabilitation (physical, speech, occupational therapy)
General Surgery
Gynecology
Orthopedics
Ophthalmology
Podiatry
Gastroenterology

Conditions treated^[4]

Respiratory infections
Rashes/dermatitis
Urinary tract infections/bladder infections
Viral infections
High blood pressure
High cholesterol
Diabetes
Anxiety and depression
Cardiac conditions

Treatments^[4]

Outpatient infusion (non-oncological)
Swing bed care
Vaccinations
Annual wellness exams
Physical exams
Gynecological exams
Tuberculosis testing
HbA1c diabetic monitoring

Procedures^[4]

General surgery
Gynecologic surgery
Orthopedic surgery
Ophthalmology surgery
Podiatry surgery
Gastroenterology procedures
MRI
3D mammography
CT (640-slice)
Electrocardiograms
In-house comprehensive laboratory testing
Radiology: MRI
Radiology: CT
Radiology: ultrasound
Radiology: digital X-ray
Radiology: nuclear medicine
Radiology: echocardiograms
Radiology: bone density

Programs and centers^[4]

Physical therapy
Speech therapy
Occupational therapy

Emergency care (hospital website)^[4][6]

Emergency room	Yes
Open 24/7	Yes
Stroke designation	Remote Stroke Certified

Visiting and practical information

Visiting	Daily 7 a.m.-7 p.m.; one visitor may stay overnight when capacity allows^[4][5]
Parking	Free parking in the lot in front of the hospital^[4]

Recognition^[4]

Joint Commission accredited
Accredited by The Joint Commission

Doctors and clinicians (310)

310 doctors and other clinicians list St Marys Good Samaritan Hospital as a hospital where they work, in Medicare's official clinician data (updated 2026-10-02). It is not a complete staff list.

Main specialties

And 286 more: the button below opens the full list.

Other emergency rooms nearby

Hospitals that list emergency services, by straight-line distance (not driving distance).

Putnam General Hospital13 mi · Eatonton, GA · Critical Access Hospital
Morgan Medical Center15 mi · Madison, GA · Critical Access Hospital
Navicent Health Baldwin27 mi · Milledgeville, GA · Acute Care Hospital
Jasper Memorial Hospital28 mi · Monticello, GA · Critical Access Hospital
Piedmont Walton Hospital33 mi · Monroe, GA · Acute Care Hospital

Other hospitals nearby

Rehabilitation Hospital of Athens33 mi · Athens, GA · Inpatient Rehabilitation Hospital

Nursing homes, hospice, home health and dialysis nearby

Medicare-certified providers within 25 miles, by straight-line distance. Hospice and home health care is given at home: their address is the office.

Nursing homes

Eatonton Health and Rehabilitation12 mi · Eatonton, GA · 3 of 5 stars
Greene Point Health and Rehabilitation14 mi · Union Point, GA · 4 of 5 stars
Madison Health and Rehab16 mi · Madison, GA · 4 of 5 stars

All nursing homes in the state →

Hospice providers

Peaceful Purpose Hospice of Georgia, LLC13 mi · Eatonton, GA
Bristol Hospice- East Georgia22 mi · Watkinsville, GA · 5 of 5 stars
Pruitthealth Hospice-Athens22 mi · Watkinsville, GA

All hospice providers in the state →

Home health agencies

Guardian Home Care of Central Georgia22 mi · Watkinsville, GA · 4 of 5 stars
St. Mary's Home Health Care Services22 mi · Watkinsville, GA

All home health agencies in the state →

Dialysis facilities

DaVita Greensboro Dialysis5.4 mi · Greensboro, GA · 2 of 5 stars
Eatonton Kidney Center13 mi · Eatonton, GA · 1 of 5 stars
Putnam Dialysis LLC13 mi · Eatonton, GA · 1 of 5 stars

All dialysis facilities in the state →

Outpatient surgery centers nearby

Medicare-certified ambulatory surgery centers within 25 miles, by straight-line distance.

Athens Digestive Endoscopy Center22 mi · Watkinsville, GA
Oconee Surgery Center, LLC22 mi · Watkinsville, GA

All outpatient surgery centers in the state →

Community care nearby

Health centers, clinics, urgent care and pharmacies closest to this hospital, by straight-line distance, from official HRSA, Medicare and NPI Registry data. In a medical emergency, call 911.

Community health centers

Oconee Valley Healthcare, Inc. Lake Oconee1.1 mi · Greensboro, GA · Community health center
Oconee Valley Healthcare, Inc. Wellness Center1.1 mi · Greensboro, GA · Community health center
Oconee Valley Healthcare-Pediatrics4.3 mi · Eatonton, GA · Community health center

Clinics and urgent care

O Akhras MD PC21 mi · Sparta, GA · Rural health clinic
Castellum Medical Consultants LLC22 mi · Watkinsville, GA · Urgent care center

Pharmacies

Greensboro Pharmacy LLC5.4 mi · Greensboro, GA · Community/retail pharmacy
Oconee Valley Healthcare Inc5.4 mi · Greensboro, GA · Community/retail pharmacy
Publix Super Markets Inc5.4 mi · Greensboro, GA · Community/retail pharmacy

About the Medicare star rating

CMS (the federal Medicare agency) gives many hospitals an overall rating from 1 to 5 stars, based on measures of mortality, safety, readmissions, patient experience and timely care. It is one piece of information: ask your doctor what matters for your care. See the full Medicare profile →

Medicare quality data

What St Marys Good Samaritan Hospital reported to Medicare (CMS), the federal agency that publishes these results for hospitals nationwide. These are averages for many patients, not a prediction for any one person: ask your doctor what matters for your care. In a medical emergency, call 911.

What patients said (patient survey)

What this means: Patients who stayed overnight answered a national survey (HCAHPS) about their stay. More stars mean patients reported a better experience than at other hospitals. The percentages show how often patients gave the best answer, next to the national average.

Summary star rating (all survey topics)	4 of 5 stars
Overall rating of the hospital	5 of 5 stars
Would recommend the hospital	5 of 5 stars
Nurses communicated well	5 of 5 stars
Doctors communicated well	5 of 5 stars
Staff explained medicines	4 of 5 stars
Information about recovery at home	3 of 5 stars
Room and bathroom kept clean	4 of 5 stars
Quiet at night	5 of 5 stars
Rated the hospital 9 or 10 out of 10	85%National average: 72%
Would definitely recommend the hospital	86%National average: 71%
Nurses “always” communicated well	86%National average: 80%
Doctors “always” communicated well	91%National average: 80%
Staff “always” explained medicines before giving them	69%National average: 62%
Were given information about recovery at home	85%National average: 86%
Room and bathroom “always” clean	81%National average: 74%
Area around the room “always” quiet at night	72%National average: 60%
Completed surveys	198Response rate: 23%

Source: Patient survey (HCAHPS) - Hospital — CMS, released July 22, 2026; patients discharged October 2024 to September 2025.

Infections caught in the hospital

What this means: CMS compares the number of infections patients caught in this hospital with the number expected for a hospital like it. The number shown is that ratio: below 1 means fewer infections than expected, above 1 means more. “Better” or “worse” is shown only when the difference is clear in the data.

Central line bloodstream infections (CLABSI)	Not reported to Medicare
Catheter-associated urinary tract infections (CAUTI)	1.409No different from the national benchmark
Surgical site infections after colon surgery	Not reported to Medicare
Surgical site infections after abdominal hysterectomy	Not reported to Medicare
MRSA bloodstream infections	Not reported to Medicare
Clostridioides difficile (C. diff) intestinal infections	0No different from the national benchmark

Source: Healthcare Associated Infections - Hospital — CMS, released July 22, 2026; data from October 2024 to September 2025.

Complications and deaths

What this means: Death rates are the share of patients who died within 30 days of going into the hospital for that condition, adjusted for how sick they were. PSI-90 combines several serious complications (a lower number is better). “No different from the national rate” is the most common result and means the hospital is in line with hospitals nationwide.

Deaths within 30 days: heart attack patients	Too few cases to report
Deaths within 30 days: heart failure patients	10.5%
Deaths within 30 days: pneumonia patients	13.6%
Deaths within 30 days: COPD patients	9.2%
Deaths within 30 days: stroke patients	Too few cases to report
Deaths within 30 days: coronary bypass surgery (CABG)	Not reported to Medicare
Serious complications (patient safety indicator PSI-90)	Not reported to Medicare
Complications after hip or knee replacement	Not reported to Medicare

Source: Complications and Deaths - Hospital — CMS, released September 10, 2026; data from July 2022 to June 2025.

Return visits to the hospital (readmissions)

What this means: The share of patients who had to be admitted to a hospital again within 30 days after going home, adjusted for how sick they were. A lower percentage is better.

Returned to any hospital within 30 days (all patients)	Not reported to Medicare
Readmitted within 30 days: heart attack	Too few cases to report
Readmitted within 30 days: heart failure	22.9%
Readmitted within 30 days: pneumonia	16.9%
Readmitted within 30 days: COPD	20.2%
Readmitted within 30 days: coronary bypass surgery	Not reported to Medicare
Readmitted within 30 days: hip or knee replacement	Too few cases to report

Source: Unplanned Hospital Visits - Hospital — CMS, released September 10, 2026; data from July 2023 to June 2025.

Emergency room times and sepsis care

What this means: ER time is the middle (median) time from arriving at the emergency room to leaving it; busier ERs usually have longer times, so the ER volume is shown too. Leaving before being seen: a lower percentage is better. Sepsis is a life-threatening reaction to an infection; a higher percentage means more patients got every recommended early step.

Emergency room volume (patients per year)	Medium (20,000–39,999)
Average (median) time patients spent in the emergency room before leaving (OP-18b)	122 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)	1%National average: 2%
Sepsis patients who got all the recommended early care (SEP-1)	42%National average: 65%

Source: Timely and Effective Care - Hospital — CMS, released July 22, 2026; data from January 2024 to December 2024.

See every measure on Medicare Care Compare →

ER wait times and Medicare ratings nearby

How this hospital compares with others in the area, ranked only by official Medicare (CMS) numbers.

ER wait times in Georgia Best hospitals in Georgia

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 47 common services exactly as St Marys Good Samaritan Hospital lists them in its file. This is not a quote: what you pay depends on your insurance and plan, the doctors involved and the care you actually receive. Prices change: ask the hospital for an estimate before you schedule care (if you are uninsured or paying yourself, you have the right to a written “good faith estimate”). In a medical emergency, call 911.

