Visits & medical services prices at Good Samaritan Medical Center

West Palm Beach, FL · every code in this section with a posted price and a Medicare benchmark.

156 codes. Prices are the hospital's own posted facility charges.

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ProcedureCash priceGross charge× Medicare
Ablation av node w/wo (93650) $26,967 $35,956 3.3×
Aerosol inhalation pentamidine (94642) $840.75 $1,121 3.7×
Airway inhalation treatment (94640) $214.50 $286 0.9×
Analyze neurostim simple (95971) $1,821.75 $2,429 18.3×
Analyze pacemaker system (93724) $2,253.75 $3,005 7.0×
Behavioral & qualit analysis voice and resonance (92524) $4,161.75 $5,549 38.0×
Bundle of his recording (93600) $12,725.25 $16,967 1.6×
Cardiac stress test (93017) $2,786.25 $3,715 12.4×
Cardiovascular procedure unlisted (93799) $6,141 $8,188 45.7×
Cardioversion elective external (92960) $3,304.50 $4,406 4.8×
Carotid duplex scan; bilat (93880) $2,861.25 $3,815 11.5×
Carotid duplex scan; unil/limit (93882) $1,919.25 $2,559 17.6×
Chemo cns (intrathecal) w lp (96450) $1,261.50 $1,682 3.7×
Chemo IV infusion addl hr (96415) $495.75 $661 6.6×
Chemother, IV infusion, 1 hr (96413) $1,277.25 $1,703 3.7×
Chemother, IV push,ea add drug (96411) $591 $788 7.9×
Color/duplex Doppler, complete (93975) $3,920.25 $5,227 15.7×
Color/duplex Doppler, limited (93976) $3,108 $4,144 28.5×
Compre electrophysiologic arrhythmia induction (93620) $25,530 $34,040 3.1×
Compre electrophysiologic w/o arrhyt induction (93619) $23,355.75 $31,141 2.9×
Continuous inhalation tx, 1st hr (94644) $472.50 $630 3.4×
Coronary art/grft angio s&i (93455) $28,821.75 $38,429 8.5×
Coronary artery angio s&i (93454) $25,662 $34,216 7.6×
Cpap/bipap daily (94660) $3,066 $4,088 13.4×
Cpr (92950) $2,265 $3,020 10.0×
Cpt initial (94667) $239.25 $319 1.7×
Cpt subsequent (94668) $289.50 $386 2.1×
Critical care first hour (99291) $9,324.75 $12,433 10.8×
Duplex a ivc il/bpg; compl (93978) $3,117.75 $4,157 12.5×
Duplex a ivc il/bpg; unil/lim (93979) $1,912.50 $2,550 17.5×
Duplex ext veins; bilat (93970) $4,098 $5,464 16.4×
Duplex hemodialysis access (93990) $1,053.75 $1,405 9.7×
Duplex le art/bpg; bilat (93925) $2,364.75 $3,153 9.5×
Duplex le art/bpg; unil/limit (93926) $1,753.50 $2,338 16.1×
Duplex ue art/bpg; bilat (93930) $1,867.50 $2,490 7.5×
Duplex ue art/bpg; unil/limit (93931) $1,929 $2,572 17.7×
Duplex venous ext unilat/lmtd (93971) $3,216 $4,288 29.5×
ECG monit/reprt up to 48 hrs (93226) $1,387.50 $1,850 22.5×
ECG up to 48 hrs recording (93225) $1,387.50 $1,850 10.0×
Echo transesophageal (93312) $8,495.25 $11,327 14.9×
EEG awake & asleep (95819) $1,726.50 $2,302 7.7×
EEG awake/drowsy (95816) $2,067.75 $2,757 9.2×
EEG cerebral death eval (95824) $2,199.75 $2,933 5.6×
EEG coma or sleep only (95822) $1,506 $2,008 6.7×
EEG cont rec w/video by tech min 8 channels (95700) $4,814.25 $6,419 21.4×
EEG extended monitoring 61-119 minutes (95813) $2,459.25 $3,279 10.9×
Eeg,Extended Monitoring,41-60 Minutes - Eeg (95812) $1,953.75 $2,605 8.7×
EKG rhythm strip (93041) $1,180.50 $1,574 19.2×
Electrocardiogram (93005) $842.25 $1,123 13.7×
Electrophysiologic follow-up study with pacing and recording to test effectiveness of therapy, including induction or… (93624) $11,744.25 $15,659 1.4×
Emergency department visit high mdm (99285) $6,061.50 $8,082 9.7×
Emergency department visit low mdm (99283) $3,632.25 $4,843 12.7×
