Good Samaritan Regional Hlth Center
Good Samaritan Regional Health Center in Mount Vernon, IL charges 5.4x the Medicare reimbursement rate across 60 analyzed procedures, reflecting the significant pricing variation patients may encounter at this nonprofit facility.
Mount Vernon, IL 62864 · Acute Care Hospitals · CMS Rating: 3/5
About the analyst
Priya Iyengar leads the billing code review team at BillRazor Research. She analyzes NCCI bundling edits, DRG coding, and regional rate variation. Expertise: NCCI bundling, DRG analysis, regional pricing.
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Pricing grade
D
High
Avg markup vs Medicare
5.36x
Charge / Medicare rate
Max markup
12.06x
Worst procedure
Procedures analyzed
60
With pricing data
Outlier procedures
0%
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 |
|---|---|---|---|---|---|
| EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | 039 | $67,729 | $33,864 | — | 12.1x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC | 322 | $101,055 | $50,528 | — | 9x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | 282 | $32,805 | $16,403 | — | 8.4x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC | 247 | $96,150 | $48,075 | — | 8.4x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | 287 | $46,732 | $23,366 | — | 7.6x |
| CHEST PAIN | 313 | $27,123 | $13,562 | — | 7.3x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | 310 | $19,173 | $9,587 | — | 7.2x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | 281 | $34,546 | $17,273 | — | 7.1x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES O | 246 | $117,988 | $58,994 | — | 6.9x |
| INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | 854 | $86,004 | $43,002 | — | 6.8x |
| MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | 470 | $77,254 | $38,627 | — | 6.8x |
| RENAL FAILURE WITHOUT CC/MCC | 684 | $21,945 | $10,973 | — | 6.8x |
| GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | 390 | $18,092 | $9,046 | — | 6.8x |
| KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | 690 | $27,531 | $13,765 | — | 6.7x |
| GASTROINTESTINAL HEMORRHAGE WITH CC | 378 | $37,402 | $18,701 | — | 6.6x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 392 | $27,072 | $13,536 | — | 6.4x |
| DYSEQUILIBRIUM | 149 | $24,614 | $12,307 | — | 6.3x |
| SYNCOPE AND COLLAPSE | 312 | $32,759 | $16,380 | — | 6.2x |
| HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | 522 | $78,787 | $39,394 | — | 5.9x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | 309 | $22,569 | $11,285 | — | 5.7x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 872 | $34,173 | $17,087 | — | 5.6x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $30,831 | $15,415 | — | 5.6x |
| MEDICAL BACK PROBLEMS WITHOUT MCC | 552 | $28,070 | $14,035 | — | 5.6x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | 391 | $41,090 | $20,545 | — | 5.5x |
| SIMPLE PNEUMONIA AND PLEURISY WITH MCC | 193 | $43,576 | $21,788 | — | 5.5x |
| TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | 069 | $24,650 | $12,325 | — | 5.5x |
| SIGNS AND SYMPTOMS WITHOUT MCC | 948 | $22,526 | $11,263 | — | 5.5x |
| CELLULITIS WITHOUT MCC | 603 | $26,505 | $13,252 | — | 5.3x |
| SIMPLE PNEUMONIA AND PLEURISY WITH CC | 194 | $24,873 | $12,437 | — | 5.1x |
| SEIZURES WITHOUT MCC | 101 | $24,893 | $12,446 | — | 5x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | 481 | $64,479 | $32,240 | — | 5x |
| PULMONARY EDEMA AND RESPIRATORY FAILURE | 189 | $37,271 | $18,636 | — | 4.9x |
| KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | 689 | $38,724 | $19,362 | — | 4.9x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | 191 | $24,673 | $12,336 | — | 4.8x |
| GASTROINTESTINAL OBSTRUCTION WITH CC | 389 | $20,990 | $10,495 | — | 4.7x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | 641 | $20,054 | $10,027 | — | 4.7x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | 480 | $87,020 | $43,510 | — | 4.7x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | 640 | $37,962 | $18,981 | — | 4.7x |
| HEART FAILURE AND SHOCK WITH MCC | 291 | $35,650 | $17,825 | — | 4.7x |
| RENAL FAILURE WITH CC | 683 | $23,236 | $11,618 | — | 4.6x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | 064 | $51,348 | $25,674 | — | 4.5x |
| DIABETES WITH CC | 638 | $22,400 | $11,200 | — | 4.4x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | 308 | $31,265 | $15,633 | — | 4.3x |
| GASTROINTESTINAL HEMORRHAGE WITH MCC | 377 | $44,216 | $22,108 | — | 4.3x |
| OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | 698 | $42,745 | $21,373 | — | 4.3x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | 871 | $49,272 | $24,636 | — | 4.2x |
| HYPERTENSION WITHOUT MCC | 305 | $16,199 | $8,100 | — | 4.2x |
| CELLULITIS WITH MCC | 602 | $35,253 | $17,626 | — | 4.1x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | 280 | $38,496 | $19,248 | — | 4.1x |
| RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | 208 | $67,338 | $33,669 | — | 3.9x |
Showing 50 of 60 procedures
How GOOD SAMARITAN REGIONAL HLTH CENTER 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