What the prices mean

Hospital charge: The hospital’s list price (“gross charge”) before any discount or insurance. Few people pay this amount.
Cash price: The price the hospital offers if you pay yourself, without insurance (“discounted cash price”).
Insurance rates: The lowest and highest amounts the hospital has agreed with any insurance plan for the service (“de-identified minimum and maximum”), and some of the rates it lists by insurer and plan. Your share depends on your deductible, copay and coinsurance.
Hospital and doctor fees: A service can have a hospital (facility) fee and a separate doctor (professional) fee; the total for your care can include both, plus other services.

How to use hospital prices: estimates, financial assistance and your rights →

$ 23 amounts are marked with “!”: they are more than 100 times higher or lower than what other hospitals list for the same service, which usually means an error or a different unit in the hospital’s file. They are shown exactly as listed; ask the hospital before relying on them.

Office and emergency visits

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Emergency room visit (moderate) CPT 99283 · Inpatient or outpatient · Hospital (facility) fee In the file: HC ED Type a Level 3	$404	$262.60	$87.10 – $1,490
Emergency room visit (moderate): 10 of 108 insurance plan rates AETNA — AETNA: $301.79 AETNA — AETNA MARKETPLACE: $209.68 AETNA DOMESTIC — ANTHEM BCBS HMO/PPO: $286.07 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $90.66 AMBETTER — AMBETTER MARKETPLACE: $118.21 AMERIGROUP MEDICAID — AMERIGROUP MEDICAID: $102.82 BCBS GENERIC — ANTHEM BCBS HMO/PPO: $286.07 BCN DOMESTIC — ANTHEM BCBS HMO/PPO: $286.07 BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — ANTHEM BCBS HMO/PPO: $286.07 BLUE CARE NETWORK — ANTHEM BCBS HMO/PPO: $286.07
Emergency room visit (moderate) CPT 99283 · Inpatient or outpatient · Hospital (facility) fee In the file: HC ED Type a Level 3 Sane_Safe	$404	$262.60	$87.10 – $1,490
Emergency room visit (moderate): 10 of 108 insurance plan rates AETNA — AETNA: $301.79 AETNA — AETNA MARKETPLACE: $209.68 AETNA DOMESTIC — ANTHEM BCBS HMO/PPO: $286.07 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $90.66 AMBETTER — AMBETTER MARKETPLACE: $118.21 AMERIGROUP MEDICAID — AMERIGROUP MEDICAID: $102.82 BCBS GENERIC — ANTHEM BCBS HMO/PPO: $286.07 BCN DOMESTIC — ANTHEM BCBS HMO/PPO: $286.07 BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — ANTHEM BCBS HMO/PPO: $286.07 BLUE CARE NETWORK — ANTHEM BCBS HMO/PPO: $286.07
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC ED Type a Level 3	Not listed in the file	$549.28	$85.58 – $1,490
Emergency room visit (moderate): rates for 3 insurance plans GEHA — UNITED HEALTHCARE: $1,490 UNITED HEALTHCARE — UNITED HEALTHCARE: $1,490 WELLCARE MEDICAID — WELLCARE MEDICAID: $85.58
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR Emergency Dept Visit Moderate	$253	$253	$76.68 – $227.70
Emergency room visit (moderately high): 10 of 741 insurance plan rates ADVANTRA FREEDOM MEDICARE ADVANTAGE — MEDICARE: $116.48 AETNA — AETNA: $167.20 AETNA DOMESTIC — AETNA: $167.20 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $116.48 AETNA MEDICARE ASSURE PREMIER HMO D-SNP — MEDICARE: $116.48 AFFINITY HEALTH PLAN MEDICAID ADVANTAGE — MEDICAID: $121.98 ALBANY COUNTY CORRECTIONAL FACILITY — MEDICAID: $121.98 ALLWELL MEDICARE ADVANTAGE — MEDICARE: $116.48 ALLWELL PA HEALTH & WELLNESS MEDICAID ADVANTAGE — MEDICAID: $121.98 ALLY ALIGN CARE ADV — MEDICARE: $116.48
Emergency room visit (moderately high) CPT 99284 · Inpatient (hospital stay) · Doctor (professional) fee In the file: PR Emergency Dept Visit Moderate	$240	$240	$76.68 – $216
Emergency room visit (moderately high): 10 of 741 insurance plan rates AETNA MEDICAID — MEDICAID: $121.98 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $116.48 ALBANY COUNTY CORRECTIONAL FACILITY — MEDICAID: $121.98 ALIGN SENIOR CARE — MEDICARE: $116.48 ALLWELL MEDICAID ADVANTAGE — MEDICAID: $121.98 ALLWELL PA HEALTH & WELLNESS MEDICARE ADVANTAGE — MEDICARE: $116.48 AMERICAN HEALTH PLAN — MEDICARE: $116.48 AMERIGROUP MEDICAID — WELLPOINT MEDICAID: $121.98 AMERIHEALTH CARITAS MEDICAID — MEDICAID: $121.98 AMERIHEALTH MEDICARE — MEDICARE: $116.48
Emergency room visit (moderately high) CPT 99284 · Inpatient or outpatient · Hospital (facility) fee In the file: HC ED Type a Level 4 Sane_Safe	$662	$430.30	$142.73 – $1,963
Emergency room visit (moderately high): 10 of 108 insurance plan rates AETNA — AETNA: $494.51 AETNA — AETNA MARKETPLACE: $343.58 AETNA DOMESTIC — ANTHEM BCBS HMO/PPO: $468.76 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $148.55 AMBETTER — AMBETTER MARKETPLACE: $193.70 AMERIGROUP MEDICAID — AMERIGROUP MEDICAID: $168.48 BCBS GENERIC — ANTHEM BCBS HMO/PPO: $468.76 BCN DOMESTIC — ANTHEM BCBS HMO/PPO: $468.76 BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — ANTHEM BCBS HMO/PPO: $468.76 BLUE CARE NETWORK — ANTHEM BCBS HMO/PPO: $468.76
Emergency room visit (high) CPT 99285 · Inpatient or outpatient · Hospital (facility) fee In the file: HC ED Type a Level 5	$767	$498.55	$165.37 – $2,376
Emergency room visit (high): 10 of 108 insurance plan rates AETNA — AETNA: $572.95 AETNA — AETNA MARKETPLACE: $398.07 AETNA DOMESTIC — ANTHEM BCBS HMO/PPO: $543.11 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $172.11 AMBETTER — AMBETTER MARKETPLACE: $224.42 AMERIGROUP MEDICAID — AMERIGROUP MEDICAID: $195.20 BCBS GENERIC — ANTHEM BCBS HMO/PPO: $543.11 BCN DOMESTIC — ANTHEM BCBS HMO/PPO: $543.11 BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — ANTHEM BCBS HMO/PPO: $543.11 BLUE CARE NETWORK — ANTHEM BCBS HMO/PPO: $543.11
Emergency room visit (high) CPT 99285 · Inpatient or outpatient · Hospital (facility) fee In the file: HC ED Type a Level 5 Sane_Safe	$767	$498.55	$165.37 – $2,376
Emergency room visit (high): 10 of 108 insurance plan rates AETNA — AETNA: $572.95 AETNA — AETNA MARKETPLACE: $398.07 AETNA DOMESTIC — ANTHEM BCBS HMO/PPO: $543.11 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $172.11 AMBETTER — AMBETTER MARKETPLACE: $224.42 AMERIGROUP MEDICAID — AMERIGROUP MEDICAID: $195.20 BCBS GENERIC — ANTHEM BCBS HMO/PPO: $543.11 BCN DOMESTIC — ANTHEM BCBS HMO/PPO: $543.11 BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — ANTHEM BCBS HMO/PPO: $543.11 BLUE CARE NETWORK — ANTHEM BCBS HMO/PPO: $543.11
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC ED Type a Level 5	Not listed in the file	$2,214	$85.58 – $2,376
Emergency room visit (high): rates for 3 insurance plans GEHA — UNITED HEALTHCARE: $2,376 UNITED HEALTHCARE — UNITED HEALTHCARE: $2,376 WELLCARE MEDICAID — WELLCARE MEDICAID: $85.58