Emergency department visit may not req phys/qhp (99281) $1,248 $1,664 14.2×
Emergency department visit moderate mdm (99284) $5,733.75 $7,645 13.2×
Emergency department visit straightforward mdm (99282) $2,970.75 $3,961 18.5×
Endomyocardial biopsy (93505) $8,331.75 $11,109 2.5×
Endoscopy swallow (fees) vid (92612) $785.25 $1,047 3.9×
Ep & ablate supravent arrhyt (93653) $35,911.50 $47,882 1.3×
Ep & ablate ventric tachy (93654) $27,647.25 $36,863 1.0×
Esophageal Motility Study (91010) $2,658.75 $3,545 6.8×
Evaluate pt use of inhaler (94664) $208.12 $277.50 0.9×
Evaluate speech production (92522) $1,578 $2,104 14.1×
Evaluation of speech fluency (92521) $4,967.62 $6,623.50 37.3×
Gait training 15 min (97116) $305.25 $407 10.5×
Gas dilut/washout lung vol w/wo distrib vent&vol (94727) $1,283.25 $1,711 5.7×
Gastroesophag reflx test w/telemtry ph eltrd (91035) $2,688 $3,584 3.0×
Hemodialysis procedure w/ phys/qhp evaluation (90935) $1,766.25 $2,355 2.5×
Icd device prog eval, 1 single (93282) $596.25 $795 15.3×
Immunization Admin (90471) $302.25 $403 4.0×
Induction arrhythmia electrical pacing (93618) $17,091 $22,788 13.4×
Injection,Therap/Proph/Diagnost, IV Push, Ea Add, New Drug (96375) $532.12 $709.50 10.9×
Injection,Therap/Proph/Diagnost, IV Push, Initial Drug (96374) $558 $744 2.5×
Insertion flow directed catheter for monitoring (93503) $9,793.50 $13,058 6.0×
Intra-atrial pacing (93610) $12,053.25 $16,071 1.5×
Intra-atrial recording (93602) $12,100.50 $16,134 1.5×
IV hydration each add'l hr (96361) $363 $484 7.4×
IV infusion hydration initial 31 min-1 hour (96360) $781.12 $1,041.50 3.5×
IV infusion ther proph addl sequential to 1 hr (96367) $333 $444 4.4×
IV infusion therapy/prophylaxis /dx 1st to 1 hr (96365) $537 $716 2.4×
IV tx, each additional hour (96366) $277.88 $370.50 5.7×
L Hrt Art/Grft Angio (93459) $30,993 $41,324 9.2×
L Hrt Artery/Ventricle Angio (93458) $26,054.25 $34,739 7.7×
Liver elastography (91200) $500.25 $667 3.7×
Lwr xtr vasc stdy bilat (93924) $1,525.88 $2,034.50 6.8×
Manual therapy ea 15 min (97140) $426 $568 15.4×
Massage therapy ea 15 mins (97124) $320.25 $427 10.8×
Mechanical chest wall oscillation lung function (94669) $406.03 $541.37 1.8×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $91.50 $122 2.9×
Med nutr tx group ea 30 m (97804) $85.50 $114 5.0×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $99 $132 2.7×
Motion fluoroscopic evaluation of swallowing function by cine or video recording Other Outpatient (92611) $2,985.75 $3,981 32.6×
Multiple sleep latency test (95805) $6,569.62 $8,759.50 7.3×
Nasopharyngoscopy (92511) $531.75 $709 2.6×
Non-invasive physiologic study extremity 3 levels (93923) $3,445.88 $4,594.50 15.3×
Oral speech device eval (92597) $551.25 $735 7.7×
Orthotic(s) management and training (including assessment and fitting when not otherwise reported), upper… (97760) $181.50 $242 3.9×
Ot eval high complex 60 min (97167) $873 $1,164 8.7×
Ot eval low complex 30 min (97165) $1,023 $1,364 10.2×
Ot eval mod complex 45 min (97166) $874.50 $1,166 8.7×
Ot mechanical traction (97012) $177.75 $237 12.4×
Ot Orthotics/Prosth Mgmt &/Trainj Sbsq Enctr 15 Min (97763) $169.50 $226 3.4×
Ot re-eval est plan care (97168) $829.50 $1,106 12.1×
Paraffin bath therapy (97018) $64.88 $86.50 10.8×
Pb valvuloplasty; aortoc valve (92986) $33,963 $45,284 5.7×
