Based on public Medicaid payment data.
Good Samaritan Hospital Of Suffern
Medicaid Provider in Suffern, NY
Type
Organization
Address
255 Lafayette Ave
Suffern, NY 109014846
Phone
8453685000
NPI
1346213469
Procedures
25
Total Claims
223.7K
Patients Served
201.6K
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 | $8.57 | 97,031 | 88,553 |
| Emergency Room Visit | $181.66 | 41,201 | 39,612 |
| Urinalysis & Urine Tests | $1.59 | 25,834 | 24,867 |
| Physical Therapy | $50.88 | 9,696 | 3,372 |
| X-Ray | $5.80 | 8,772 | 8,495 |
| EKG / ECG (Electrocardiogram) | $3.56 | 7,216 | 6,772 |
| CT Scan (Computed Tomography) | $279.19 | 6,193 | 6,076 |
| Psychiatric Evaluation | $191.50 | 5,313 | 3,357 |
| Prescription Medications | $0.15 | 5,189 | 4,695 |
| Pathology & Lab Services | $36.85 | 4,323 | 4,249 |
| Ultrasound | $120.60 | 3,773 | 3,548 |
| Office Visit | $166.78 | 2,299 | 2,068 |
| Culture & Microbiology Tests | $1.27 | 1,996 | 1,950 |
| Mammogram | $58.18 | 1,149 | 1,149 |
| Home Health Visit | $155.00 | 901 | 235 |
| Chemotherapy | $39.66 | 826 | 678 |
| Pulmonary Function Test | $2.96 | 608 | 560 |
| Upper Endoscopy (EGD) | $740.97 | 542 | 537 |
| Sleep Study (Polysomnography) | $111.52 | 260 | 259 |
| Hearing Test (Audiometry) | $33.00 | 204 | 204 |
| Colonoscopy | $927.29 | 166 | 165 |
| MRI (Magnetic Resonance Imaging) | $301.47 | 97 | 95 |
| Vaccines & Immunizations | $5.88 | 91 | 87 |
| Echocardiogram | $259.03 | 28 | 28 |
| Speech Therapy | $115.94 | 25 | 12 |
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