Procedures & surgery prices at St. Mary's Good Samaritan Hospital

Greensboro, GA · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
Abd paracentesis w/imaging (49083) $950.30 $1,462 1.2×
Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) $1,730.95 $2,663 2.2×
Amputation toe interphalangeal joint (28825) $12,218.96 — 4.3×
Apply Multlay Comprs Lwr Leg (29581)
range across 3 matching MRF lines
$290.55–$436.15 $447–$671 varies
Arterial puncture (36600) $68.90 $106 0.6×
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) $1,025.05 $1,577 3.8×
Arthroplasty glenohumeral joint total shoulder (23472) $41,398.92 — 2.7×
Arthroplasty interposition intercarpal or carpometacarpal joints (25447) $38,378.70 — 13.4×
Arthroscopy shoulder distal claviculectomy (29824) $30,134.97 — 10.5×
Arthroscopy shoulder surgical capsulorrhaphy (29806) $22,430.67 — 3.5×
Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882) $23,208.29 — 8.1×
Arthroscopy, shoulder, surgical; biceps tenodesis (29828) $27,498.66 — 4.3×
Arthroscopy, shoulder, surgical; debridement, extensive (29823) $25,130.05 — 8.8×
Arthroscopy, shoulder, surgical; repair of slap lesion (29807) $20,574.92 — 3.2×
Arthroscopy, shoulder, surgical; with rotator cuff repair (29827) $30,141.34 — 4.7×
Arthrp Acetblr/Prox Fem Prostc Agrft/Algrft (27130) $36,189.65 — 3.2×
Arthrs aided ant cruciate ligm rpr/agmntj/rcnstj (29888) $37,871.50 — 6.0×
Arthrs Knee W/Meniscectomy Med&Lat W/Shaving (29880) $16,217.99 — 5.7×
Aspirate pleura w/ imaging (32555)
range across 3 matching MRF lines
$1,084.20–$1,626.30 $1,668–$2,502 varies
Bladder Scan (51798) $124.15 $191 2.4×
Blood Transfusion Service (36430) $1,271.07 — 3.3×
Capsul mttarphlngl jt w/wo tenorrhaphy ea jt spx (28270) $37,268.02 — 13.0×
Cataract surgery complex (66982) $8,775.88 — 4.3×
Chemodenervation of internal anal sphincter (46505) $11,767.96 — 11.2×
Collect Blood From Catheter Venous Nos (36592) $260.65 $401 2.2×
Collection of venous blood by venipuncture (36415) $252.85 — 27.1×
Colonoscopy w/submucosal inj (45381) $6,960.13 — 6.6×
Colsc flx w/removal lesion by hot bx forceps (45384) $5,775.41 — 5.5×
Correction hammertoe (28285) $21,833.21 — 7.6×
Corrj hallux valgus w/sesmdc w/dist metar osteot (28296) $20,665.06 — 7.2×
Debridement subcutaneous tissue 20 sq cm/< (11042) $867.75 $1,335 2.4×
Declot vascular device (36593) $697.45 $1,073 2.4×
Diagnostic sigmoidoscopy (45330) $6,093.07 — 7.5×
Draw Blood Off Venous Device (36591) $83.20 $128 0.7×
Dx lmbr spi pnxr w/fluor/CT (62328) $1,496.30 $2,302 2.4×
Egd Balloon Dilation Esophagus <30 Mm Diam (43249) $6,596.82 — 3.9×
Egd remove lesion snare (43251) $8,803.76 — 5.2×
Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) $14,208.19 — 9.8×
Exc Tumor Soft Tissue Upper Arm/Elbow Subq 3+Cm (24071) $11,014.18 — 4.3×
Excision olecranon bursa (24105) $13,616.54 — 4.7×
Excision tumor soft tissue shoulder subq 3 cm/> (23071) $16,503.11 — 11.4×
Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater (22903) $13,336.15 — 5.2×
Fasct prtl palmar 1 dgt prox iphal jt w/wo rpr (26123) $13,118.01 — 4.6×
Fna bx w/us gdn 1st les (10005) $1,383.85 $2,129 2.2×
Fusion of foot bones (28740) $37,268.02 — 5.9×
Hemorrhoidectomy Ntrnl & Xtrnl 1 Column/Group (46255)
range across 2 matching MRF lines
$14,386.53–$16,400.33 — varies
Hemorrhoidectomy, internal, by rubber band ligation(s) (46221) $7,102.06 — 8.7×
