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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ProcedurePosted cashPosted gross× Medicare
Ablate Heart Dysrhythm Focus (93650) $26,967 $35,956 3.3×
Airway Inhalation Treatment (94640)
range across 4 matching MRF lines
$169.50–$252 $226–$336 varies
Analyze Neurostim Simple (95971) $1,821.75 $2,429 18.3×
Analyze Pacemaker System (93724) $2,253.75 $3,005 7.0×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035)
range across 4 matching MRF lines
$238.50–$315 $318–$420 varies
Arrhythmia Induction (93618) $17,091 $22,788 13.4×
Behavral qualit analys voice (92524)
range across 4 matching MRF lines
$1,578–$6,879.75 $2,104–$9,173 varies
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $2,268.75 $3,025 5.8×
Bundle of his recording (93600) $12,725.25 $16,967 1.6×
Cardiac Stress Tst,Tracing Only (93017) $2,786.25 $3,715 12.4×
Cardiopulmonary resuscitation (92950) $2,265 $3,020 10.0×
Cardioversion (92960) $3,304.50 $4,406 4.8×
Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) $36,886.50 $49,182 10.9×
Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) $26,054.25 $34,739 7.7×
Cbt 1st hour (94644) $472.50 $630 3.4×
Chemo IV infusion addl hr (96415) $495.75 $661 6.6×
Chemo IV push addl drug (96411) $591 $788 7.9×
Chemotherapy Into Cns (96450) $1,261.50 $1,682 3.7×
Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) $1,277.25 $1,703 3.7×
Chest Wall Manipulation (94668) $289.50 $386 2.1×
Color/duplex Doppler, complete (93975) $3,920.25 $5,227 15.7×
Color/duplex Doppler, limited (93976) $3,108 $4,144 28.5×
Continuous Pulse Ox (94762) $557.25 $743 4.1×
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 Ventilation Cpap Initiation&Mgmt (94660) $3,066 $4,088 13.4×
Cpt initial (94667) $239.25 $319 1.7×
Critical care first hour (99291) $9,324.75 $12,433 10.8×
Dialysis One Evaluation (90945)
range across 3 matching MRF lines
$1,255.50–$3,408.75 $1,674–$4,545 varies
Dup-scan aorta ivc iliac vascl/bpgs complete (93978) $3,117.75 $4,157 12.5×
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) $1,912.50 $2,550 17.5×
Dup-scan lxtr art/artl bpgs compl bi study (93925)
range across 3 matching MRF lines
$2,343–$2,523 $3,124–$3,364 varies
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $1,753.50 $2,338 16.1×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $4,098 $5,464 16.4×
Dup-scan xtr veins unilateral/limited study (93971) $3,216 $4,288 29.5×
Duplex Scan Hemodialysis Access (93990) $1,053.75 $1,405 9.7×
Duplex up extrem art bilat (93930)
range across 6 matching MRF lines
$1,624.50–$2,040.75 $2,166–$2,721 varies
Duplex up extrem art unilat/ltd (93931) $1,929 $2,572 17.7×
Echo Heart Xthoracic,Limited (93308) $3,817.50 $5,090 15.3×
Echo transesophageal (93312) $8,495.25 $11,327 14.9×
Echo Transesophageal - Congenital Tee Complete (93315) $8,656.50 $11,542 15.2×
Eeg 41-60 Minutes (95812) $1,953.75 $2,605 8.7×
EEG awake and asleep (95819) $1,726.50 $2,302 7.7×
EEG awake drowsy (95816) $2,067.75 $2,757 9.2×
EEG cerebral death evaluation (95824) $2,199.75 $2,933 5.6×
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 Sleep Only (95822) $1,506 $2,008 6.7×
Electrocardiogram Tracing (93005)
range across 5 matching MRF lines
$754.50–$988.50 $1,006–$1,318 varies
Electrophysiologic Follow-Up W/Pac/Rec W/Arrhyt (93624) $11,744.25 $15,659 1.4×
Emergency Dept Visit Level 2 (99282) $2,970.75 $3,961 18.5×
Emergency Dept Visit Level 3 (99283) $3,632.25 $4,843 12.7×
Emergency Dept Visit Level 4 (99284) $5,733.75 $7,645 13.2×
Endomyocardial Biopsy (93505) $8,331.75 $11,109 2.5×
Ep & ablate supravent arrhyt (93653) $35,911.50 $47,882 1.3×