Lab tests

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Basic Metabolic Panel (Calcium Total)	$131	$85.15	$6.39 – $117.90
Basic metabolic panel (blood test): 10 of 108 insurance plan rates AETNA — AETNA: $97.86 AETNA — AETNA MARKETPLACE: $67.99 AETNA DOMESTIC — ANTHEM BCBS HMO/PPO: $92.76 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $29.40 AMBETTER — AMBETTER MARKETPLACE: $38.33 AMERIGROUP MEDICAID — AMERIGROUP MEDICAID: $10.65 BCBS GENERIC — ANTHEM BCBS HMO/PPO: $92.76 BCN DOMESTIC — ANTHEM BCBS HMO/PPO: $92.76 BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — ANTHEM BCBS HMO/PPO: $92.76 BLUE CARE NETWORK — ANTHEM BCBS HMO/PPO: $92.76
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Comprehensive Metabolic Panel	$215	$139.75	$7.97 – $193.50
Comprehensive metabolic panel (blood test): 10 of 108 insurance plan rates AETNA — AETNA: $160.61 AETNA — AETNA MARKETPLACE: $111.59 AETNA DOMESTIC — ANTHEM BCBS HMO/PPO: $152.24 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $48.25 AMBETTER — AMBETTER MARKETPLACE: $62.91 AMERIGROUP MEDICAID — AMERIGROUP MEDICAID: $13.29 BCBS GENERIC — ANTHEM BCBS HMO/PPO: $152.24 BCN DOMESTIC — ANTHEM BCBS HMO/PPO: $152.24 BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — ANTHEM BCBS HMO/PPO: $152.24 BLUE CARE NETWORK — ANTHEM BCBS HMO/PPO: $152.24
Cholesterol panel (lipid panel) CPT 80061 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Lipid Panel	$51	$33.15	$10.11 – $45.90
Cholesterol panel (lipid panel): 10 of 108 insurance plan rates AETNA — AETNA: $38.10 AETNA — AETNA MARKETPLACE: $26.47 AETNA DOMESTIC — ANTHEM BCBS HMO/PPO: $36.11 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $11.44 AMBETTER — AMBETTER MARKETPLACE: $14.92 AMERIGROUP MEDICAID — AMERIGROUP MEDICAID: $16.85 BCBS GENERIC — ANTHEM BCBS HMO/PPO: $36.11 BCN DOMESTIC — ANTHEM BCBS HMO/PPO: $36.11 BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — ANTHEM BCBS HMO/PPO: $36.11 BLUE CARE NETWORK — ANTHEM BCBS HMO/PPO: $36.11
Cholesterol panel (lipid panel) CPT 80061 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Quest Lipid Panel	$79	$51.35	$10.11 – $71.10
Cholesterol panel (lipid panel): 10 of 108 insurance plan rates AETNA — AETNA: $59.01 AETNA — AETNA MARKETPLACE: $41 AETNA DOMESTIC — ANTHEM BCBS HMO/PPO: $55.94 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $17.73 AMBETTER — AMBETTER MARKETPLACE: $23.12 AMERIGROUP MEDICAID — AMERIGROUP MEDICAID: $16.85 BCBS GENERIC — ANTHEM BCBS HMO/PPO: $55.94 BCN DOMESTIC — ANTHEM BCBS HMO/PPO: $55.94 BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — ANTHEM BCBS HMO/PPO: $55.94 BLUE CARE NETWORK — ANTHEM BCBS HMO/PPO: $55.94
Kidney function panel CPT 80069 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Renal Function Panel	$159	$103.35	$6.55 – $143.10
Kidney function panel: 10 of 108 insurance plan rates AETNA — AETNA: $118.77 AETNA — AETNA MARKETPLACE: $82.52 AETNA DOMESTIC — ANTHEM BCBS HMO/PPO: $112.59 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $35.68 AMBETTER — AMBETTER MARKETPLACE: $46.52 AMERIGROUP MEDICAID — AMERIGROUP MEDICAID: $10.92 BCBS GENERIC — ANTHEM BCBS HMO/PPO: $112.59 BCN DOMESTIC — ANTHEM BCBS HMO/PPO: $112.59 BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — ANTHEM BCBS HMO/PPO: $112.59 BLUE CARE NETWORK — ANTHEM BCBS HMO/PPO: $112.59
Liver function panel CPT 80076 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Hepatic Function Panel	$164	$106.60	$6.17 – $147.60
Liver function panel: 10 of 108 insurance plan rates AETNA — AETNA: $122.51 AETNA — AETNA MARKETPLACE: $85.12 AETNA DOMESTIC — ANTHEM BCBS HMO/PPO: $116.13 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $36.80 AMBETTER — AMBETTER MARKETPLACE: $47.99 AMERIGROUP MEDICAID — AMERIGROUP MEDICAID: $10.28 BCBS GENERIC — ANTHEM BCBS HMO/PPO: $116.13 BCN DOMESTIC — ANTHEM BCBS HMO/PPO: $116.13 BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — ANTHEM BCBS HMO/PPO: $116.13 BLUE CARE NETWORK — ANTHEM BCBS HMO/PPO: $116.13
Urine test (automated, with microscope) CPT 81001 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Urinalysis With Microscopy Automated	$18	$11.70	$2.39 – $16.20
Urine test (automated, with microscope): 10 of 108 insurance plan rates AETNA — AETNA: $13.45 AETNA — AETNA MARKETPLACE: $9.34 AETNA DOMESTIC — ANTHEM BCBS HMO/PPO: $12.75 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $4.04 AMBETTER — AMBETTER MARKETPLACE: $5.27 AMERIGROUP MEDICAID — AMERIGROUP MEDICAID: $3.99 BCBS GENERIC — ANTHEM BCBS HMO/PPO: $12.75 BCN DOMESTIC — ANTHEM BCBS HMO/PPO: $12.75 BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — ANTHEM BCBS HMO/PPO: $12.75 BLUE CARE NETWORK — ANTHEM BCBS HMO/PPO: $12.75
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Urinalysis With Microscopy Automated	Not listed in the file	$382.85	$2.39 – $3.99
Urine test (automated, with microscope): rates for 6 insurance plans AMERIGROUP MEDICAID — AMERIGROUP MEDICAID: $3.99 CARESOURCE MEDICAID — CARESOURCE MEDICAID: $3.99 GEHA — UNITED HEALTHCARE: $3.53 UNITED HEALTHCARE — UNITED HEALTHCARE: $3.53 WELLCARE MEDICAID — WELLCARE MEDICAID: $2.39 WELLPOINT MEDICAID — AMERIGROUP MEDICAID: $3.99
Urine test (automated, without microscope) CPT 81003 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Urinalysis Without Microscopy Automated	$13	$8.45	$1.70 – $11.70
Urine test (automated, without microscope): 10 of 108 insurance plan rates AETNA — AETNA: $9.71 AETNA — AETNA MARKETPLACE: $6.75 AETNA DOMESTIC — ANTHEM BCBS HMO/PPO: $9.21 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $2.92 AMBETTER — AMBETTER MARKETPLACE: $3.80 AMERIGROUP MEDICAID — AMERIGROUP MEDICAID: $2.83 BCBS GENERIC — ANTHEM BCBS HMO/PPO: $9.21 BCN DOMESTIC — ANTHEM BCBS HMO/PPO: $9.21 BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — ANTHEM BCBS HMO/PPO: $9.21 BLUE CARE NETWORK — ANTHEM BCBS HMO/PPO: $9.21
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Urinalysis Without Microscopy Automated	Not listed in the file	$409.50	$1.70 – $2.83
Urine test (automated, without microscope): rates for 6 insurance plans AMERIGROUP MEDICAID — AMERIGROUP MEDICAID: $2.83 CARESOURCE MEDICAID — CARESOURCE MEDICAID: $2.83 GEHA — UNITED HEALTHCARE: $2.50 UNITED HEALTHCARE — UNITED HEALTHCARE: $2.50 WELLCARE MEDICAID — WELLCARE MEDICAID: $1.70 WELLPOINT MEDICAID — AMERIGROUP MEDICAID: $2.83
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Prostate Specific Antigen Total	$104	$67.60	$13.88 – $93.60
PSA (prostate specific antigen) blood test: 10 of 108 insurance plan rates AETNA — AETNA: $77.69 AETNA — AETNA MARKETPLACE: $53.98 AETNA DOMESTIC — ANTHEM BCBS HMO/PPO: $73.64 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $23.34 AMBETTER — AMBETTER MARKETPLACE: $30.43 AMERIGROUP MEDICAID — AMERIGROUP MEDICAID: $23.13 BCBS GENERIC — ANTHEM BCBS HMO/PPO: $73.64 BCN DOMESTIC — ANTHEM BCBS HMO/PPO: $73.64 BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — ANTHEM BCBS HMO/PPO: $73.64 BLUE CARE NETWORK — ANTHEM BCBS HMO/PPO: $73.64
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Warde Prostate Specific Antigen Total	$93	$60.45	$13.88 – $83.70
PSA (prostate specific antigen) blood test: 10 of 108 insurance plan rates AETNA — AETNA: $69.47 AETNA — AETNA MARKETPLACE: $48.27 AETNA DOMESTIC — ANTHEM BCBS HMO/PPO: $65.85 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $20.87 AMBETTER — AMBETTER MARKETPLACE: $27.21 AMERIGROUP MEDICAID — AMERIGROUP MEDICAID: $23.13 BCBS GENERIC — ANTHEM BCBS HMO/PPO: $65.85 BCN DOMESTIC — ANTHEM BCBS HMO/PPO: $65.85 BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — ANTHEM BCBS HMO/PPO: $65.85 BLUE CARE NETWORK — ANTHEM BCBS HMO/PPO: $65.85
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Warde 1012090 Prostate Specific Antigen Total	$35	$22.75	$7.55 – $31.50
PSA (prostate specific antigen) blood test: 10 of 108 insurance plan rates AETNA — AETNA: $26.15 AETNA — AETNA MARKETPLACE: $18.17 AETNA DOMESTIC — ANTHEM BCBS HMO/PPO: $24.78 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $7.85 AMBETTER — AMBETTER MARKETPLACE: $10.24 AMERIGROUP MEDICAID — AMERIGROUP MEDICAID: $23.13 BCBS GENERIC — ANTHEM BCBS HMO/PPO: $24.78 BCN DOMESTIC — ANTHEM BCBS HMO/PPO: $24.78 BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — ANTHEM BCBS HMO/PPO: $24.78 BLUE CARE NETWORK — ANTHEM BCBS HMO/PPO: $24.78
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Thyroid Stimulating Hormone	$48	$31.20	$10.35 – $43.20
Thyroid stimulating hormone (TSH) test: 10 of 108 insurance plan rates AETNA — AETNA: $35.86 AETNA — AETNA MARKETPLACE: $24.91 AETNA DOMESTIC — ANTHEM BCBS HMO/PPO: $33.99 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $10.77 AMBETTER — AMBETTER MARKETPLACE: $14.04 AMERIGROUP MEDICAID — AMERIGROUP MEDICAID: $21.12 BCBS GENERIC — ANTHEM BCBS HMO/PPO: $33.99 BCN DOMESTIC — ANTHEM BCBS HMO/PPO: $33.99 BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — ANTHEM BCBS HMO/PPO: $33.99 BLUE CARE NETWORK — ANTHEM BCBS HMO/PPO: $33.99
Complete blood count (CBC) with differential CPT 85025 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Cbc Automated/Differential Wbc Automated	$78	$50.70	$5.86 – $70.20
Complete blood count (CBC) with differential: 10 of 108 insurance plan rates AETNA — AETNA: $58.27 AETNA — AETNA MARKETPLACE: $40.48 AETNA DOMESTIC — ANTHEM BCBS HMO/PPO: $55.23 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $17.50 AMBETTER — AMBETTER MARKETPLACE: $22.82 AMERIGROUP MEDICAID — AMERIGROUP MEDICAID: $9.77 BCBS GENERIC — ANTHEM BCBS HMO/PPO: $55.23 BCN DOMESTIC — ANTHEM BCBS HMO/PPO: $55.23 BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — ANTHEM BCBS HMO/PPO: $55.23 BLUE CARE NETWORK — ANTHEM BCBS HMO/PPO: $55.23
Complete blood count (CBC) with differential CPT 85025 · Inpatient or outpatient · Hospital (facility) fee In the file: HC POCT Cbc Automated/Differential Wbc Automated	$85	$55.25	$5.86 – $76.50
Complete blood count (CBC) with differential: 10 of 108 insurance plan rates AETNA — AETNA: $63.50 AETNA — AETNA MARKETPLACE: $44.12 AETNA DOMESTIC — ANTHEM BCBS HMO/PPO: $60.19 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $19.07 AMBETTER — AMBETTER MARKETPLACE: $24.87 AMERIGROUP MEDICAID — AMERIGROUP MEDICAID: $9.77 BCBS GENERIC — ANTHEM BCBS HMO/PPO: $60.19 BCN DOMESTIC — ANTHEM BCBS HMO/PPO: $60.19 BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — ANTHEM BCBS HMO/PPO: $60.19 BLUE CARE NETWORK — ANTHEM BCBS HMO/PPO: $60.19
Complete blood count (CBC), automated CPT 85027 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Cbc Automated	$86	$55.90	$4.88 – $77.40
Complete blood count (CBC), automated: 10 of 108 insurance plan rates AETNA — AETNA: $64.24 AETNA — AETNA MARKETPLACE: $44.63 AETNA DOMESTIC — ANTHEM BCBS HMO/PPO: $60.90 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $19.30 AMBETTER — AMBETTER MARKETPLACE: $25.16 AMERIGROUP MEDICAID — AMERIGROUP MEDICAID: $8.14 BCBS GENERIC — ANTHEM BCBS HMO/PPO: $60.90 BCN DOMESTIC — ANTHEM BCBS HMO/PPO: $60.90 BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — ANTHEM BCBS HMO/PPO: $60.90 BLUE CARE NETWORK — ANTHEM BCBS HMO/PPO: $60.90
Complete blood count (CBC), automated CPT 85027 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Cbc Automated Intrauterine	$92	$59.80	$4.88 – $82.80
Complete blood count (CBC), automated: 10 of 108 insurance plan rates AETNA — AETNA: $68.72 AETNA — AETNA MARKETPLACE: $47.75 AETNA DOMESTIC — ANTHEM BCBS HMO/PPO: $65.15 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $20.64 AMBETTER — AMBETTER MARKETPLACE: $26.92 AMERIGROUP MEDICAID — AMERIGROUP MEDICAID: $8.14 BCBS GENERIC — ANTHEM BCBS HMO/PPO: $65.15 BCN DOMESTIC — ANTHEM BCBS HMO/PPO: $65.15 BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — ANTHEM BCBS HMO/PPO: $65.15 BLUE CARE NETWORK — ANTHEM BCBS HMO/PPO: $65.15
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Prothrombin Time	$43	$27.95	$2.96 – $38.70
Blood clotting time test (prothrombin time, PT): 10 of 108 insurance plan rates AETNA — AETNA: $32.12 AETNA — AETNA MARKETPLACE: $22.32 AETNA DOMESTIC — ANTHEM BCBS HMO/PPO: $30.45 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $9.65 AMBETTER — AMBETTER MARKETPLACE: $12.58 AMERIGROUP MEDICAID — AMERIGROUP MEDICAID: $4.94 BCBS GENERIC — ANTHEM BCBS HMO/PPO: $30.45 BCN DOMESTIC — ANTHEM BCBS HMO/PPO: $30.45 BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — ANTHEM BCBS HMO/PPO: $30.45 BLUE CARE NETWORK — ANTHEM BCBS HMO/PPO: $30.45
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient · Hospital (facility) fee In the file: HC POCT Prothrombin Time	$40	$26	$2.96 – $36
Blood clotting time test (prothrombin time, PT): 10 of 108 insurance plan rates AETNA — AETNA: $29.88 AETNA — AETNA MARKETPLACE: $20.76 AETNA DOMESTIC — ANTHEM BCBS HMO/PPO: $28.32 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $8.98 AMBETTER — AMBETTER MARKETPLACE: $11.70 AMERIGROUP MEDICAID — AMERIGROUP MEDICAID: $4.94 BCBS GENERIC — ANTHEM BCBS HMO/PPO: $28.32 BCN DOMESTIC — ANTHEM BCBS HMO/PPO: $28.32 BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — ANTHEM BCBS HMO/PPO: $28.32 BLUE CARE NETWORK — ANTHEM BCBS HMO/PPO: $28.32
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Prothrombin Time	Not listed in the file	$273.65	$2.96 – $4.94
Blood clotting time test (prothrombin time, PT): rates for 6 insurance plans AMERIGROUP MEDICAID — AMERIGROUP MEDICAID: $4.94 CARESOURCE MEDICAID — CARESOURCE MEDICAID: $4.94 GEHA — UNITED HEALTHCARE: $4.37 UNITED HEALTHCARE — UNITED HEALTHCARE: $4.37 WELLCARE MEDICAID — WELLCARE MEDICAID: $2.96 WELLPOINT MEDICAID — AMERIGROUP MEDICAID: $4.94
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Thromboplastin Time Partial (Ptt)	$66	$42.90	$4.52 – $59.40
Blood clotting test (partial thromboplastin time, PTT): 10 of 108 insurance plan rates AETNA — AETNA: $49.30 AETNA — AETNA MARKETPLACE: $34.25 AETNA DOMESTIC — ANTHEM BCBS HMO/PPO: $46.73 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $14.81 AMBETTER — AMBETTER MARKETPLACE: $19.31 AMERIGROUP MEDICAID — AMERIGROUP MEDICAID: $7.54 BCBS GENERIC — ANTHEM BCBS HMO/PPO: $46.73 BCN DOMESTIC — ANTHEM BCBS HMO/PPO: $46.73 BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — ANTHEM BCBS HMO/PPO: $46.73 BLUE CARE NETWORK — ANTHEM BCBS HMO/PPO: $46.73
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Warde 2500780 Thromboplastin Time Partial (Ptt)	$38	$24.70	$4.52 – $34.20
Blood clotting test (partial thromboplastin time, PTT): 10 of 108 insurance plan rates AETNA — AETNA: $28.39 AETNA — AETNA MARKETPLACE: $19.72 AETNA DOMESTIC — ANTHEM BCBS HMO/PPO: $26.91 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $8.53 AMBETTER — AMBETTER MARKETPLACE: $11.12 AMERIGROUP MEDICAID — AMERIGROUP MEDICAID: $7.54 BCBS GENERIC — ANTHEM BCBS HMO/PPO: $26.91 BCN DOMESTIC — ANTHEM BCBS HMO/PPO: $26.91 BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — ANTHEM BCBS HMO/PPO: $26.91 BLUE CARE NETWORK — ANTHEM BCBS HMO/PPO: $26.91

