Based on public Medicaid payment data.
Pih Health Good Samaritan Hospital
Medicaid Provider in Los Angeles, CA
Type
Organization
Address
1225 Wilshire Blvd
Los Angeles, CA 900171901
Phone
2139772121
NPI
1508859323
Procedures
17
Total Claims
338.7K
Patients Served
293.2K
About these costs
All amounts reflect Medicaid reimbursement rates, which are typically much lower than private insurance or cash prices. These figures show what state Medicaid programs actually paid this provider per claim.
Procedures & Average Costs
| Procedure | Avg. Paid | Claims | Patients |
|---|---|---|---|
| Blood Work & Lab Tests | $9.70 | 151,317 | 132,780 |
| Urinalysis & Urine Tests | $4.52 | 41,976 | 36,778 |
| X-Ray | $15.72 | 37,541 | 33,272 |
| EKG / ECG (Electrocardiogram) | $20.57 | 30,810 | 25,451 |
| Emergency Room Visit | $85.68 | 24,852 | 21,965 |
| CT Scan (Computed Tomography) | $125.48 | 20,460 | 18,341 |
| Prescription Medications | $6.68 | 8,907 | 7,716 |
| Ultrasound | $42.39 | 6,134 | 5,250 |
| Physical Therapy | $10.52 | 5,727 | 1,621 |
| Culture & Microbiology Tests | $8.15 | 5,605 | 5,120 |
| Vaccines & Immunizations | $12.52 | 2,491 | 2,319 |
| Pulmonary Function Test | $14.35 | 2,265 | 1,987 |
| Pathology & Lab Services | $25.37 | 446 | 424 |
| Echocardiogram | $113.76 | 54 | 54 |
| Durable Medical Equipment (DME) | $17.85 | 43 | 38 |
| Upper Endoscopy (EGD) | $4.12 | 29 | 29 |
| Colonoscopy | $4.02 | 26 | 26 |
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