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 (93650) $26,967 $35,956 3.3×
Airway inhalation treatment (94640) $214.50 $286 0.9×
Analyze neurostim simple (95971) $1,821.75 $2,429 18.3×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $276.75 $369 19.3×
Bedside Swallowing Eval (92610) $675 $900 8.0×
Behavioral and qualitative analysis of voice and resonance (92524) $4,161.75 $5,549 38.0×
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,W Left Heart Ventriculography (93458) $26,054.25 $34,739 7.7×
Cbt 1st hour (94644) $472.50 $630 3.4×
Chemo IV push addl drug (96411) $591 $788 7.9×
Chemother, IV infusion, 1 hr (96413) $1,277.25 $1,703 3.7×
Chemother, IV infusion, ea add hr (96415) $495.75 $661 6.6×
Chemotherapy into cns (96450) $1,261.50 $1,682 3.7×
Color/duplex Doppler, complete (93975) $3,920.25 $5,227 15.7×
Color/duplex Doppler, limited (93976) $3,108 $4,144 28.5×
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 (94660) $3,066 $4,088 13.4×
Cpt initial (94667) $239.25 $319 1.7×
Critical care (99291) $9,324.75 $12,433 10.8×
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) $2,364.75 $3,153 9.5×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $1,753.50 $2,338 16.1×
Dup-Scan Uxtr Art/Artl Bpgs Compl Bi Study (93930) $1,867.50 $2,490 7.5×
Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) $1,929 $2,572 17.7×
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 extracranial art compl bi study (93880) $2,861.25 $3,815 11.5×
Duplex Scan Hemodialysis Access (93990) $1,053.75 $1,405 9.7×
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 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 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 greater than 1 hour (95813) $2,459.25 $3,279 10.9×
EKG rhythm strip (93041) $1,180.50 $1,574 19.2×
Electrocardiogram Tracing (93005) $842.25 $1,123 13.7×
Electroencephalogram Extend Monitoring 41-60 Min (95812) $1,953.75 $2,605 8.7×
Electrophysiologic Follow-Up W/Pac/Rec W/Arrhyt (93624) $11,744.25 $15,659 1.4×
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 Analyze Pacer Sys (93724) $2,253.75 $3,005 7.0×
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) $1,248 $1,664 14.2×
Er level ii (99282) $2,970.75 $3,961 18.5×
Er level iii (99283) $3,632.25 $4,843 12.7×
Er level IV (99284) $5,733.75 $7,645 13.2×
Er level v (99285) $6,061.50 $8,082 9.7×
Eval speech sound production (92522) $1,578 $2,104 14.1×
Eval to use/fit voice prosth (92597) $551.25 $735 7.7×
Evaluate Pt Use Of Inhaler (94664) $208.12 $277.50 0.9×
Evaluation of speech fluency (92521) $4,967.62 $6,623.50 37.3×
External Ecg Scanning Analysis Report (93226) $1,387.50 $1,850 22.5×
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×
Hemodialysis (90935) $1,766.25 $2,355 2.5×
Holter Monitor (93225) $1,387.50 $1,850 10.0×
Immunization Admin (90471) $302.25 $403 4.0×
Induction of arrhythmia by electrical pacing (93618) $17,091 $22,788 13.4×
Ins swan ganz bedside (93503) $9,793.50 $13,058 6.0×
Intra Atrial Recording (93602) $12,100.50 $16,134 1.5×
Intra-atrial pacing (93610) $12,053.25 $16,071 1.5×
IV infusion hydration each additional hour (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, therap/proph/diagnost,initial,1st hour (96365) $537 $716 2.4×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $277.88 $370.50 5.7×
IV push ea addl new drug (96375) $532.12 $709.50 10.9×
IV push initial (96374) $558 $744 2.5×
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×
Manual therapy 15 min (97140) $426 $568 15.4×
Massage 15 min (97124) $320.25 $427 10.8×
Mechanical chest wall oscillation (94669) $406.03 $541.37 1.8×
Mechanical traction (97012) $177.75 $237 12.4×
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 Fluor Eval Swlng Funcj C/V Rec (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-Invas Physiologic Std Extremity Art 2 Level (93922) $1,461 $1,948 10.5×
Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) $557.25 $743 4.1×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (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 Orthotics/Prosth Mgmt &/Trainj Sbsq Enctr 15 Min (97763) $169.50 $226 3.4×
Ot re-evaluation (97168) $829.50 $1,106 12.1×
Ot therapeutic activity 15 min (97530) $193.88 $258.50 5.5×
Paraffin bath pt (97018) $64.88 $86.50 10.8×
Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) $840.75 $1,121 3.7×
Peritoneal Dialysis (90945) $2,730 $3,640 6.3×
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) $575.25 $767 4.1×
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×
Programming device evaluation (in person) with iterative adjustment of the implantable device to test the function of… (93282) $596.25 $795 15.3×
Prq balloon valvuloplasty aortic valve (92986) $33,963 $45,284 5.7×
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 45 min (97163) $888.75 $1,185 9.1×
Pt eval low complex 20 min (97161) $1,023 $1,364 10.5×
Pt eval mod complex 30 min (97162) $943.50 $1,258 9.6×
Pt gait training 15 min (97116) $305.25 $407 10.5×
Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $478.12 $637.50 14.6×
Pt re-evaluation (97164) $711.75 $949 10.5×
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $237.75 $317 7.3×
Pt Whirlpool Therapy (97022) $1,106.62 $1,475.50 70.5×
Pulm function test by gas (94727) $1,283.25 $1,711 5.7×
Pulmonary Service/Procedure (94799) $1,547.25 $2,063 11.5×
R & l hrt cath w/njx l ventriculog img s&i (93453) $18,277.50 $24,370 5.4×
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/Injec Hrt Art/Grft& L Vent I (93461) $40,205.25 $53,607 11.9×
R&l hrt art/ventricle angio (93460) $36,886.50 $49,182 10.9×
Right heart cath (93451) $19,738.50 $26,318 5.8×
Rt Chest Wall Manipulation,Subsequent (94668) $289.50 $386 2.1×
Somatosensory testing (95938) $4,677.75 $6,237 5.2×
Speech sound lang comprehen (92523) $4,620.38 $6,160.50 20.4×
Spirometry (94010) $475.50 $634 2.1×
Stress echo (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×
Tte w/doppler, complete (93306) $11,496 $15,328 20.1×
Tte W/O Doppler Complete - Tte Complete No Doppler No Color (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) $852.75 $1,137 11.2×
Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) $244.50 $326 2.9×
Unlisted Cardiovascular Service/Procedure (93799) $6,141 $8,188 45.7×
Upr/lxtr art stdy 3+ lvls (93923) $3,445.88 $4,594.50 15.3×
Vasc Duplex Scan Extracranial,Limited (93882) $1,919.25 $2,559 17.6×
Vasc Non-Invasive Lower Extrem Art Stress/Rest, Complete,Bilateral (93924) $1,525.88 $2,034.50 6.8×
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×