Good Samaritan Hospital
Good Samaritan Hospital in San Jose, CA charges 16.6x the Medicare reimbursement rate across 104 analyzed procedures, with all procedures showing significant markups above standard benchmarks.
San Jose, CA 95124 · Acute Care Hospitals · CMS Rating: 2/5
About the analyst
David Park researches procedure pricing and insurance reimbursement patterns at BillRazor Research. He specializes in cost comparison across care settings and metropolitan areas. Expertise: procedure pricing, insurance reimbursement, cost comparison.
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Billing patterns — for-profit
For-profit hospitals in our dataset demonstrate distinct billing patterns, with 628 facilities showing an average markup of 7.8 times Medicare rates. These hospitals typically maintain higher charge structures across most service categories compared to non-profit and government facilities. Common patterns include substantial charges above benchmark rates for emergency services, surgical procedures, and diagnostic imaging. Patients should be aware that initial bills from for-profit hospitals often reflect chargemaster rates rather than negotiated insurance amounts. The billing structure frequently includes separate charges for facility fees, physician services, and ancillary services that may appear as multiple line items. Before receiving care, patients can request cost estimates and inquire about financial assistance programs, which are federally required at all hospital types. Understanding that insurance negotiations typically result in significantly lower actual payments than initial charges can help patients navigate the billing process more effectively when receiving care at for-profit facilities.
Pricing grade
F
Very high
Avg markup vs Medicare
16.55x
Charge / Medicare rate
Max markup
28.03x
Worst procedure
Procedures analyzed
104
With pricing data
Outlier procedures
100%
Above 90th percentile
Pricing grades reflect how this hospital's chargemaster (list) rates compare to Medicare reimbursement benchmarks within the same state. Grades measure pricing patterns only — not quality of care, patient outcomes, or clinical performance. A lower grade does not mean a hospital provides inferior care. Based on publicly available federal data. Not endorsed by or affiliated with any government agency.
| Procedure | Code | Gross charge | Cash price | Medicare | Markup |
|---|---|---|---|---|---|
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | 066 | $180,812 | $90,406 | — | 28x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC | 322 | $440,281 | $220,141 | — | 25.3x |
| DYSEQUILIBRIUM | 149 | $169,534 | $84,767 | — | 24.3x |
| TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | 069 | $175,588 | $87,794 | — | 24.2x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $234,558 | $117,279 | — | 23.9x |
| CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC | 027 | $612,261 | $306,131 | — | 23.8x |
| PERIPHERAL VASCULAR DISORDERS WITH CC | 300 | $238,833 | $119,417 | — | 23.6x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | 287 | $237,764 | $118,882 | — | 23.2x |
| HEADACHES WITHOUT MCC | 103 | $178,480 | $89,240 | — | 22.9x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC | 247 | $367,340 | $183,670 | — | 22.5x |
| ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC | 897 | $150,944 | $75,472 | — | 21x |
| GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | 390 | $95,113 | $47,556 | — | 21x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | 064 | $398,124 | $199,062 | — | 21x |
| OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | 092 | $190,742 | $95,371 | — | 20.9x |
| HYPERTENSION WITHOUT MCC | 305 | $130,648 | $65,324 | — | 20.7x |
| SEIZURES WITHOUT MCC | 101 | $159,023 | $79,512 | — | 20.6x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/ | 321 | $663,903 | $331,952 | — | 20.2x |
| KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | 690 | $143,920 | $71,960 | — | 19.7x |
| LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC | 417 | $634,023 | $317,012 | — | 19.6x |
| NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC | 071 | $280,738 | $140,369 | — | 19.5x |
| CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC | 025 | $865,494 | $432,747 | — | 19.5x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | 309 | $131,725 | $65,862 | — | 19.2x |
| CELLULITIS WITHOUT MCC | 603 | $134,256 | $67,128 | — | 18.9x |
| PERIPHERAL VASCULAR DISORDERS WITH MCC | 299 | $317,526 | $158,763 | — | 18.9x |
| CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC | 074 | $169,058 | $84,529 | — | 18.7x |
| SIMPLE PNEUMONIA AND PLEURISY WITH CC | 194 | $143,902 | $71,951 | — | 18.5x |
| CHEST PAIN | 313 | $120,156 | $60,078 | — | 18.5x |
| ENDOCRINE DISORDERS WITH MCC | 643 | $290,829 | $145,415 | — | 18.5x |
| GASTROINTESTINAL OBSTRUCTION WITH CC | 389 | $130,101 | $65,050 | — | 18.4x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | 281 | $157,745 | $78,873 | — | 18.2x |
| SYNCOPE AND COLLAPSE | 312 | $149,541 | $74,770 | — | 18.2x |
| NERVOUS SYSTEM NEOPLASMS WITH MCC | 054 | $254,498 | $127,249 | — | 18.1x |
| DIABETES WITH MCC | 637 | $276,267 | $138,133 | — | 18x |
| LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | 418 | $286,371 | $143,185 | — | 18x |
| DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | 439 | $132,151 | $66,076 | — | 17.9x |
| SEIZURES WITH MCC | 100 | $357,247 | $178,624 | — | 17.7x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | 329 | $864,133 | $432,066 | — | 17.6x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | 280 | $283,666 | $141,833 | — | 17.2x |
| MEDICAL BACK PROBLEMS WITHOUT MCC | 552 | $155,457 | $77,729 | — | 17.1x |
| PULMONARY EDEMA AND RESPIRATORY FAILURE | 189 | $228,451 | $114,225 | — | 17.1x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | 641 | $121,808 | $60,904 | — | 17.1x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 392 | $127,394 | $63,697 | — | 17.1x |
| PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | 243 | $377,699 | $188,850 | — | 17x |
| SIMPLE PNEUMONIA AND PLEURISY WITH MCC | 193 | $226,895 | $113,447 | — | 16.9x |
| DIABETES WITH CC | 638 | $125,088 | $62,544 | — | 16.9x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES O | 246 | $507,641 | $253,820 | — | 16.8x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | 310 | $78,744 | $39,372 | — | 16.7x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | 286 | $371,855 | $185,927 | — | 16.5x |
| MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | 470 | $315,717 | $157,858 | — | 16.5x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | 330 | $369,753 | $184,876 | — | 16.4x |
Showing 50 of 104 procedures
How GOOD SAMARITAN HOSPITAL compares to nearby hospitals
Comparison based on average markup ratios from federal hospital pricing data (FY 2024). Chargemaster rates are gross charges — they are not what most insured patients pay. Actual costs depend on your insurance plan, negotiated rates, and coverage terms. This comparison is for informational purposes only and does not constitute medical, financial, or legal advice. Verify costs directly with your provider and insurer.
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Pricing data from federal hospital transparency files and physician fee schedules. Last updated: . All data is publicly available under federal law.
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Data: Federal hospital pricing data, updated annually. All data publicly available under federal law.
Methodology: Hospital gross charges divided by Medicare payment for the same DRG. A ratio of 3.0x means the hospital's listed price is 3 times what Medicare pays. Chargemaster rates are list prices — they are not what most insured patients pay. Grades measure pricing patterns only — not quality of care or clinical performance.
This information is for educational purposes only and is not medical, financial, or legal advice. Actual costs depend on your insurance and provider. We recommend verifying costs directly with your provider. Full methodology · Terms of use