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Based on public Medicaid payment data.

Good Samaritan Hospital, L.P.

Medicaid Provider in San Jose, CA

Type

Organization

Address

2425 Samaritan Dr

San Jose, CA 951243908

Phone

4085592011

NPI

1437103777

Procedures

14

Total Claims

60.4K

Patients Served

54.7K

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 $11.93 29,204 25,834
Urinalysis & Urine Tests $7.13 8,970 8,490
EKG / ECG (Electrocardiogram) $3.75 6,973 6,318
X-Ray $14.90 6,080 5,795
CT Scan (Computed Tomography) $27.75 3,106 3,020
Prescription Medications $0.82 1,766 1,591
Culture & Microbiology Tests $23.01 1,011 984
Emergency Room Visit $34.70 900 827
Ultrasound $10.94 863 847
Physical Therapy $78.63 777 321
Pulmonary Function Test $14.89 672 626
MRI (Magnetic Resonance Imaging) $17.65 29 29
Vaccines & Immunizations $0.00 28 28
Office Visit $77.16 12 12

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