Imaging (X-ray, CT, MRI, ultrasound, mammogram)

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
CT scan of the head or brain, without contrast CPT 70450 · Inpatient or outpatient · Hospital (facility) fee In the file: HC CT Head/Brain W/O Contrast	$1,813	$1,178.45	$390.88 – $1,689
CT scan of the head or brain, without contrast: 10 of 32 insurance plan rates AETNA — AETNA MARKETPLACE: $940.95 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $406.84 AMBETTER — AMBETTER MARKETPLACE: $530.48 AMERIGROUP MEDICAID — AMERIGROUP MEDICAID: $516.89 BLUE CROSS - GA (ANTHEM) MEDICARE ADVANTAGE — ANTHEM BCBS MEDICARE ADVANTAGE: $398.86 CARE IMPROVEMENT PLUS — CARE IMPROVEMENT PLUS MEDICARE ADVANTAGE: $410.83 CARESOURCE — CARESOURCE MARKETPLACE: $618.23 CARESOURCE MEDICAID — CARESOURCE MEDICAID: $542.81 CARESOURCE MEDICARE — CARESOURCE MEDICARE ADVANTAGE: $414.81 CIGNA — CIGNA: $1,457.65
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC CT Head/Brain W/O Contrast	Not listed in the file	$1,178.45	$1,689
CT scan of the head or brain, without contrast: rates for 2 insurance plans GEHA — UNITED HEALTHCARE: $1,689 UNITED HEALTHCARE — UNITED HEALTHCARE: $1,689
MRI of the brain, before and after contrast CPT 70553 · Inpatient or outpatient · Hospital (facility) fee In the file: HC MRI Brain W/O & W/Contrast	$3,575	$2,323.75	$563.52 – $3,217.50
MRI of the brain, before and after contrast: 10 of 32 insurance plan rates AETNA — AETNA MARKETPLACE: $1,855.43 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $802.23 AMBETTER — AMBETTER MARKETPLACE: $1,046.05 AMERIGROUP MEDICAID — AMERIGROUP MEDICAID: $563.52 BLUE CROSS - GA (ANTHEM) MEDICARE ADVANTAGE — ANTHEM BCBS MEDICARE ADVANTAGE: $786.50 CARE IMPROVEMENT PLUS — CARE IMPROVEMENT PLUS MEDICARE ADVANTAGE: $810.10 CARESOURCE — CARESOURCE MARKETPLACE: $1,219.08 CARESOURCE MEDICAID — CARESOURCE MEDICAID: $1,070.36 CARESOURCE MEDICARE — CARESOURCE MEDICARE ADVANTAGE: $817.96 CIGNA — CIGNA: $2,874.30
Chest X-ray, 2 views CPT 71046 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Xr Chest 2 Views	$237	$154.05	$51.10 – $213.30
Chest X-ray, 2 views: 10 of 108 insurance plan rates AETNA — AETNA: $177.04 AETNA — AETNA MARKETPLACE: $123 AETNA DOMESTIC — ANTHEM BCBS HMO/PPO: $167.82 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $53.18 AMBETTER — AMBETTER MARKETPLACE: $69.35 AMERIGROUP MEDICAID — AMERIGROUP MEDICAID: $67.57 BCBS GENERIC — ANTHEM BCBS HMO/PPO: $167.82 BCN DOMESTIC — ANTHEM BCBS HMO/PPO: $167.82 BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — ANTHEM BCBS HMO/PPO: $167.82 BLUE CARE NETWORK — ANTHEM BCBS HMO/PPO: $167.82
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Xr Lumbosacral Spine >= 4 Views	$476	$309.40	$102.63 – $428.40
X-ray of the lower spine, at least 4 views: 10 of 108 insurance plan rates AETNA — AETNA: $355.57 AETNA — AETNA MARKETPLACE: $247.04 AETNA DOMESTIC — ANTHEM BCBS HMO/PPO: $337.06 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $106.81 AMBETTER — AMBETTER MARKETPLACE: $139.28 AMERIGROUP MEDICAID — AMERIGROUP MEDICAID: $135.71 BCBS GENERIC — ANTHEM BCBS HMO/PPO: $337.06 BCN DOMESTIC — ANTHEM BCBS HMO/PPO: $337.06 BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — ANTHEM BCBS HMO/PPO: $337.06 BLUE CARE NETWORK — ANTHEM BCBS HMO/PPO: $337.06
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient or outpatient · Hospital (facility) fee In the file: HC MRI Lumbar Spine W/O Contrast	$2,583	$1,678.95	$365.40 – $2,324.70
MRI of the lower back (lumbar spine), without contrast: 10 of 32 insurance plan rates AETNA — AETNA MARKETPLACE: $1,340.58 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $579.63 AMBETTER — AMBETTER MARKETPLACE: $755.79 AMERIGROUP MEDICAID — AMERIGROUP MEDICAID: $365.40 BLUE CROSS - GA (ANTHEM) MEDICARE ADVANTAGE — ANTHEM BCBS MEDICARE ADVANTAGE: $568.26 CARE IMPROVEMENT PLUS — CARE IMPROVEMENT PLUS MEDICARE ADVANTAGE: $585.31 CARESOURCE — CARESOURCE MARKETPLACE: $880.80 CARESOURCE MEDICAID — CARESOURCE MEDICAID: $773.35 CARESOURCE MEDICARE — CARESOURCE MEDICARE ADVANTAGE: $590.99 CIGNA — CIGNA: $2,076.73
CT scan of the pelvis, with contrast CPT 72193 · Inpatient or outpatient · Hospital (facility) fee In the file: HC CT Pelvis W/Contrast	$2,234	$1,452.10	$481.65 – $2,010.60
CT scan of the pelvis, with contrast: 10 of 32 insurance plan rates AETNA — AETNA MARKETPLACE: $1,159.45 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $501.31 AMBETTER — AMBETTER MARKETPLACE: $653.67 AMERIGROUP MEDICAID — AMERIGROUP MEDICAID: $636.91 BLUE CROSS - GA (ANTHEM) MEDICARE ADVANTAGE — ANTHEM BCBS MEDICARE ADVANTAGE: $491.48 CARE IMPROVEMENT PLUS — CARE IMPROVEMENT PLUS MEDICARE ADVANTAGE: $506.22 CARESOURCE — CARESOURCE MARKETPLACE: $761.79 CARESOURCE MEDICAID — CARESOURCE MEDICAID: $668.86 CARESOURCE MEDICARE — CARESOURCE MEDICARE ADVANTAGE: $511.14 CIGNA — CIGNA: $1,796.14
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient or outpatient · Hospital (facility) fee In the file: HC MRI Lower Extremity Joint W/O Contrast Rt	$2,455	$1,595.75	$359.82 – $2,209.50
MRI of a leg joint (such as the knee), without contrast: 10 of 32 insurance plan rates AETNA — AETNA MARKETPLACE: $1,274.15 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $550.90 AMBETTER — AMBETTER MARKETPLACE: $718.33 AMERIGROUP MEDICAID — AMERIGROUP MEDICAID: $359.82 BLUE CROSS - GA (ANTHEM) MEDICARE ADVANTAGE — ANTHEM BCBS MEDICARE ADVANTAGE: $540.10 CARE IMPROVEMENT PLUS — CARE IMPROVEMENT PLUS MEDICARE ADVANTAGE: $556.30 CARESOURCE — CARESOURCE MARKETPLACE: $837.16 CARESOURCE MEDICAID — CARESOURCE MEDICAID: $735.03 CARESOURCE MEDICARE — CARESOURCE MEDICARE ADVANTAGE: $561.70 CIGNA — CIGNA: $1,973.82
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient or outpatient · Hospital (facility) fee In the file: HC MRI Lower Extremity Joint W/O Contrast Bl	$3,684	$2,394.60	$359.82 – $3,315.60
MRI of a leg joint (such as the knee), without contrast: 10 of 32 insurance plan rates AETNA — AETNA MARKETPLACE: $1,912 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $826.69 AMBETTER — AMBETTER MARKETPLACE: $1,077.94 AMERIGROUP MEDICAID — AMERIGROUP MEDICAID: $359.82 BLUE CROSS - GA (ANTHEM) MEDICARE ADVANTAGE — ANTHEM BCBS MEDICARE ADVANTAGE: $810.48 CARE IMPROVEMENT PLUS — CARE IMPROVEMENT PLUS MEDICARE ADVANTAGE: $834.79 CARESOURCE — CARESOURCE MARKETPLACE: $1,256.24 CARESOURCE MEDICAID — CARESOURCE MEDICAID: $1,102.99 CARESOURCE MEDICARE — CARESOURCE MEDICARE ADVANTAGE: $842.90 CIGNA — CIGNA: $2,961.94
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient or outpatient · Hospital (facility) fee In the file: HC MRI Lower Extremity Joint W/O Contrast Lt	$2,455	$1,595.75	$359.82 – $2,209.50
MRI of a leg joint (such as the knee), without contrast: 10 of 32 insurance plan rates AETNA — AETNA MARKETPLACE: $1,274.15 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $550.90 AMBETTER — AMBETTER MARKETPLACE: $718.33 AMERIGROUP MEDICAID — AMERIGROUP MEDICAID: $359.82 BLUE CROSS - GA (ANTHEM) MEDICARE ADVANTAGE — ANTHEM BCBS MEDICARE ADVANTAGE: $540.10 CARE IMPROVEMENT PLUS — CARE IMPROVEMENT PLUS MEDICARE ADVANTAGE: $556.30 CARESOURCE — CARESOURCE MARKETPLACE: $837.16 CARESOURCE MEDICAID — CARESOURCE MEDICAID: $735.03 CARESOURCE MEDICARE — CARESOURCE MEDICARE ADVANTAGE: $561.70 CIGNA — CIGNA: $1,973.82
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient or outpatient · Hospital (facility) fee In the file: HC CT Abdomen & Pelvis W/Contrast	$1,925	$1,251.25	$415.03 – $1,732.50
CT scan of the abdomen and pelvis, with contrast: 10 of 32 insurance plan rates AETNA — AETNA MARKETPLACE: $999.08 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $431.97 AMBETTER — AMBETTER MARKETPLACE: $563.26 AMERIGROUP MEDICAID — AMERIGROUP MEDICAID: $548.82 BLUE CROSS - GA (ANTHEM) MEDICARE ADVANTAGE — ANTHEM BCBS MEDICARE ADVANTAGE: $423.50 CARE IMPROVEMENT PLUS — CARE IMPROVEMENT PLUS MEDICARE ADVANTAGE: $436.21 CARESOURCE — CARESOURCE MARKETPLACE: $656.43 CARESOURCE MEDICAID — CARESOURCE MEDICAID: $576.35 CARESOURCE MEDICARE — CARESOURCE MEDICARE ADVANTAGE: $440.44 CIGNA — CIGNA: $1,547.70
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC CT Abdomen & Pelvis W/Contrast	Not listed in the file	$2,730.06	$1,689
CT scan of the abdomen and pelvis, with contrast: rates for 2 insurance plans GEHA — UNITED HEALTHCARE: $1,689 UNITED HEALTHCARE — UNITED HEALTHCARE: $1,689
Ultrasound of the abdomen, complete CPT 76700 · Inpatient or outpatient · Hospital (facility) fee In the file: HC US Abdomen Complete	$1,299	$844.35	$280.06 – $1,169.10
Ultrasound of the abdomen, complete: 10 of 32 insurance plan rates AETNA — AETNA MARKETPLACE: $674.18 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $291.50 AMBETTER — AMBETTER MARKETPLACE: $380.09 AMERIGROUP MEDICAID — AMERIGROUP MEDICAID: $370.34 BLUE CROSS - GA (ANTHEM) MEDICARE ADVANTAGE — ANTHEM BCBS MEDICARE ADVANTAGE: $285.78 CARE IMPROVEMENT PLUS — CARE IMPROVEMENT PLUS MEDICARE ADVANTAGE: $294.35 CARESOURCE — CARESOURCE MARKETPLACE: $442.96 CARESOURCE MEDICAID — CARESOURCE MEDICAID: $388.92 CARESOURCE MEDICARE — CARESOURCE MEDICARE ADVANTAGE: $297.21 CIGNA — CIGNA: $1,044.40
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient or outpatient · Hospital (facility) fee In the file: HC US Pregnant Uterus >= 14 Weeks Single/1st Gestation	$920	$598	$198.35 – $828
Pregnancy ultrasound (after the first trimester): 10 of 109 insurance plan rates AETNA — AETNA: $687.24 AETNA — AETNA MARKETPLACE: $477.48 AETNA DOMESTIC — ANTHEM BCBS HMO/PPO: $651.45 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $206.45 AMBETTER — AMBETTER MARKETPLACE: $269.19 AMERIGROUP MEDICAID — AMERIGROUP MEDICAID: $262.29 BCBS GENERIC — ANTHEM BCBS HMO/PPO: $651.45 BCN DOMESTIC — ANTHEM BCBS HMO/PPO: $651.45 BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — ANTHEM BCBS HMO/PPO: $651.45 BLUE CARE NETWORK — ANTHEM BCBS HMO/PPO: $651.45
Transvaginal ultrasound CPT 76830 · Inpatient or outpatient · Hospital (facility) fee In the file: HC US Transvaginal Non Obstetric	$682	$443.30	$147.04 – $613.80
Transvaginal ultrasound: 10 of 108 insurance plan rates AETNA — AETNA: $509.45 AETNA — AETNA MARKETPLACE: $353.96 AETNA DOMESTIC — ANTHEM BCBS HMO/PPO: $482.92 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $153.04 AMBETTER — AMBETTER MARKETPLACE: $199.55 AMERIGROUP MEDICAID — AMERIGROUP MEDICAID: $194.44 BCBS GENERIC — ANTHEM BCBS HMO/PPO: $482.92 BCN DOMESTIC — ANTHEM BCBS HMO/PPO: $482.92 BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — ANTHEM BCBS HMO/PPO: $482.92 BLUE CARE NETWORK — ANTHEM BCBS HMO/PPO: $482.92
Diagnostic mammogram, one breast CPT 77065 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Mammography Diagnostic Unilateral Lt	$310	$201.50	$66.84 – $279
Diagnostic mammogram, one breast: 10 of 108 insurance plan rates AETNA — AETNA: $231.57 AETNA — AETNA MARKETPLACE: $160.89 AETNA DOMESTIC — ANTHEM BCBS HMO/PPO: $219.51 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $69.56 AMBETTER — AMBETTER MARKETPLACE: $90.71 AMERIGROUP MEDICAID — AMERIGROUP MEDICAID: $88.38 BCBS GENERIC — ANTHEM BCBS HMO/PPO: $219.51 BCN DOMESTIC — ANTHEM BCBS HMO/PPO: $219.51 BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — ANTHEM BCBS HMO/PPO: $219.51 BLUE CARE NETWORK — ANTHEM BCBS HMO/PPO: $219.51
Diagnostic mammogram, one breast CPT 77065 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Mammography Diagnostic Unilateral Rt	$310	$201.50	$66.84 – $279
Diagnostic mammogram, one breast: 10 of 108 insurance plan rates AETNA — AETNA: $231.57 AETNA — AETNA MARKETPLACE: $160.89 AETNA DOMESTIC — ANTHEM BCBS HMO/PPO: $219.51 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $69.56 AMBETTER — AMBETTER MARKETPLACE: $90.71 AMERIGROUP MEDICAID — AMERIGROUP MEDICAID: $88.38 BCBS GENERIC — ANTHEM BCBS HMO/PPO: $219.51 BCN DOMESTIC — ANTHEM BCBS HMO/PPO: $219.51 BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — ANTHEM BCBS HMO/PPO: $219.51 BLUE CARE NETWORK — ANTHEM BCBS HMO/PPO: $219.51
Diagnostic mammogram, both breasts CPT 77066 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Mammography Diagnostic Bilateral	$619	$402.35	$133.46 – $557.10
Diagnostic mammogram, both breasts: 10 of 109 insurance plan rates AETNA — AETNA: $462.39 AETNA — AETNA MARKETPLACE: $321.26 AETNA DOMESTIC — ANTHEM BCBS HMO/PPO: $438.31 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $138.90 AMBETTER — AMBETTER MARKETPLACE: $181.12 AMERIGROUP MEDICAID — AMERIGROUP MEDICAID: $176.48 BCBS GENERIC — ANTHEM BCBS HMO/PPO: $438.31 BCN DOMESTIC — ANTHEM BCBS HMO/PPO: $438.31 BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — ANTHEM BCBS HMO/PPO: $438.31 BLUE CARE NETWORK — ANTHEM BCBS HMO/PPO: $438.31
Screening mammogram, both breasts CPT 77067 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Mammography Screen Bilateral	$361	$234.65	$79.81 – $324.90
Screening mammogram, both breasts: 10 of 108 insurance plan rates AETNA — AETNA: $269.67 AETNA — AETNA MARKETPLACE: $187.36 AETNA DOMESTIC — ANTHEM BCBS HMO/PPO: $255.62 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $83.07 AMBETTER — AMBETTER MARKETPLACE: $108.32 AMERIGROUP MEDICAID — AMERIGROUP MEDICAID: $102.92 BCBS GENERIC — ANTHEM BCBS HMO/PPO: $255.62 BCN DOMESTIC — ANTHEM BCBS HMO/PPO: $255.62 BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — ANTHEM BCBS HMO/PPO: $255.62 BLUE CARE NETWORK — ANTHEM BCBS HMO/PPO: $255.62
Screening mammogram, both breasts CPT 77067 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Mammography Screen Bl Reduced Service Unilateral Only Completed	$331	$215.15	$79.81 – $297.90
Screening mammogram, both breasts: 10 of 108 insurance plan rates AETNA — AETNA: $247.26 AETNA — AETNA MARKETPLACE: $171.79 AETNA DOMESTIC — ANTHEM BCBS HMO/PPO: $234.38 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $83.07 AMBETTER — AMBETTER MARKETPLACE: $108.32 AMERIGROUP MEDICAID — AMERIGROUP MEDICAID: $94.37 BCBS GENERIC — ANTHEM BCBS HMO/PPO: $234.38 BCN DOMESTIC — ANTHEM BCBS HMO/PPO: $234.38 BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — ANTHEM BCBS HMO/PPO: $234.38 BLUE CARE NETWORK — ANTHEM BCBS HMO/PPO: $234.38

