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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ProcedureCash priceGross charge× 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×
Appl Mlt-Layer Venous Wound Compress Below Knee (29581) $290.55 $447 2.0×
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×
Arthroscopically aided anterior cruciate ligament repair/augmentation or reconstruction (29888) $37,871.50 6.0×
Arthroscopy, knee, surgical; with meniscectomy (medial AND lateral) including chondroplasty (29880) $16,217.99 5.7×
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; capsulorrhaphy (29806) $22,430.67 3.5×
Arthroscopy, shoulder, surgical; debridement, extensive (29823) $25,130.05 8.8×
Arthroscopy, shoulder, surgical; distal claviculectomy including distal articular surface (29824) $30,134.97 10.5×
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×
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 internal anal sphincter (46505) $11,767.96 11.2×
Chg Collect Blood From Catheter Venous Nos (36592) $260.65 $401 2.2×
Colonoscopy flex w/rem forcep (45384) $5,775.41 5.5×
Colsc flx with directed submucosal njx any sbst (45381) $6,960.13 6.6×
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 lumbar spinal puncture w/fluor or CT (62328) $1,496.30 $2,302 2.4×
Diagnostic sigmoidoscopy (45330) $6,093.07 7.5×
Draw blood off venous device (36591) $83.20 $128 0.7×
Egd balloon dilation esophagus <30 mm diam (43249) $6,596.82 3.9×
Egd remove lesion snare (43251) $8,803.76 5.2×
Exc abd les sc 3 cm/> (22903) $13,336.15 5.2×
Exc arm/elbow les sc 3 cm/> (24071) $11,014.18 4.3×
Exc shoulder les sc 3 cm/> (23071) $16,503.11 11.4×
Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) $14,208.19 9.8×
Excis Tendon Sheath Lesion, Hand/Finger (26160) $11,616.90 8.2×
Excision olecranon bursa (24105) $13,616.54 4.7×
Fasct prtl palmar 1 dgt prox iphal jt w/wo rpr (26123) $13,118.01 4.6×
Fine needle aspiration bx w/us gdn 1st lesion (10005) $1,383.85 $2,129 2.2×
Fixation of knee joint (27570) $7,650.97 5.4×
Fixation of shoulder (23700) $3,214.90 $4,946 2.3×
Fusion of foot bones (28740) $37,268.02 5.9×
Hemorrhoidectomy (46255) $15,393.43 6.3×
Incise finger tendon sheath (26055) $11,113.47 7.9×
Incision of metatarsal (28308) $37,268.02 13.0×
Inj,Anes Agent,Femoral Nerve,Single (64447) $26,199.74 42.4×
Ins new/rplc prm pacemaker w/transv eltrd ventr (33207) $32,995.94 3.6×
Insert picc cath (36569) $2,066.35 $3,179 1.5×
Insert Temp Bladder Cath (51702) $164.45 $253 1.4×
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/rplcmt defib w/lead(s) (33249) $62,163.95 2.3×
Intubation endotracheal emergency procedure (31500) $336.70 $518 1.6×
Lap ing hernia repair init (49650) $22,659.76 4.3×
Laparoscopy surgical, with vaginal hysterectomy, for uterus 250 grams or less; with removal of tube(s) and/or ovary(s) (58552) $30,065.59 3.2×
Lateral retinacular release open (27425) $24,503.95 8.5×
Ligation of hemorrhoid(s) (46221) $7,102.06 8.7×
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×
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×
Partial excision of bone; tarsal or metatarsal bone, except talus or calcaneus (28122) $17,855.69 6.2×
Perq Drainage Pleura Insert Cath W/Imaging (32557) $1,076.40 $1,656 0.8×
Perq sft tiss loc device plmt 1st les w/gdnce (10035) $1,413.75 $2,175 2.3×
Placement of needle for intraosseous infusion (36680) $802.10 $1,234 2.0×
Reconstruct wrist joint (25445) $37,450.98 5.9×
Removal Implant Deep (20680) $27,027.68 10.6×
Removal subq cardiac rhythm monitor (33286) $32,995.94 53.2×
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 arm tendon/muscle (24341) $28,217.17 4.4×
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 of thigh musc (27385) $20,224.13 3.2×
Repair wrist joints (25447) $38,378.70 13.4×
Revise arm/leg nerve (64708) $18,243.02 10.7×
Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) $9,088.10 6.6×
Rpr aa hernia 1st < 3 cm ncrc8/strangulated (49592) $14,461.95 2.7×
Rpr aa hernia 1st < 3 cm reducible (49591) $14,949.76 4.8×
Sigmoidoscopy flx w/biopsy single/multiple (45331) $5,289.21 6.5×
Tenodesis long tendon biceps (23430) $35,114.12 5.5×
Thoracentesis Needle/Cath Pleura W/Imaging (32555) $1,084.20 $1,668 2.0×
Thyroid biopsy (60100) $432.25 $665 0.7×
Total hip arthroplasty (27130) $36,189.65 3.2×
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×
Venipuncture (36415) $252.85 27.1×