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Based on public Medicaid payment data.

Good Samaritan Hospital Medical Center

Medicaid Provider in West Islip, NY

Type

Organization

Address

1000 Montauk Hwy

West Islip, NY 117954927

Phone

6313763000

NPI

1902865355

Procedures

28

Total Claims

839.7K

Patients Served

751.4K

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 $6.89 362,404 325,792
Emergency Room Visit $151.35 109,609 104,672
Urinalysis & Urine Tests $1.10 78,374 74,662
Office Visit $123.18 69,787 63,728
X-Ray $1.82 38,658 36,943
Ultrasound $118.61 30,166 25,966
EKG / ECG (Electrocardiogram) $1.66 28,073 23,854
Physical Therapy $54.69 26,684 9,577
CT Scan (Computed Tomography) $172.25 26,256 25,426
Prescription Medications $0.59 22,213 19,335
Culture & Microbiology Tests $1.51 13,547 13,127
Pathology & Lab Services $36.91 8,741 8,657
Pulmonary Function Test $26.82 7,212 6,298
Speech Therapy $120.70 5,334 1,602
Chemotherapy $226.65 2,887 2,080
Vaccines & Immunizations $13.66 2,180 2,156
Upper Endoscopy (EGD) $686.56 1,942 1,936
Mammogram $71.53 1,679 1,661
MRI (Magnetic Resonance Imaging) $281.76 1,606 1,595
Sleep Study (Polysomnography) $777.82 1,211 1,209
Echocardiogram $170.98 564 561
Hearing Test (Audiometry) $52.08 215 215
Colonoscopy $681.15 168 165
Cardiac Catheterization $1,661 145 144
Allergy Testing $223.23 28 28
Appendectomy $2,833 13 13
Psychiatric Evaluation $134.32 12 12
Substance Abuse Treatment $40.02 12 12

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