Physical therapy and mental health

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Ot Therapeutic Procedure >=1 Area Therapeutic Exercise Each 15 Minutes	$124	$80.60	$20.07 – $111.60
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 108 insurance plan rates AETNA — AETNA: $92.63 AETNA — AETNA MARKETPLACE: $64.36 AETNA DOMESTIC — ANTHEM BCBS HMO/PPO: $87.80 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $27.83 AMBETTER — AMBETTER MARKETPLACE: $36.28 AMERIGROUP MEDICAID — AMERIGROUP MEDICAID: $35.35 BCBS GENERIC — ANTHEM BCBS HMO/PPO: $87.80 BCN DOMESTIC — ANTHEM BCBS HMO/PPO: $87.80 BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — ANTHEM BCBS HMO/PPO: $87.80 BLUE CARE NETWORK — ANTHEM BCBS HMO/PPO: $87.80
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Pt Therapeutic Procedure >=1 Area Therapeutic Exercise Each 15 Minutes	$124	$80.60	$20.07 – $111.60
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 108 insurance plan rates AETNA — AETNA: $92.63 AETNA — AETNA MARKETPLACE: $64.36 AETNA DOMESTIC — ANTHEM BCBS HMO/PPO: $87.80 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $27.83 AMBETTER — AMBETTER MARKETPLACE: $36.28 AMERIGROUP MEDICAID — AMERIGROUP MEDICAID: $35.35 BCBS GENERIC — ANTHEM BCBS HMO/PPO: $87.80 BCN DOMESTIC — ANTHEM BCBS HMO/PPO: $87.80 BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — ANTHEM BCBS HMO/PPO: $87.80 BLUE CARE NETWORK — ANTHEM BCBS HMO/PPO: $87.80
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Pt Evaluation Low Complexity Patient/Family	$350	$227.50	$69.34 – $315
Physical therapy evaluation (low complexity): 10 of 108 insurance plan rates AETNA — AETNA: $261.45 AETNA — AETNA MARKETPLACE: $181.65 AETNA DOMESTIC — ANTHEM BCBS HMO/PPO: $247.84 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $78.54 AMBETTER — AMBETTER MARKETPLACE: $102.41 AMERIGROUP MEDICAID — AMERIGROUP MEDICAID: $99.79 BCBS GENERIC — ANTHEM BCBS HMO/PPO: $247.84 BCN DOMESTIC — ANTHEM BCBS HMO/PPO: $247.84 BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — ANTHEM BCBS HMO/PPO: $247.84 BLUE CARE NETWORK — ANTHEM BCBS HMO/PPO: $247.84
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Pt Evaluation Moderate Complexity Patient/Family	$350	$227.50	$69.34 – $315
Physical therapy evaluation (moderate complexity): 10 of 108 insurance plan rates AETNA — AETNA: $261.45 AETNA — AETNA MARKETPLACE: $181.65 AETNA DOMESTIC — ANTHEM BCBS HMO/PPO: $247.84 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $78.54 AMBETTER — AMBETTER MARKETPLACE: $102.41 AMERIGROUP MEDICAID — AMERIGROUP MEDICAID: $99.79 BCBS GENERIC — ANTHEM BCBS HMO/PPO: $247.84 BCN DOMESTIC — ANTHEM BCBS HMO/PPO: $247.84 BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — ANTHEM BCBS HMO/PPO: $247.84 BLUE CARE NETWORK — ANTHEM BCBS HMO/PPO: $247.84
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Pt Evaluation High Complexity Patient/Family	$350	$227.50	$69.34 – $315
Physical therapy evaluation (high complexity): 10 of 108 insurance plan rates AETNA — AETNA: $261.45 AETNA — AETNA MARKETPLACE: $181.65 AETNA DOMESTIC — ANTHEM BCBS HMO/PPO: $247.84 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $78.54 AMBETTER — AMBETTER MARKETPLACE: $102.41 AMERIGROUP MEDICAID — AMERIGROUP MEDICAID: $99.79 BCBS GENERIC — ANTHEM BCBS HMO/PPO: $247.84 BCN DOMESTIC — ANTHEM BCBS HMO/PPO: $247.84 BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — ANTHEM BCBS HMO/PPO: $247.84 BLUE CARE NETWORK — ANTHEM BCBS HMO/PPO: $247.84

