Procedures & surgery prices at Pih Health Good Samaritan Hospital

Los Angeles, CA · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) $850 $850 2.2×
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) $850 $850 2.2×
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) $850 $850 2.2×
Blood Transfusion Service (36430) $2,520 $2,520 4.4×
Catheter aspiration nasotracheal spx (31720) $341 $341 1.2×
Collection of venous blood by venipuncture (36415) $90 $90 9.6×
Epidural Blood Patch (62273) $2,550 $2,550 2.8×
Fetal non-stress test (59025)
range across 2 matching MRF lines		 $700–$1,220 $700–$1,220 varies
Fine needle aspiration without imaging guidance (10021) $297 $297 0.6×
Injection 1 tendon sheath/ligament aponeurosis (20550) $520 $520 1.3×
Injection single/mlt trigger point 1/2 muscles (20552) $520 $520 1.3×
Ins Vag Brachytx Device (57156) $1,323 $1,323 3.4×
Insj prph ctr vad w/subq port age 5 yr/> (36571) $2,586 $2,586 0.6×
Ndl Emg Stds Emg Anal/Urtl Sphnctr Any Tq (51785) $591 $591 1.8×
Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) $720.24 $720.24 1.7×
Perm Occlusion/Embolization,Percut,Cns (61624) $14,260 $14,260 0.6×
Prim art mech thrombectomy (37184)
unusually low: confirm this is the full procedure		 $8,141 $8,141 0.3×
Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Externl (47533) $7,835 $7,835 1.7×
Pseudoaneurysm Injection Trt (36002) $457 $457 0.6×
Rem Endovas Vena Cava Filter (37193) $7,245 $7,245 1.8×
Reposition Venous Catheter (36597) $3,209.50 $3,209.50 1.6×
Therapeutic plasma exchange (36514)
range across 2 matching MRF lines		 $250–$383 $250–$383 varies
Thromblytic art/ven therapy (37213) $1,965 $1,965 0.5×
Transperineal Plmt Ndl/Caths Prostate Radj Insj (55875) $23,332 $23,332 3.4×
Venous Mech Thrombectomy (37187) $8,141 $8,141 0.5×

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.