Good Samaritan Hospital

Vincennes, Indiana · Acute Care · Voluntary non-profit - Other · CCN 150042

180%
median commercial rate vs. Medicare here
82nd
highest of 96 Indiana hospitals, by median rate vs. Medicare
107
procedures with published commercial rates
33¢
of every charged dollar is cost, on this hospital’s own federal cost report
ProcedureCommercial medianMedicare% of MedicareEst. cost*Plan rates
Acute myocardial infarction, discharged alive, with MCCMS-DRG 280$19,698$11,643169%—8
Bariatric (obesity) surgery, no CC/MCCMS-DRG 621$18,184$8,272220%—8
Basic metabolic panelCPT 80048$94$81117%~$4121
COPD with MCCMS-DRG 190$13,602$7,377184%—8
CT abdomen and pelvis with contrastCPT 74177$2,908$369788%~$1,34021
CT head without contrastCPT 70450$1,111$1111005%~$47421
CT pelvis with contrastCPT 72193$1,290$186695%~$55421
Cardiac arrhythmia, no CC/MCCMS-DRG 310$6,901$3,269211%—8
Cardiac stress testCPT 93017$1,157$228506%$49520
Cardiac valve surgery with cardiac cath, with MCCMS-DRG 216$119,128———8
Cataract surgery with IOL insertionCPT 66984$3,663$2,442150%—7
Cellulitis, no MCCMS-DRG 603$10,694$6,503164%—8
Cervical spinal fusion, no CC/MCCMS-DRG 473$29,441$16,343180%—8
Cesarean section, no CC/MCCMS-DRG 788$11,387———8
Cesarean section, with CCMS-DRG 787$13,320———8
Chest painMS-DRG 313$8,789———8
Colonoscopy with biopsyCPT 45380$1,899$1,266150%—9
Colonoscopy with endoscopic ultrasoundCPT 45391$1,583$1,266125%—8
Colonoscopy with polyp removalCPT 45385$1,899$1,266150%—9
Colonoscopy, diagnosticCPT 45378$1,476$984150%—11
Complete blood count with differentialCPT 85025$76$8981%~$3321
Complete blood count, automatedCPT 85027$10$6150%—7
Comprehensive metabolic panelCPT 80053$146$111378%~$6221
Coronary bypass without cardiac cath, no MCCMS-DRG 236$50,866$29,950170%—8
Diagnostic mammography, both breastsCPT 77066$447——~$19221
Diagnostic mammography, one breastCPT 77065$338——~$14521
ED visit, level 3CPT 99283$797$289276%$34221
ED visit, level 4CPT 99284$1,111$441252%$47721
ED visit, level 5CPT 99285$1,789$630284%$76520
Echocardiogram, completeCPT 93306$2,329$578403%$99620
Electrocardiogram with interpretationCPT 93000$35———1
Epidural injection, lumbar/sacral, no imagingCPT 62322$863$93692%$35721
Esophagitis/GI disorders, no MCCMS-DRG 392$9,572$5,700168%—8
Excision of breast lesionCPT 19120$3,207$4,14377%$1,32821
Family psychotherapy, with patientCPT 90847$282$188150%—5
Family psychotherapy, without patientCPT 90846$282$188150%—5
Group psychotherapyCPT 90853$161$107150%—5
Heart failure and shock, with CCMS-DRG 292$10,425$5,927176%—8
Heart failure with MCCMS-DRG 291$15,765$9,426167%—8
Hip and femur procedures except major joint, with CCMS-DRG 481$25,566$15,532165%—8
Hysterectomy, no CC/MCCMS-DRG 743$14,931$10,098148%—8
Inguinal hernia repair, age 5+CPT 49505$3,144$3,78883%—8
Kidney and urinary tract infections, no MCCMS-DRG 690$9,886$5,633176%—8
Kidney function panelCPT 80069$60$9694%~$2621
Knee arthroscopy with meniscectomyCPT 29881$3,181$3,46292%—8
Laparoscopic cholecystectomyCPT 47562$9,594$6,396150%—10
Laparoscopic cholecystectomy, no CC/MCCMS-DRG 419$16,423$8,977183%—8
Laparoscopic radical prostatectomyCPT 55866$16,870$11,246150%—7
Left heart catheterization, diagnosticCPT 93452$8,905$3,430260%$3,82221
Lipid panelCPT 80061$165$131229%~$7121
Liver function panelCPT 80076$59$8718%~$2521
Lumbar epidural steroid injectionCPT 62323$1,036$747139%$42921
MRI brain with and without contrastCPT 70553$3,158$369855%~$1,44121
MRI lower extremity joint (knee)CPT 73721$2,287$252906%~$97521
MRI lumbar spine without contrastCPT 72148$2,254$252893%~$96121
Major joint replacement (hip/knee), no MCCMS-DRG 470$20,302$14,211143%—8