Procedures and surgery

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Total hip replacement CPT 27130 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Arthoplasty Acetabular & Proximal Femoral Prosthetic Repl Rt (Restricted Method II CAH)	Not listed in the file	$36,189.65	$69.34 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Total hip replacement: rates for 1 insurance plan WELLCARE MEDICAID — WELLCARE MEDICAID: $69.34 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Total knee replacement CPT 27447 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Arthro Knee/Condyle/Plateau Med/Lat W/or W/O Patella Resurf (Tka) Lt(Rest Method II CAH)	Not listed in the file	$34,271.28	$69.34 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Total knee replacement: rates for 1 insurance plan WELLCARE MEDICAID — WELLCARE MEDICAID: $69.34 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Arth Shld Srg Decompr Subacrml Sp W/Prt Acrmplsty W/Crccrml Sep Proc Lt(Rest Method II CAH)	Not listed in the file	$30,141.34	$2.92 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Shoulder arthroscopy: shaving of shoulder bone: rates for 1 insurance plan WELLCARE MEDICAID — WELLCARE MEDICAID: $2.92 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Arthro Knee W/Mnsc Med or Lat Incl/Chndrplsty Same/Sep Compart Lt (Rest Method II CAH)	Not listed in the file	$16,206.34	$2.92 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Knee arthroscopy: removal of torn cartilage (meniscus): rates for 1 insurance plan WELLCARE MEDICAID — WELLCARE MEDICAID: $2.92 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Upper GI endoscopy (diagnostic) CPT 43235 · Inpatient (hospital stay) · Doctor (professional) fee In the file: PR Egd Flexible Transoral Dx Incl Coll Spec by Brushing/Washing	$943	$943	$38.88 – $848.70
Upper GI endoscopy (diagnostic): 10 of 741 insurance plan rates ADVANTRA FREEDOM MEDICARE ADVANTAGE — MEDICARE: $53.11 AETNA — AETNA: $96.93 AETNA MEDICAID — MEDICAID: $68.95 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $53.11 AFFINITY HEALTH PLAN MEDICAID ADVANTAGE — MEDICAID: $68.95 ALBANY COUNTY CORRECTIONAL FACILITY — MEDICAID: $68.95 ALLWELL MEDICAID ADVANTAGE — MEDICAID: $68.95 ALLWELL MEDICARE ADVANTAGE — MEDICARE: $53.11 ALLWELL PA HEALTH & WELLNESS MEDICAID ADVANTAGE — MEDICAID: $68.95 ALLWELL PA HEALTH & WELLNESS MEDICARE ADVANTAGE — MEDICARE: $53.11
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR Egd Flexible Transoral Dx Incl Coll Spec by Brushing/Washing	$267	$267	$38.88 – $240.30
Upper GI endoscopy (diagnostic): 10 of 741 insurance plan rates ADVANTRA FREEDOM MEDICARE ADVANTAGE — MEDICARE: $53.11 AETNA DOMESTIC — AETNA: $96.93 AETNA MEDICAID — MEDICAID: $68.95 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $53.11 AETNA MEDICARE ASSURE PREMIER HMO D-SNP — MEDICARE: $53.11 ALIGNMENT HEALTH PLAN MEDICARE ADVANTAGE — MEDICARE: $53.11 ALLWELL MEDICARE ADVANTAGE — MEDICARE: $53.11 AMBETTER — AMBETTER: $71.86 AMERICAN HEALTH PLAN — MEDICARE: $53.11 AMERIHEALTH CARITAS MEDICAID — MEDICAID: $68.95
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PR Egd Flexible Transoral Dx Incl Coll Spec by Brushing/Washing	Not listed in the file	$6,529.57	$137.90 – $144.80
Upper GI endoscopy (diagnostic): rates for 2 insurance plans CARESOURCE MEDICAID — CARESOURCE MEDICAID: $144.80 WELLCARE MEDICAID — WELLCARE MEDICAID: $137.90
Upper GI endoscopy with biopsy CPT 43239 · Inpatient (hospital stay) · Doctor (professional) fee In the file: PR Egd Flexible Transoral W/ Biopsy Single/Multiple	$1,030	$1,030	$43.67 – $927
Upper GI endoscopy with biopsy: 10 of 741 insurance plan rates AETNA DOMESTIC — AETNA: $115.07 AETNA MEDICAID — MEDICAID: $77.61 AFFINITY HEALTH PLAN MEDICAID ADVANTAGE — MEDICAID: $77.61 ALIGNMENT HEALTH PLAN MEDICARE ADVANTAGE — MEDICARE: $59.46 ALLWELL MEDICAID ADVANTAGE — MEDICAID: $77.61 ALLWELL PA HEALTH & WELLNESS MEDICAID ADVANTAGE — MEDICAID: $77.61 ALLY ALIGN CARE ADV — MEDICARE: $59.46 AMERICAN HEALTH ADVANTAGE OF IDAHO — MEDICARE: $59.46 AMERIHEALTH MEDICARE — MEDICARE: $59.46 AMISH MENNONITE — MEDICAID: $77.61
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR Egd Flexible Transoral W/ Biopsy Single/Multiple	$301	$301	$43.67 – $270.90
Upper GI endoscopy with biopsy: 10 of 741 insurance plan rates AETNA — AETNA: $115.07 AETNA DOMESTIC — AETNA: $115.07 AETNA MEDICARE TRANSPLANT — MEDICARE: $59.46 ALBANY COUNTY CORRECTIONAL FACILITY — MEDICAID: $77.61 ALIGN SENIOR CARE — MEDICARE: $59.46 ALIGNMENT HEALTH PLAN MEDICARE ADVANTAGE — MEDICARE: $59.46 ALLWELL PA HEALTH & WELLNESS MEDICARE ADVANTAGE — MEDICARE: $59.46 AMBETTER — AMBETTER: $80.46 AMERICAN HEALTH PLAN — MEDICARE: $59.46 AMERIHEALTH CARITAS MEDICAID — MEDICAID: $77.61
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Egd Flexible Transoral W/Bx Single/Mult (Restricted Method II CAH)	Not listed in the file	$7,076.48	$155.21 – $162.97
Upper GI endoscopy with biopsy: rates for 2 insurance plans CARESOURCE MEDICAID — CARESOURCE MEDICAID: $162.97 WELLCARE MEDICAID — WELLCARE MEDICAID: $155.21
Colonoscopy (diagnostic) CPT 45378 · Inpatient (hospital stay) · Doctor (professional) fee In the file: PR Colonoscopy Flexible Diagnostic W Collection Specimen Brushing/Washing	$625	$625	$58.36 – $562.50
Colonoscopy (diagnostic): 10 of 741 insurance plan rates ADVANTRA FREEDOM MEDICARE ADVANTAGE — MEDICARE: $79.61 AETNA MEDICARE ASSURE PREMIER HMO D-SNP — MEDICARE: $79.61 ALIGNMENT HEALTH PLAN MEDICARE ADVANTAGE — MEDICARE: $79.61 ALLWELL MEDICARE ADVANTAGE — MEDICARE: $79.61 ALLY ALIGN CARE ADV — MEDICARE: $79.61 AMBETTER — AMBETTER: $107.71 AMERICAN HEALTH ADVANTAGE OF IDAHO — MEDICARE: $79.61 AMERICAN HEALTH PLAN — MEDICARE: $79.61 AMERIHEALTH CARITAS MEDICAID — MEDICAID: $107.34 AMERIHEALTH MEDICARE — MEDICARE: $79.61
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR Colonoscopy Flexible Diagnostic W Collection Specimen Brushing/Washing	Not listed in the file	$625	$58.36 – $531.85
Colonoscopy (diagnostic): 10 of 741 insurance plan rates ADVANTRA FREEDOM MEDICARE ADVANTAGE — MEDICARE: $79.61 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $79.61 AETNA MEDICARE ASSURE PREMIER HMO D-SNP — MEDICARE: $79.61 ALBANY COUNTY CORRECTIONAL FACILITY — MEDICAID: $107.34 ALLWELL MEDICAID ADVANTAGE — MEDICAID: $107.34 ALLWELL MEDICARE ADVANTAGE — MEDICARE: $79.61 ALLWELL PA HEALTH & WELLNESS MEDICARE ADVANTAGE — MEDICARE: $79.61 AMERICAN HEALTH PLAN — MEDICARE: $79.61 AMERIGROUP MEDICAID — WELLPOINT MEDICAID: $107.34 AMERIHEALTH CARITAS MEDICAID — MEDICAID: $107.34
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Colon Flexible Dx W/Collection of Specimen(S) by Brushing/Washing (Restricted Method II CAH)	Not listed in the file	$5,533.16	$214.67 – $225.40
Colonoscopy (diagnostic): rates for 2 insurance plans CARESOURCE MEDICAID — CARESOURCE MEDICAID: $225.40 WELLCARE MEDICAID — WELLCARE MEDICAID: $214.67
Colonoscopy with biopsy CPT 45380 · Inpatient (hospital stay) · Doctor (professional) fee In the file: PR Colonoscopy Flexible With Biopsy Single/Multiple	$1,314	$1,314	$63.48 – $1,182.60
Colonoscopy with biopsy: 10 of 741 insurance plan rates ADVANTRA FREEDOM MEDICARE ADVANTAGE — MEDICARE: $85.87 AETNA DOMESTIC — AETNA: $174.80 AETNA MEDICAID — MEDICAID: $115.86 AETNA MEDICARE ASSURE PREMIER HMO D-SNP — MEDICARE: $85.87 AETNA MEDICARE TRANSPLANT — MEDICARE: $85.87 ALBANY COUNTY CORRECTIONAL FACILITY — MEDICAID: $115.86 ALIGN SENIOR CARE — MEDICARE: $85.87 ALLWELL MEDICAID ADVANTAGE — MEDICAID: $115.86 ALLWELL MEDICARE ADVANTAGE — MEDICARE: $85.87 AMERICAN HEALTH ADVANTAGE OF IDAHO — MEDICARE: $85.87
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR Colonoscopy Flexible With Biopsy Single/Multiple	Not listed in the file	$1,314	$63.48 – $1,182.60
Colonoscopy with biopsy: 10 of 741 insurance plan rates ADVANTRA FREEDOM MEDICARE ADVANTAGE — MEDICARE: $85.87 AETNA DOMESTIC — AETNA: $174.80 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $85.87 AETNA MEDICARE ASSURE PREMIER HMO D-SNP — MEDICARE: $85.87 AFFINITY HEALTH PLAN MEDICAID ADVANTAGE — MEDICAID: $115.86 ALIGN SENIOR CARE — MEDICARE: $85.87 ALIGNMENT HEALTH PLAN MEDICARE ADVANTAGE — MEDICARE: $85.87 ALLWELL MEDICAID ADVANTAGE — MEDICAID: $115.86 ALLWELL MEDICARE ADVANTAGE — MEDICARE: $85.87 ALLWELL PA HEALTH & WELLNESS MEDICAID ADVANTAGE — MEDICAID: $115.86