Peritoneal Dialysis-Outpatient (90945) $2,730 $3,640 6.3×
Phlebotomy therapeutic (99195) $575.25 $767 4.1×
Pm device eval in person (93288) $552 $736 14.2×
Polysom 6/>yrs sleep w/cpap 4/> addl param attnd (95811) $12,897 $17,196 14.4×
Polysomnography; any age, sleep staging with 1-3 additional parameters of sleep, attended by a technologist UNSCHEDULED (95808) $10,565.25 $14,087 11.8×
Program eval implantable in persn dual ld pacer (93280) $573.75 $765 14.7×
Prq trluml coronary angioplasty one art/branch (92920) $56,386.50 $75,182 9.5×
Prq trluml coronary byp grft revasc one vessel (92937) $40,774.50 $54,366 3.4×
Prq trluml coronary stent w/angio one art/brnch (92928) $83,151 $110,868 6.9×
Prq trluml coronry chronic occlus revasc one vsl (92943) $96,864 $129,152 8.0×
Prq trluml pulmonary art balloon angiop 1 vsl (92997) $64,644 $86,192 5.4×
Pt eval high complex 45 min (97163) $888.75 $1,185 9.1×
Pt eval low complex 20 min (97161) $1,023 $1,364 10.5×
Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $478.12 $637.50 14.6×
Pt Physical Therapy Evaluation Mod Complex 30 Mins (97162) $943.50 $1,258 9.6×
Pt re-eval est plan care (97164) $711.75 $949 10.5×
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $237.75 $317 7.3×
Pt Therapeut Actvity Direct Pt Contact Each 15 Min (97530) $193.88 $258.50 5.5×
Pt Whirlpool Therapy (97022) $1,106.62 $1,475.50 70.5×
Pulmonary service/procedure (94799) $1,547.25 $2,063 11.5×
Pulse oximetry continuous (94762) $557.25 $743 4.1×
R hrt art/grft angio (93457) $19,941 $26,588 5.9×
R hrt coronary artery angio (93456) $22,346.25 $29,795 6.6×
R&l hrt art/ventricle angio (93461) $40,205.25 $53,607 11.9×
R&l hrt art/ventricle angio (93460) $36,886.50 $49,182 10.9×
R&l hrt cath w/ventriclgrphy (93453) $18,277.50 $24,370 5.4×
Right heart cath (93451) $19,738.50 $26,318 5.8×
Short-latency somatosens ep std upr & low limbs (95938) $4,677.75 $6,237 5.2×
Slp evaloral pharyngeal swallow function (92610) $675 $900 8.0×
Speech sound lang comprehen (92523) $4,620.38 $6,160.50 20.4×
Spirometry (94010) $475.50 $634 2.1×
Spirometry with bronchodilator (94060) $2,268.75 $3,025 5.8×
Stress echocardiogram (93350) $3,918 $5,224 6.9×
Temp transcutaneous pacing (92953) $1,656.75 $2,209 2.4×
Ther ivntj cog funcj cntct 1st 15 minutes (97129) $375 $500 16.8×
Ther ivntj cog funcj cntct ea addl 15 minutes (97130) $143.25 $191 6.8×
Therapeutic prophylactic/dx injection subq/im (96372) $167.25 $223 2.2×
Tilt table evaluation (93660) $5,223.75 $6,965 13.4×
Transesophageal echocardiography for congenital cardiac anomalies; including probe placement, image acquisition,… (93315) $8,656.50 $11,542 15.2×
Treat swallowing dysfunction (92526) $244.50 $326 2.9×
Tte f-up or lmtd (93308) $3,817.50 $5,090 15.3×
Tte W/Doppler Complete - Tte Complete (93306) $11,496 $15,328 20.1×
Tte w/o doppler complete (93307) $7,365 $9,820 29.6×
Tx atrial fib pulm vein isol (93656) $56,205 $74,940 2.1×
Tx of Speech/Lang/Voice/Comm/Auditory Chg (92507) $852.75 $1,137 11.2×
Ultrasound therapy ea 15 mins (97035) $276.75 $369 19.3×
Upr/l xtremity art 2 levels (93922) $1,461 $1,948 10.5×
Veeg by tech 2-12 hours unmonitored (95711) $4,814.25 $6,419 21.4×
Veeg by tech ea incr 12-26 hr unmonitored (95714) $4,814.25 $6,419 12.4×
Ventilator initial day (94002) $5,320.50 $7,094 8.2×
Ventilator subsequent day (94003) $5,321.25 $7,095 8.2×
Vital capacity total (94150) $333 $444 2.5×