Major joint replacement (hip/knee), with MCCMS-DRG 469$31,925$22,346143%—8
Major small and large bowel procedures, with CCMS-DRG 330$29,183$17,139170%—8
Medical back problems, no MCCMS-DRG 552$11,804$6,142192%—8
OB global care, VBAC deliveryCPT 59610$2,482———2
OB global care, cesarean deliveryCPT 59510$2,593———2
OB global care, vaginal deliveryCPT 59400$2,407———2
OB ultrasound, 14+ weeksCPT 76805$645$111584%~$27721
Obstetric blood test panelCPT 80055$444$48929%~$19121
Office consultation, comprehensiveCPT 99244$144——$6016
Office consultation, moderateCPT 99243$106——$4416
Office visit, established patient, level 3CPT 99213$101———1
Office visit, established patient, level 4CPT 99214$150———1
Office visit, new patient, level 3CPT 99203$126———1
Office visit, new patient, level 4CPT 99204$204———1
Office visit, new patient, level 5CPT 99205$277———1
PSA (prostate specific antigen), totalCPT 84153$115$18626%~$4921
Partial thromboplastin timeCPT 85730$73$61211%~$3121
Percutaneous cardiac stent, no MCCMS-DRG 247$32,289———3
Physical therapy, therapeutic exerciseCPT 97110$114——$4920
Preventive visit, new patient, 18-39CPT 99385$165———1
Preventive visit, new patient, 40-64CPT 99386$201———1
Prostate biopsyCPT 55700$597———3
Prothrombin timeCPT 85610$58$41350%~$2521
Psychotherapy, 30 minutesCPT 90832$282$188150%—5
Psychotherapy, 45 minutesCPT 90834$282$188150%—5
Psychotherapy, 60 minutesCPT 90837$282$188150%—5
Renal failure, with CCMS-DRG 683$10,754$6,374169%—8
Screening mammography, bilateralCPT 77067$352——~$17521
Sepsis with MCCMS-DRG 871$23,853$14,624163%—8
Shoulder arthroscopy, subacromial decompressionCPT 29826$1,166———2
Simple pneumonia and pleurisy, with CCMS-DRG 194$9,896$5,222190%—8
Sleep study (polysomnography)CPT 95810$3,353$909369%$1,43921
Spinal fusion except cervical, no MCCMS-DRG 460$64,322$25,413253%—3
Spinal fusion except cervical, with MCCMS-DRG 459$110,187$51,127216%—3
Stroke (hemorrhage/infarction), no CC/MCCMS-DRG 066$8,404$3,679228%—8
Stroke (hemorrhage/infarction), with CC or tPAMS-DRG 065$12,406$7,430167%—8
Thyroid stimulating hormone (TSH)CPT 84443$123$17735%~$5321
Tonsillectomy and adenoidectomy, under age 12CPT 42820$6,263$6,263100%—7
Transforaminal epidural, lumbar/sacralCPT 64483$1,411$936151%$60221
Ultrasound, abdomen, completeCPT 76700$898$111812%~$38521
Ultrasound, transvaginalCPT 76830$562$111508%~$24121
Upper GI endoscopy with biopsyCPT 43239$1,439$960150%—8
Upper GI endoscopy, diagnosticCPT 43235$1,439$960150%—7
Urinalysis, automated, with microscopyCPT 81001$268$38461%~$11521
Urinalysis, automated, without microscopyCPT 81003$233$210363%~$10021
Urinalysis, manual, with microscopyCPT 81000$6$4150%—7
Urinalysis, manual, without microscopyCPT 81002$15$3438%~$721
Vaginal delivery, no sterilization, no CC/MCCMS-DRG 807$8,015———8
Vaginal delivery, no sterilization, with CCMS-DRG 806$9,040———8
X-ray, lower back, 4+ viewsCPT 72110$512$111463%~$22021
YAG laser capsulotomy (secondary cataract)CPT 66821$873$582150%—7

Click any column to sort. *Estimated from this hospital’s federal cost-report cost-to-charge ratio; approximate, least precise for imaging and labs (~). Sources and method on the methodology page. To put this hospital beside others, open it in the explorer.

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Rexroad Analytics · Data: hospital machine-readable files (45 CFR 180, schema v3.0) retrieved September 15–16, 2026; Medicare benchmarks from CMS claims data and fee schedules; cost estimates from FY2026 CMS cost-report ratios, labeled as estimates. Not medical, legal, or benefits advice. Full methodology → · The American Healthcare Conundrum →