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Colonoscopy Flexible With Biopsy Single/Multiple (Restricted Method II CAH)	Not listed in the file	$5,480.15	$231.71 – $243.30
Colonoscopy with biopsy: rates for 2 insurance plans CARESOURCE MEDICAID — CARESOURCE MEDICAID: $243.30 WELLCARE MEDICAID — WELLCARE MEDICAID: $231.71
Colonoscopy with removal of polyps (snare) CPT 45385 · Inpatient (hospital stay) · Doctor (professional) fee In the file: PR Colonoscopy Flexible With Removal Tumor/Polyp/Other Lesion by Snare Tech	$1,748	$1,748	$79.98 – $1,573.20
Colonoscopy with removal of polyps (snare): 10 of 741 insurance plan rates ADVANTRA FREEDOM MEDICARE ADVANTAGE — MEDICARE: $108.06 AETNA — AETNA: $207.69 AETNA MEDICAID — MEDICAID: $153.63 AFFINITY HEALTH PLAN MEDICAID ADVANTAGE — MEDICAID: $153.63 ALBANY COUNTY CORRECTIONAL FACILITY — MEDICAID: $153.63 ALIGN SENIOR CARE — MEDICARE: $108.06 ALLWELL MEDICAID ADVANTAGE — MEDICAID: $153.63 ALLWELL MEDICARE ADVANTAGE — MEDICARE: $108.06 ALLWELL PA HEALTH & WELLNESS MEDICAID ADVANTAGE — MEDICAID: $153.63 ALLWELL PA HEALTH & WELLNESS MEDICARE ADVANTAGE — MEDICARE: $108.06
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR Colonoscopy Flexible With Removal Tumor/Polyp/Other Lesion by Snare Tech	$551	$551	$79.98 – $495.90
Colonoscopy with removal of polyps (snare): 10 of 741 insurance plan rates AETNA — AETNA: $207.69 AETNA DOMESTIC — AETNA: $207.69 AETNA MEDICAID — MEDICAID: $153.63 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $108.06 AETNA MEDICARE ASSURE PREMIER HMO D-SNP — MEDICARE: $108.06 AETNA MEDICARE TRANSPLANT — MEDICARE: $108.06 ALBANY COUNTY CORRECTIONAL FACILITY — MEDICAID: $153.63 ALIGN SENIOR CARE — MEDICARE: $108.06 ALIGNMENT HEALTH PLAN MEDICARE ADVANTAGE — MEDICARE: $108.06 ALLWELL MEDICAID ADVANTAGE — MEDICAID: $153.63
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Colon Flex W/Rem Tumor(S)/Polyp(S)/Other Lesion(S) by Snare Tech (Restricted Method II CAH)	Not listed in the file	$5,551.75	$307.25 – $322.61
Colonoscopy with removal of polyps (snare): rates for 2 insurance plans CARESOURCE MEDICAID — CARESOURCE MEDICAID: $322.61 WELLCARE MEDICAID — WELLCARE MEDICAID: $307.25
Screening colonoscopy (not high risk) HCPCS G0121 · Inpatient (hospital stay) · Doctor (professional) fee In the file: PR Colonscopy Colorectal Cancer Screening Non High Risk Patient	$451	$451	$58.47 – $405.90
Screening colonoscopy (not high risk): 10 of 472 insurance plan rates ADVANTRA FREEDOM MEDICARE ADVANTAGE — MEDICARE: $79.80 AETNA — AETNA: $146.15 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $79.80 AETNA MEDICARE ASSURE PREMIER HMO D-SNP — MEDICARE: $79.80 AETNA MEDICARE TRANSPLANT — MEDICARE: $79.80 ALIGN SENIOR CARE — MEDICARE: $79.80 ALIGNMENT HEALTH PLAN MEDICARE ADVANTAGE — MEDICARE: $79.80 ALLWELL MEDICARE ADVANTAGE — MEDICARE: $79.80 ALLWELL PA HEALTH & WELLNESS MEDICARE ADVANTAGE — MEDICARE: $79.80 ALLY ALIGN CARE ADV — MEDICARE: $79.80
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR Colonscopy Colorectal Cancer Screening Non High Risk Patient	Not listed in the file	$405	$58.47 – $364.50
Screening colonoscopy (not high risk): 10 of 472 insurance plan rates ADVANTRA FREEDOM MEDICARE ADVANTAGE — MEDICARE: $79.80 AETNA — AETNA: $146.15 AETNA DOMESTIC — AETNA: $146.15 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $79.80 AETNA MEDICARE ASSURE PREMIER HMO D-SNP — MEDICARE: $79.80 AETNA MEDICARE TRANSPLANT — MEDICARE: $79.80 ALIGN SENIOR CARE — MEDICARE: $79.80 ALIGNMENT HEALTH PLAN MEDICARE ADVANTAGE — MEDICARE: $79.80 ALLWELL MEDICARE ADVANTAGE — MEDICARE: $79.80 ALLWELL PA HEALTH & WELLNESS MEDICARE ADVANTAGE — MEDICARE: $79.80
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Colonoscopy Colorectal Cancer Screening Non High Risk Patient (Restricted Method II CAH)	Not listed in the file	$4,348.66	$2.45 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Gallbladder removal by laparoscope CPT 47562 · Inpatient (hospital stay) · Doctor (professional) fee In the file: PR Laparoscopy Surgical Cholecystectomy	$3,611	$3,611	$213.64 – $3,249.90
Gallbladder removal by laparoscope: 10 of 741 insurance plan rates ADVANTRA FREEDOM MEDICARE ADVANTAGE — MEDICARE: $307.17 AETNA — AETNA: $477.84 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $307.17 AFFINITY HEALTH PLAN MEDICAID ADVANTAGE — MEDICAID: $298.54 ALBANY COUNTY CORRECTIONAL FACILITY — MEDICAID: $298.54 ALIGN SENIOR CARE — MEDICARE: $307.17 ALLWELL MEDICAID ADVANTAGE — MEDICAID: $298.54 ALLWELL MEDICARE ADVANTAGE — MEDICARE: $307.17 ALLWELL PA HEALTH & WELLNESS MEDICAID ADVANTAGE — MEDICAID: $298.54 ALLWELL PA HEALTH & WELLNESS MEDICARE ADVANTAGE — MEDICARE: $307.17
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR Laparoscopy Surgical Cholecystectomy	$1,451	$1,451	$31.34 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $1,305.90
Gallbladder removal by laparoscope: 10 of 741 insurance plan rates ADVANTRA FREEDOM MEDICARE ADVANTAGE — MEDICARE: $307.17 AETNA DOMESTIC — AETNA: $477.84 AETNA MEDICAID — MEDICAID: $298.54 AFFINITY HEALTH PLAN MEDICAID ADVANTAGE — MEDICAID: $298.54 ALIGN SENIOR CARE — MEDICARE: $307.17 ALLWELL MEDICARE ADVANTAGE — MEDICARE: $307.17 AMERIGROUP MEDICAID — WELLPOINT MEDICAID: $298.54 AMERIHEALTH CARITAS MEDICAID — MEDICAID: $298.54 AMISH MENNONITE — MEDICAID: $298.54 ANDRIE INC — WORKERS COMP: $313.44
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Cholecystectomy W/Laparoscopy (Restricted Method II CAH)	Not listed in the file	$20,167.45	$18.11 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Gallbladder removal by laparoscope: rates for 1 insurance plan WELLCARE MEDICAID — WELLCARE MEDICAID: $18.11 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Inpatient (hospital stay) · Doctor (professional) fee In the file: PR Repr Init Ing Hernia 5y or Older Reducible	$1,041	$1,041	$169.76 – $1,041.30
Groin (inguinal) hernia repair, age 5 or older: 10 of 741 insurance plan rates AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $245.64 AETNA MEDICARE ASSURE PREMIER HMO D-SNP — MEDICARE: $245.64 ALBANY COUNTY CORRECTIONAL FACILITY — MEDICAID: $181.91 ALIGNMENT HEALTH PLAN MEDICARE ADVANTAGE — MEDICARE: $245.64 ALLWELL PA HEALTH & WELLNESS MEDICARE ADVANTAGE — MEDICARE: $245.64 ALLY ALIGN CARE ADV — MEDICARE: $245.64 AMERICAN HEALTH PLAN — MEDICARE: $245.64 AMERIHEALTH CARITAS MEDICAID — MEDICAID: $181.91 AMERIHEALTH MEDICARE — MEDICARE: $245.64 ANDRIE INC — WORKERS COMP: $250.65
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR Repr Init Ing Hernia 5y or Older Reducible	$1,157	$1,157	$25.07 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $1,041.30
Groin (inguinal) hernia repair, age 5 or older: 10 of 741 insurance plan rates AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $245.64 AETNA MEDICARE ASSURE PREMIER HMO D-SNP — MEDICARE: $245.64 AETNA MEDICARE TRANSPLANT — MEDICARE: $245.64 AFFINITY HEALTH PLAN MEDICAID ADVANTAGE — MEDICAID: $181.91 ALBANY COUNTY CORRECTIONAL FACILITY — MEDICAID: $181.91 ALIGN SENIOR CARE — MEDICARE: $245.64 AMERICAN HEALTH ADVANTAGE OF IDAHO — MEDICARE: $245.64 AMERIGROUP MEDICAID — WELLPOINT MEDICAID: $181.91 AMERIHEALTH CARITAS MEDICAID — MEDICAID: $181.91 ANDRIE INC — WORKERS COMP: $250.65
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Repr Hernia Ing Init >=5yr Bl (Restricted Method II CAH)	Not listed in the file	$17,026.72	$2.45 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $307.25
Groin (inguinal) hernia repair, age 5 or older: rates for 1 insurance plan WELLCARE MEDICAID — WELLCARE MEDICAID: $2.92 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Cataract removal with lens implant CPT 66984 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PR Rem Cataract Extracapsular Insert Intraocular Lens Prosth Man/Mech Tech	Not listed in the file	$8,396.15	$2.45 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Cataract removal with lens implant: rates for 1 insurance plan WELLCARE MEDICAID — WELLCARE MEDICAID: $2.45 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)