Incise finger tendon sheath (26055) $11,113.47 — 7.9×
Injection, anesthetic agent; femoral nerve, single (64447) $26,199.74 — 42.4×
Insert cath pleura w/ image (32557)
range across 3 matching MRF lines
$1,076.40–$1,614.60 $1,656–$2,484 varies
Insert Heart Pm Ventricular (33207) $32,995.94 — 3.6×
Insert Temp Bladder Cath (51702)
range across 2 matching MRF lines
$72.80–$256.10 $112–$394 varies
Insert tunneled cv cath (36561) $18,741.39 — 6.8×
Insert,Non-Indwelling Bladder Catheter (51701) $256.10 $394 2.2×
Insertion Picc W/Rs&I 5 Yr/> (36573) $2,464.80 $3,792 1.8×
Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) $2,066.35 $3,179 1.5×
Insj/Rplcmt Defib W/Lead(S) (33249) $62,163.95 — 2.3×
Intubation endotracheal emergency procedure (31500) $336.70 $518 1.6×
Laparo-vag hyst incl t/o (58552) $30,065.59 — 3.2×
Laparoscopy Surg Rpr Initial Inguinal Hernia (49650)
range across 2 matching MRF lines
$22,416.32–$22,903.19 — varies
Lateral retinacular release open (27425) $24,503.95 — 8.5×
Manipulation knee joint under general anesthesia (27570) $7,650.97 — 5.4×
Manj W/Anes Shoulder Joint W/Fixation Apparatus (23700)
range across 3 matching MRF lines
$3,214.90–$3,312.40 $4,946–$5,096 varies
Myelography Lumbar Injection (62305) $1,646.45 $2,533 2.4×
Myelography Lumbar Injection (62304) $2,280.85 $3,509 3.3×
Ndsc wrst surg w/rls transvrs carpl ligm (29848) $15,421.70 — 10.9×
Neurp Major Prph Nrv Arm/Leg Opn Oth/Thn Spec (64708) $18,243.02 — 10.7×
Open treatment of clavicular fracture, includes internal fixation, when performed (23515) $31,103.28 — 4.9×
Open Tx Metacarpal Fracture Single Ea Bone (26615) $21,343.43 — 7.4×
Open Tx Phalangeal Shaft Fracture Prox/Middle Ea (26735) $26,800.08 — 9.3×
Osteot w/wo lngth shrt/corrj metar xcp 1st ea (28308) $37,268.02 — 13.0×
Perq sft tiss loc device plmt 1st les w/gdnce (10035)
range across 4 matching MRF lines
$1,413.75–$2,120.95 $2,175–$3,263 varies
Placement of needle for intraosseous infusion (36680) $802.10 $1,234 2.0×
Prtl exc b1 tarsal/metar b1 xcp talus/calcaneus (28122) $17,855.69 — 6.2×
Reconstruct wrist joint (25445) $37,450.98 — 5.9×
Removal Implant Deep (20680) $27,027.68 — 10.6×
Removal subcutaneous cardiac rhythm monitor (33286) $32,995.94 — 53.2×
Remove Tendon Sheath Lesion (26160) $11,616.90 — 8.2×
Remv&replc cvd gen mult lead (33264) $59,658.36 — 2.2×
Remv&replc pm gen dual lead (33228) $29,835.01 — 3.3×
Repair complex scalp/arm/leg 2.6-7.5 cm (13121) $11,014.18 — 30.9×
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) $12,207.97 — 34.3×
Repair intermediate s/a/t/e 2.6-7.5 cm (12032) $14,208.19 — 39.9×
Repair intermediate s/a/t/e 7.6-12.5 cm (12034) $16,509.87 — 46.3×
Repair Tendon/Muscle Upper Arm/Elbow Ea (24341) $28,217.17 — 4.4×
Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) $9,088.10 — 6.6×
Rpr Aa Hernia 1st < 3 Cm Reducible (49591) $14,949.76 — 4.8×
Rpr aa hrn 1st < 3 ncr/strn (49592) $14,461.95 — 2.7×
Sigmoidoscopy, flexible; with biopsy, single or multiple (45331) $5,289.21 — 6.5×
Suture of quadriceps or hamstring muscle rupture primary (27385) $20,224.13 — 3.2×
Tenodesis long tendon biceps (23430) $35,114.12 — 5.5×
Thyroid biopsy (60100) $432.25 $665 0.7×
Total Knee Arthroplasty (27447) $34,271.28 — 3.0×
Treat Fx Rad Extra-Articul (25607) $24,096.70 — 3.8×
Unlisted procedure anus (46999) $15,243.25 — 18.7×

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.