Ep & ablate ventric tachy (93654) $27,647.25 $36,863 1.0×
Ep Compre Electrophysiologic Arrhythmia Induction (93620) $25,530 $34,040 3.1×
Ep Compre Electrophysiologic W/O Arrhyt Induction (93619) $23,355.75 $31,141 2.9×
Er level 1 (99281)
range across 3 matching MRF lines
$337.50–$1,248 $450–$1,664 varies
Er level v (99285) $6,061.50 $8,082 9.7×
Evaluate pt use of inhaler (94664)
range across 4 matching MRF lines
$191.25–$225 $255–$300 varies
Evaluate Speech Production (92522) $1,578 $2,104 14.1×
Evaluate Swallowing Function (92610)
range across 9 matching MRF lines
$288.75–$2,705.25 $385–$3,607 varies
Evaluation of speech fluency (92521)
range across 4 matching MRF lines
$1,986.75–$7,949.25 $2,649–$10,599 varies
External Ecg Scanning Analysis Report (93226) $1,387.50 $1,850 22.5×
Extracranial Bilat Study (93880) $2,861.25 $3,815 11.5×
Extracranial Uni/Ltd Study (93882) $1,919.25 $2,559 17.6×
Flexible endoscopic eval swallow c/v rec (92612) $785.25 $1,047 3.9×
Gastroesophag reflx test w/telemtry ph eltrd (91035) $2,688 $3,584 3.0×
Heart catheterization, both sides, with coronary and bypass graft angiography (93461) $40,205.25 $53,607 11.9×
Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) $1,766.25 $2,355 2.5×
Holter monitor recording (93225) $1,387.50 $1,850 10.0×
Immunization administration (90471)
range across 4 matching MRF lines
$149.25–$363 $199–$484 varies
Insert/Place Heart Catheter (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 infusion hydration each additional hour (96361)
range across 5 matching MRF lines
$252–$396 $336–$528 varies
IV infusion hydration initial 31 min-1 hour (96360)
range across 4 matching MRF lines
$483–$870.75 $644–$1,161 varies
IV infusion ther proph addl sequential to 1 hr (96367)
range across 5 matching MRF lines
$264.75–$399.75 $353–$533 varies
IV infusion therapy prophylaxis/dx ea hour (96366)
range across 4 matching MRF lines
$252–$387 $336–$516 varies
IV push initial (96374)
range across 5 matching MRF lines
$443.25–$755.25 $591–$1,007 varies
L Hrt Art/Grft Angio (93459) $30,993 $41,324 9.2×
Liver Elastography W/O Imag W/I&R (91200) $500.25 $667 3.7×
Lwr Xtr Vasc Stdy Bilat (93924)
range across 2 matching MRF lines
$1,470.75–$1,581 $1,961–$2,108 varies
Mechanical chest wall oscillation per session (94669) $406.03 $541.37 1.8×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $91.50 $122 2.9×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $99 $132 2.7×
Medical nutrition therapy grp2/ indiv ea 30 mi (97804) $85.50 $114 5.0×
Motility study esophagus (91010) $2,658.75 $3,545 6.8×
Motion Fluoroscopy/Swallow (92611)
range across 8 matching MRF lines
$988.50–$5,478 $1,318–$7,304 varies
Multiple Sleep Latency Test (95805)
range across 2 matching MRF lines
$6,395.25–$6,744 $8,527–$8,992 varies
Nasopharyngoscopy (92511) $531.75 $709 2.6×
Neuromuscular Reeducation (97112)
range across 8 matching MRF lines
$405.75–$611.25 $541–$815 varies
Oral Function Therapy (92526)
range across 7 matching MRF lines
$81.75–$329.25 $109–$439 varies
Oral Speech Device Eval (92597) $551.25 $735 7.7×
Orthc/Prostc Mgmt Sbsq Enc (97763) $169.50 $226 3.4×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $181.50 $242 3.9×
Ot eval high complexity (97167) $873 $1,164 8.7×
Ot Eval Low Complex (97165) $1,023 $1,364 10.2×
Ot Eval Moderate Complexity (97166) $874.50 $1,166 8.7×
Ot manual therapy 15 min (97140)
range across 10 matching MRF lines
$255.75–$681 $341–$908 varies
Ot paraffin bath (97018)
range across 4 matching MRF lines
$60–$69.75 $80–$93 varies
Ot Re-Eval Est Plan Care (97168) $829.50 $1,106 12.1×
Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) $840.75 $1,121 3.7×
Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920) $56,386.50 $75,182 9.5×
Perq Trluml Revsc Chrnc Tot Occls 1 C Art Antgrd (92943) $96,864 $129,152 8.0×
Phlebotomy therapeutic (99195)
range across 2 matching MRF lines
$312.75–$837.75 $417–$1,117 varies
Pm device eval in person (93288) $552 $736 14.2×
Pm device progr eval dual (93280) $573.75 $765 14.7×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $12,897 $17,196 14.4×
Polysom Any Age Sleep Stage 1-3 Addl Param Attnd (95808) $10,565.25 $14,087 11.8×
Prgrmng Dev Eval Implantable in Persn 1 Ld Dfb (93282) $596.25 $795 15.3×
Prq Card Stent W/Angio 1 Vsl (92928) $83,151 $110,868 6.9×
Prq Revasc Byp Graft 1 Vsl (92937) $40,774.50 $54,366 3.4×
Prq trluml pulmonary art balloon angiop 1 vsl (92997) $64,644 $86,192 5.4×
Pt Eval High Complex (97163) $888.75 $1,185 9.1×
Pt eval low complex 20 min (97161) $1,023 $1,364 10.5×
Pt Eval Mod Complex (97162) $943.50 $1,258 9.6×
Pt gait training 15 min (97116)
range across 5 matching MRF lines
$305.25–$515.25 $407–$687 varies
Pt mechanical traction (97012)
range across 4 matching MRF lines
$167.25–$188.25 $223–$251 varies
Pt Re-Eval Est Plan Care (97164) $711.75 $949 10.5×
Pulm function test by gas (94727) $1,283.25 $1,711 5.7×
Pulmonary service/procedure (94799)
range across 4 matching MRF lines
$1,458.75–$1,635.75 $1,945–$2,181 varies
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 Cath W/Ventriclgrphy (93453) $18,277.50 $24,370 5.4×
Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) $1,180.50 $1,574 19.2×
Right Heart Cath (93451) $19,738.50 $26,318 5.8×
Self Care Mngment Training (97535)
range across 10 matching MRF lines
$188.25–$299.25 $251–$399 varies
Somatosensory Testing (95938) $4,677.75 $6,237 5.2×
Speech sound lang comprehen (92523)
range across 4 matching MRF lines
$1,849.50–$7,393.50 $2,466–$9,858 varies
Spirometry (94010) $475.50 $634 2.1×
Stress Tte Only (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 Ea Addl 15 Min (97130) $143.25 $191 6.8×
Ther Px 1/> Areas Each 15 Minutes Massage (97124)
range across 10 matching MRF lines
$267–$382.50 $356–$510 varies
Ther/Proph/Diag Inj Sc/Im (96372)
range across 7 matching MRF lines
$127.50–$256.50 $170–$342 varies
Ther/Proph/Diag Iv Inf Init (96365)
range across 5 matching MRF lines
$397.50–$700.50 $530–$934 varies
Therapeutic Activities (97530)
range across 8 matching MRF lines
$161.25–$225 $215–$300 varies
Tilt table test with heart rhythm and blood pressure monitoring (93660) $5,223.75 $6,965 13.4×
Tte w/doppler, 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 Speech Lang Voice Commj &/Auditory Proc Ind (92507)
range across 11 matching MRF lines
$181.50–$3,411.75 $242–$4,549 varies
Tx/Pro/Dx Inj New Drug Addon (96375)
range across 4 matching MRF lines
$443.25–$690.75 $591–$921 varies
Unlisted cardiovascular service/procedure (93799) $6,141 $8,188 45.7×
Upr/L Xtremity Art 2 Levels (93922)
range across 3 matching MRF lines
$1,122.75–$1,477.50 $1,497–$1,970 varies
Upr/Lxtr Art Stdy 3+ Lvls (93923)
range across 4 matching MRF lines
$2,948.25–$3,696.75 $3,931–$4,929 varies
Valvuloplasty aortic valve (92986) $33,963 $45,284 5.7×
Veeg 2-12 hr unmonitored (95711) $4,814.25 $6,419 21.4×
Veeg Ea 12-26 Hr Unmntr (95714) $4,814.25 $6,419 12.4×
Vent Mgmt Inpat Init Day (94002) $5,320.50 $7,094 8.2×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $5,321.25 $7,095 8.2×
Vital capacity, total (94150) $333 $444 2.5×
Whirlpool Therapy (97022)
range across 16 matching MRF lines
$345–$2,352.75 $460–$3,137 varies

A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.