Source: St Marys Good Samaritan Hospital’s standard charges file (hpt.trinity-health.org, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on March 31, 2026; retrieved November 1, 2026. The hospital’s price transparency page →

Found through the hospital’s cms-hpt.txt file, as required by the federal hospital price transparency rule (CMS). We show a selection of common services; the file has every item and service.

Hospital information

Hospital type	Critical Access Hospital
Address	5401 Lake Oconee Parkway, Greensboro, GA 30642
County	Greene County
State	Georgia
Phone	(706) 453‑7331
Emergency services	Yes
Ownership	Proprietary
Medicare overall rating	4 of 5 stars
CMS Certification Number	111329
Name in Medicare records	ST MARYS GOOD SAMARITAN HOSPITAL
Profile level	Medicare data + hospital website
Official website	stmaryshealthcaresystem.org
Corrections	Report an error or suggest an update →

Sources

Hospital General Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-07-22, retrieved 2026-10-29
Medicare Care Compare — official Medicare profile of this hospital
U.S. Census Bureau Geocoder — map position used for distances

From the hospital’s website

Numbers match the citations above. Checked 2026-10-30.

St. Mary's Good Samaritan Hospital — stmaryshealthcaresystem.org
Visitor Information | St. Mary's Health Care System — stmaryshealthcaresystem.org
Emergency Care | Trinity Health System — stmaryshealthcaresystem.org